Department of Biomedical and Health Informatics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
J Pediatr Adolesc Gynecol. 2021 Jun;34(3):404-411. doi: 10.1016/j.jpag.2020.11.005. Epub 2020 Nov 20.
To describe sexual initiation patterns in female adolescents and examine their association with adolescent characteristics and racial disparities in adverse sexual health across adolescence into early adulthood.
A prospective, longitudinal, observational study from adolescence to adulthood.
Nationally representative, the National Longitudinal Study of Adolescent to Adult Health data, in the range of 24-32 years old at final assessment.
Data from 43,577 US women from 1994 to 2008.
Adolescent sex-related characteristics at the individual-, family-, and school peer-level were assessed, and multiple sex partners, sexually transmitted infections (STIs)/HIV, and intimate partner violence (IPV) were longitudinally tracked. The sexual initiation pattern and its longitudinal association with sexual health were analyzed using latent class analysis and mixed effects Poisson regression models.
Of the 43,577 subjects, the sexual initiation patterns were determined as normative (n = 28,712, 65.9%), late (n = 10,799, 24.8%), and early but unempowered (n = 4,066, 9.3%). The highest rate of the early-unempowered group was shown in Hispanic individuals (1,054/7,307 = 14.4%); they were more likely to be depressed, unsatisfied with their bodies, receiving welfare, and have less educated/permissive parents to their sexual initiation than others. The late group had a higher body mass index and greater satisfaction with their bodies. The highest number of STIs/HIV and IPV victimization was shown in non-Hispanic Black (NHB) and Hispanic individuals, respectively. However, NHB females' higher number of STIs/HIV was shown in the late/normative groups, not in the early-unempowered group. Among Hispanic females, adolescent sexual initiation patterns were not directly associated with their frequent IPV victimization.
NHB females' higher STI/HIV in late/normative groups and Hispanic females' frequent IPV victimization regardless of their sexual initiation patterns might indicate that racial/ethnic disparities in female sexual health was not directly determined by adolescent risk behaviors.
描述女性青少年的性初潮模式，并探讨其与青少年特征的关系，以及整个青春期到成年早期种族间不良性健康的差异。
一项从青少年到成年的前瞻性、纵向、观察性研究。
全国代表性的，全国青少年健康纵向研究的数据，在最后评估时年龄在 24-32 岁之间。
来自 1994 年至 2008 年的 43577 名美国女性的数据。
评估个体、家庭和学校同伴层面的青少年性相关特征，并对多个性伴侣、性传播感染（STI）/艾滋病毒和亲密伴侣暴力（IPV）进行纵向跟踪。使用潜在类别分析和混合效应泊松回归模型分析性初潮模式及其与性健康的纵向关系。
在 43577 名受试者中，性初潮模式被确定为正常（n=28712，65.9%）、晚（n=10799，24.8%）和早期但无权（n=4066，9.3%）。在西班牙裔个体中，早期无权组的比例最高（1054/7307=14.4%）；与其他人相比，他们更有可能抑郁、对自己的身体不满意、接受福利，并且父母的教育程度/态度更不宽容。晚组的体重指数更高，对自己的身体更满意。性传播感染/艾滋病毒和 IPV 受害人数最多的分别是非西班牙裔黑人（NHB）和西班牙裔个体。然而，NHB 女性的性传播感染/艾滋病毒人数较高的是在晚/正常组，而不是在早期无权组。在西班牙裔女性中，青少年性初潮模式与她们频繁的 IPV 受害之间没有直接关系。
NHB 女性在晚/正常组中更高的性传播感染/艾滋病毒率，以及西班牙裔女性无论其性初潮模式如何，都经常遭受 IPV 侵害，这表明女性性健康的种族/民族差异并不是直接由青少年风险行为决定的。
