International Institute for Population Sciences, Deonar, Govandi Station Road, Mumbai, Maharashtra, 400088, India.
Deepanjali Vishwakarma, Doctoral Fellow, International Institute for Population Sciences, Deonar, Mumbai, India.
BMC Public Health. 2020 Jul 11;20(1):1089. doi: 10.1186/s12889-020-09191-6.
The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men's high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16).
A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used.
Overall, high-risk sexual behaviour has increased among adolescent boys (64 to 70%) and young men (18 to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6 to 6.0%) as well as in urban areas (3.1 to 10.9%) over the last 10 years. Adolescent boys having 10th and above years of schooling (AOR = 1.98; p < 0.01), residing in urban areas (AOR = 2.23; p < 0.01), and belonging to the affluent class of households (AOR = 1.41; p < 0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR = 1.82; p < 0.01) and young men (AOR = 2.38; p < 0.01) in 2015-16.
The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which placed them at higher-risky sexual behaviour as compared to young men. Adolescent' sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.
青少年的性行为很重要，因为他们在太年轻时就有风险性行为，这可能与不良后果有关。本研究旨在通过两轮印度人口健康调查（NFHS-3[2005-06 年]和 NFHS-4[2015-16 年]）了解印度青少年男孩和年轻男性的高危性行为的转变。
共有 25538 名 NFHS-3（2005-06 年）和 35112 名 NFHS-4（2015-16 年）男性被纳入分析。为了比较，男性被分为 15-19 岁（青少年）和 20-24 岁（年轻男性）两个年龄组。使用描述性和多变量统计。
总体而言，2005-06 年至 2015-16 年期间，青少年男孩（64%至 70%）和年轻男性（18%至 27%）的高危性行为有所增加。农村地区（0.6%至 6.0%）和城市地区（3.1%至 10.9%）青少年男孩的同居关系趋势在过去 10 年中有所增加。接受过 10 年及以上教育的青少年男孩（AOR=1.98；p<0.01）、居住在城市地区（AOR=2.23；p<0.01）和属于富裕家庭（AOR=1.41；p<0.05）的青少年男孩更有可能从事高危性行为比印度的年轻男性更有可能从事高危性行为。2015-16 年，饮酒的青少年男孩（AOR=1.82；p<0.01）和年轻男性（AOR=2.38；p<0.01）发生高危性行为的几率更高。
研究得出的结论是，青少年早期性行为、首次性行为时使用安全套的比例较低、同居倾向和饮酒表明，过去十年中，青少年男孩之间存在这种行为的危险关联，使他们处于比年轻男性更高的风险性行为中。青少年的性行为既有短期后果，也有长期后果，针对多个风险领域的干预措施可能是帮助促进年轻人广泛生殖健康的最有效措施。
