Isaksson Johan, Westermark Caroline, Koposov Roman A, Stickley Andrew, Ruchkin Vladislav
Child and Adolescent Psychiatry Unit, Department of Neuroscience, Uppsala University, 751 85, Uppsala, Sweden.
Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Centre for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden.
Child Adolesc Psychiatry Ment Health. 2021 Aug 9;15(1):40. doi: 10.1186/s13034-021-00393-3.
Risky sexual behaviour (RSB) is regarded as a major health problem during adolescence. Russia has one of the highest rates of teenage pregnancy, abortion and newly diagnosed HIV infections in the world, but research on RSB in Russian youth has been limited. To address this deficit, this study examined the role of several factors, including internalizing and externalizing symptoms, in RSB among Russian adolescents.
Self-reported data were collected from 2573 Russian adolescents aged 13-17 years old (59.4 % girls; Mean age = 14.89) regarding RSB (unprotected sex, early pregnancy, multiple sexual partners and substance use during sexual encounters). Information was also obtained on externalizing (conduct problems and delinquent behaviour) and internalizing (depression, anxiety and posttraumatic stress) symptoms, as well as interpersonal risk and protective factors (affiliation with delinquent peers, parental involvement and teacher support). Hierarchical multiple binary logistic regression analysis was used to examine the associations between these variables and RSB.
Boys reported engaging in more RSB than girls. Externalizing symptoms and affiliation with delinquent peers were most strongly associated with RSB, whereas symptoms of anxiety were negatively associated with RSB. There was an interaction effect for sex and affiliation with delinquent peers on RSB with boys reporting RSB when having more delinquent peers. Neither parental involvement nor teacher support were protective against RSB.
Early detection of and interventions for RSB and associated externalizing symptoms may be important for adolescent physical and mental wellbeing. Affiliation with delinquent peers should, especially among boys, be regarded as a risk marker for RSB.
危险的性行为（RSB）被视为青少年时期的一个主要健康问题。俄罗斯是世界上青少年怀孕、堕胎和新诊断出的艾滋病毒感染率最高的国家之一，但针对俄罗斯青少年危险的性行为的研究一直很有限。为了解决这一不足，本研究调查了包括内化症状和外化症状在内的几个因素在俄罗斯青少年危险的性行为中所起的作用。
收集了2573名年龄在13至17岁之间的俄罗斯青少年（59.4%为女孩；平均年龄 = 14.89岁）关于危险的性行为（无保护性行为、早孕、多个性伴侣以及性行为期间使用毒品）的自我报告数据。还获取了关于外化症状（行为问题和犯罪行为）、内化症状（抑郁、焦虑和创伤后应激）以及人际风险和保护因素（与不良同伴的交往、父母参与和教师支持）的信息。采用分层多元二元逻辑回归分析来检验这些变量与危险的性行为之间的关联。
男孩报告的危险的性行为比女孩更多。外化症状以及与不良同伴的交往与危险的性行为关联最为紧密，而焦虑症状与危险的性行为呈负相关。在危险的性行为方面，性别与不良同伴交往之间存在交互作用，男孩在有更多不良同伴时报告有危险的性行为。父母参与和教师支持都不能预防危险的性行为。
对危险的性行为及相关外化症状进行早期检测和干预可能对青少年的身心健康很重要。与不良同伴的交往，尤其是在男孩中，应被视为危险的性行为的一个风险指标。
