加拿大 15-24 岁青少年的性行为、避孕套使用和其他避孕方法。

Sexual behaviours, condom use and other contraceptive methods among 15- to 24-year-olds in Canada.

机构信息

Health Analysis Division, Statistics Canada, Ottawa, Ontario.

Sex Information and Education Council of Canada (SIECCAN), Toronto, Ontario.

出版信息

Health Rep. 2020 Sep 16;31(9):3-11. doi: 10.25318/82-003-x202000900001-eng.

DOI:10.25318/82-003-x202000900001-eng

PMID:32935960

Abstract

BACKGROUND

Sexual and reproductive health are key issues for adolescents and young adults. Detailed national Canadian data about sexual behaviours, condom use and other contraceptive use by youth are lacking.

DATA AND METHODS

Data from the 2015/2016 Canadian Community Health Survey were used to examine sexual behaviours, condom and other contraceptive use, and reasons for non-use by selected characteristics.

RESULTS

In 2015/2016, 54.1% of 15- to 24-year-olds reported having had sexual intercourse in the past year. Among those who had intercourse in the previous year, the percentage of males (42.6%) who had multiple sexual partners was higher than the percentage of females (31.4%). Gay and bisexual males (67.4% and 72.5%, respectively) and bisexual females (47.5%) were more likely to report having had multiple partners than their heterosexual counterparts. Overall, 60.1% of youth reported using a condom the last time they had sex. This was more common at younger ages, among males and among those who reported having had sex with more than one partner in the previous year. When asked the reason for not using a condom, monogamy and use of another method, such as oral contraceptive pills, were each cited by nearly half of non-users. Some reasons for not using a condom also differed by age, sex and number of partners. For example, youth aged 20 to 24 were more likely to report not using a condom because they disliked them, whereas those aged 15 to 17 were more likely to report none were available. About one-fifth of 15- to 24-year-olds reported using neither a condom nor another method of contraception the last time they had sex. One in 10 currently sexually active females reported using emergency contraception in the past year.

DISCUSSION

A substantial proportion of youth in Canada are at high risk for sexually transmitted infections and unplanned pregnancy, and the findings have implications for comprehensive sexual health education and related policies and programs.

摘要

背景

性与生殖健康是青少年和年轻人的关键问题。加拿大缺乏有关年轻人性行为、 condom 使用情况和其他避孕措施使用情况的详细国家数据。

数据和方法

利用 2015/2016 年加拿大社区健康调查的数据，根据选定特征，研究性行为、 condom 和其他避孕措施的使用情况以及不使用的原因。

结果

在 2015/2016 年，54.1%的 15 至 24 岁年轻人报告在过去一年中有过性行为。在过去一年中有过性行为的人群中，男性（42.6%）有多个性伴侣的比例高于女性（31.4%）。男同性恋和双性恋者（分别为 67.4%和 72.5%）以及双性恋女性（47.5%）报告有多个性伴侣的比例高于异性恋者。总体而言，60.1%的年轻人报告上次性行为时使用了 condom。这在较年轻的年龄、男性和报告过去一年中有多个性伴侣的人群中更为常见。当被问及不使用 condom 的原因时，近一半的非使用者提到了一夫一妻制和使用其他方法，如口服避孕药。不使用 condom 的一些原因也因年龄、性别和伴侣数量而异。例如，20 至 24 岁的年轻人更有可能因为不喜欢 condom 而不使用 condom，而 15 至 17 岁的年轻人更有可能报告说没有 condom。大约五分之一的 15 至 24 岁年轻人报告上次性行为时既没有使用 condom 也没有使用其他避孕方法。十分之一的当前有性行为的女性报告在过去一年中使用了紧急避孕药。