Křepelka Petr, Fait Tomáš, Urbánková Iva, Hanáček Jiří, Krofta Ladislav, Dvořák Vladimír
Institute for the Care of Mother and Child, Prague, Czech Republic.
Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Cent Eur J Public Health. 2020 Mar;28(1):3-12. doi: 10.21101/cejph.a5823.
This study aimed to obtain sexual and reproductive behaviour data of late adolescent women in the Czech Republic and to analyse the relationships between sexual behaviour and social, demographic, and behavioural factors.
Data were obtained using the Computer-Assisted Web Interviewing method from 25 April to 2 May 2018 from a representative group of sexually active women aged 18-24 years. Results were statistically evaluated using sign schema on adjusted residuals.
A total of 525 women participated (median age of coitarche - 16 years, condom use with/without hormonal contraception - 65%, unprotected sex - 9.3% in the sexual debut). Anamnestic artificial abortion and sexually transmitted disease (STD) rates were 5.3% and 3.8%, respectively. Early coitarche, number of sexual partners, history of abortion, and STDs were positively correlated with current hormonal contraceptive use; the number of sexual partners and use of hormonal contraception were negatively correlated. Hormonal contraceptive users were more likely vaccinated against human papilloma virus (HPV) in comparison with women without any contraception. There was no correlation between risky sexual behaviour, contraceptive use, and socio-demographic factors.
Women with early coitarche and a high cumulative number of sexual partners have more unwanted pregnancies and STDs; moreover, those with regular coital activity without contraception are less frequently vaccinated against HPV.
本研究旨在获取捷克共和国青春期晚期女性的性与生殖行为数据，并分析性行为与社会、人口统计学及行为因素之间的关系。
于2018年4月25日至5月2日采用计算机辅助网络访谈法，从一组具有代表性的18 - 24岁性活跃女性中获取数据。使用调整后残差的符号模式对结果进行统计学评估。
共有525名女性参与（首次性交的中位年龄为16岁，使用避孕套加/不加激素避孕的比例为65%，首次性行为时无保护性行为的比例为9.3%）。人工流产史和性传播疾病（STD）发生率分别为5.3%和3.8%。初次性交早、性伴侣数量、流产史和性传播疾病与当前使用激素避孕呈正相关；性伴侣数量与激素避孕的使用呈负相关。与未采取任何避孕措施的女性相比，使用激素避孕的女性更有可能接种人乳头瘤病毒（HPV）疫苗。危险的性行为、避孕措施的使用与社会人口统计学因素之间没有相关性。
初次性交早且性伴侣累计数量多的女性意外怀孕和感染性传播疾病的情况更多；此外，那些有规律性交活动但未采取避孕措施的女性接种HPV疫苗的频率较低。
