Barchi Francis, Apps Helen, Ntshebe Oleosi, Ramaphane Peggie
Edward J. Bloustein School of Planning & Public Policy, Rutgers-The State University of New Jersey, New Brusnwick, NJ 08901, USA.
WoMen Against Rape, Maun, Botswana.
Int J Environ Res Public Health. 2021 May 24;18(11):5583. doi: 10.3390/ijerph18115583.
Adolescent sexual behavior is shaped by individual, social, and structural factors that can increase HIV-risk, unwanted pregnancy, and sexually transmitted disease. To inform the development of a comprehensive sexuality education program, 239 secondary school adolescents ages 14-19 in Maun, Botswana, completed a survey of sexual and reproductive health knowledge, attitudes, and behaviors in February-March 2020. Bivariate and multivariate analyses examined factors associated with sexual experience and perceived ability to insist on condoms. Approximately 21% of respondents reported having had sexual intercourse. More than half felt able to insist on condoms. Sources of information about human reproduction, alcohol use, attitudes about when sex is acceptable, and perceived sexual activity by one's peers were predictive of sexual experience. Age, confidence in correct condom use, perceived acceptability of adolescent sex with condoms, and endorsement of prevailing gender norms were significantly associated with perceived ability to insist on condom use.
青少年性行为受到个人、社会和结构因素的影响，这些因素会增加感染艾滋病毒、意外怀孕和性传播疾病的风险。为了为全面性教育计划的制定提供信息，2020年2月至3月，博茨瓦纳马翁的239名14至19岁的中学生完成了一项关于性与生殖健康知识、态度和行为的调查。双变量和多变量分析研究了与性经历以及坚持使用避孕套的感知能力相关的因素。约21%的受访者报告有过性行为。超过半数的人觉得自己能够坚持使用避孕套。关于人类生殖的信息来源、饮酒情况、对性行为可接受时机的态度以及同龄人感知到的性活动是性经历的预测因素。年龄、正确使用避孕套的信心、青少年使用避孕套进行性行为的可接受性感知以及对主流性别规范的认可与坚持使用避孕套的感知能力显著相关。
