Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.
Department of Research Administration and Development, University of Limpopo, Turfloop 0727, South Africa.
Behav Sci (Basel). 2020 Oct 29;10(11):166. doi: 10.3390/bs10110166.
This study aimed to assess the prevalence and correlates of sexual risk behaviors among adolescents in the Caribbean. Nationally representative cross-sectional data were analyzed from 9143 adolescents (15 years = median age) that took part in the 2016 Dominican Republic, 2016 Suriname, 2017 Jamaica, and 2017 Trinidad and Tobago Global School-Based Student Health Survey (GSHS). The results indicate that 41.4% of the students had ever had sex, ranging from 26.4% in Trinidad and Tobago to 48.1% in Jamaica. Among the sexually active, 58.8% had had ≥2 sexual partners; 58.6% had had an early sexual debut (≤14 years); 41.9% had not used birth control the last time they had sex; 28.4% had not used a condom the last time they had sex; and, of the whole sample, 31.9% had engaged in two or more (multiple) sexual risk behaviors, ranging from 16.5% in Trinidad and Tobago to 40.3% in Jamaica. In an adjusted logistic regression analysis, substance use (tobacco, alcohol, and cannabis), psychological distress, frequent soft drink intake, participation in physical fighting, school truancy, older age, and male sex were associated with single and/or multiple sexual risk behaviors. A large number of adolescents in the Caribbean reported sexual risk behaviors, emphasizing the need for intervention.
本研究旨在评估加勒比地区青少年性风险行为的流行情况及其相关因素。对9143名青少年（中位年龄15岁）的全国代表性横断面数据进行了分析，这些青少年参与了2016年多米尼加共和国、2016年苏里南、2017年牙买加以及2017年特立尼达和多巴哥的全球学校学生健康调查（GSHS）。结果表明，41.4%的学生曾有过性行为，特立尼达和多巴哥为26.4%，牙买加为48.1%。在有性行为的人群中，58.8%有过≥2个性伴侣；58.6%初次性行为较早（≤14岁）；41.9%上次性行为时未采取避孕措施；28.4%上次性行为时未使用避孕套；在整个样本中，31.9%有过两种或更多（多种）性风险行为，特立尼达和多巴哥为16.5%，牙买加为40.3%。在调整后的逻辑回归分析中，物质使用（烟草、酒精和大麻）、心理困扰、频繁饮用软饮料、参与肢体冲突、逃学、年龄较大以及男性与单一和/或多种性风险行为相关。加勒比地区大量青少年报告有性风险行为，这凸显了进行干预的必要性。
