2018年埃塞俄比亚北部提格雷中部地区中学生的初次性行为及相关因素
Early sexual debut and associated factors among secondary school students of central zone of Tigray, Northern Ethiopia, 2018.
作者信息
Girmay Alem, Mariye Teklewoini, Gerensea Hadgu
机构信息
Department of Adult health Nursing, School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
Department of Pediatric and Child Health Nursing, School of Nursing, College of Health Science and Comprehensive Specialized Hospital, Aksum University, Tigray, Ethiopia.
出版信息
Pan Afr Med J. 2019 Sep 1;34:1. doi: 10.11604/pamj.2019.34.1.17139. eCollection 2019.
INTRODUCTION
Early sexual debut is common among young people and it has several sexual and reproductive health consequences. But, its burden and the associated factors leading to this behavior haven't received due attention. The main purpose of this study was to investigate the prevalence and associated factors of sexual debut in the preparatory and high school students of Aksum town.
METHODS
A school-based quantitative cross-sectional study design was used for this research work. A total of 519 preparatory and high school regular students participated in the survey. The sample population was obtained by using a simple random sampling technique from each schooling proportion with their number of students. Data, that were collected using self administered questionnaires, were entered into EpiData 3.02 and analyzed in SPSS 22.0. Results were presented using frequencies, tables and graphs. Statistical significance was declared at a P-value <0.05.
RESULTS
Of the total participants, 266 (51.3%) were males. The age of the participants ranged from 13 to 23 years with a mean age of 16.3 ± 1.47 years. Of the total participants, 137(26.2%) had sexual experience, among which 119 (87.5%) had an early sexual debut at an average age of 13.7 + 1.4 years. Factors that were found to be significantly associated with an early sexual debut were gender (AOR=3.41; 95% CI: 1.54, 6.99), residence (AOR=0.44; 95% CI: 0.27, 0.81), alcohol drinking (AOR=5.5; 95% CI: 2.2, 14.8), cigarette smoking (AOR=3.3; 95% CI: 2.3, 7.5), exposure to pornography, such as reading/seeing pornographic materials (AOR=7.4; 95% CI: 4.4, 11.78), living arrangement for educational purpose (AOR= 0.43; 95% CI: 0.13, 0.89), grade (AOR=0.38; 95% CI: 0.06, 0.68) and monthly living allowance (AOR=0.419; 95% CI: 0.2, 0.9).
CONCLUSION
A significant number of students reported early sexual debut. Gender, place of residence, alcohol drinking, cigarette smoking, exposure to pornography, grade and living arrangement for educational purpose and monthly living allowance were significant predictors of an early sexual debut.
引言
青少年过早开始性行为的现象较为普遍，这会对其性健康和生殖健康产生诸多影响。然而，这种行为带来的负担以及导致该行为的相关因素尚未得到应有的关注。本研究的主要目的是调查阿克苏姆镇预科和高中学生首次性行为的发生率及其相关因素。
方法
本研究采用基于学校的定量横断面研究设计。共有519名预科和高中的在校学生参与了此次调查。样本通过简单随机抽样技术从每个学校按学生人数的比例抽取。使用自填式问卷收集的数据录入EpiData 3.02，并在SPSS 22.0中进行分析。结果以频率、表格和图表形式呈现。P值<0.05时具有统计学意义。
结果
在所有参与者中，266名（51.3%）为男性。参与者年龄在13至23岁之间，平均年龄为16.3±1.47岁。在所有参与者中，137名（26.2%）有过性经历，其中119名（87.5%）过早开始性行为，平均年龄为13.7±1.4岁。被发现与过早开始性行为显著相关的因素有性别（比值比[AOR]=3.41；95%置信区间[CI]：1.54，6.99）、居住情况（AOR=0.44；95% CI：0.27，0.81）、饮酒（AOR=5.5；95% CI：2.2，14.8）、吸烟（AOR=3.3；95% CI：2.3，7.5）、接触色情内容，如阅读/观看色情材料（AOR=7.4；95% CI：4.4，11.78）、因教育目的的居住安排（AOR=0.43；95% CI：0.13，0.89）、年级（AOR=0.38；95% CI：0.06，0.68）和每月生活津贴（AOR=0.419；95% CI：0.2，0.9）。
结论
相当数量的学生报告过早开始性行为。性别、居住地点、饮酒、吸烟、接触色情内容、年级、因教育目的的居住安排和每月生活津贴是过早开始性行为的重要预测因素。
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