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中国青少年浪漫和性相关经历模式:多群组潜在类别分析探索。

The pattern of romantic and sexual related experiences among Chinese young adolescents: an exploration with multi-group latent class analysis.

机构信息

NHC Key Lab. of Reproductive Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, 779 Old Hu Min Road, 200237, Shanghai, People's Republic of China.

School of Public Health, Fudan University, Shanghai, China.

出版信息

Reprod Health. 2021 Sep 20;18(1):184. doi: 10.1186/s12978-021-01235-3.

Abstract

BACKGROUND

Studies on very young adolescents' romantic and sexual experiences would help inform the context in which early sex arises. However, such studies are scant in China due to sparse data and cultural issues.

METHOD

This study used the GEAS baseline data conducted among1776 adolescents in Shanghai. Multi-group latent class analysis was used to explore adolescents' romantic and sexual experiences patterns and subgroups. Multi-nominal logistic regression was performed to identify the factors distinguishing different subgroups subsequently.

RESULTS

There were gender differences in the lifetime prevalence for very young adolescents' romantic and sexual-related behaviors. The Multi-group latent class analysis indicated that the participants could be classified into three classes: general group, early romance group, and sex exploratory group. Multi-nominal logistic regression showed youth in the early romance group were more likely to had friends of both gender, ever had a romantic relationship, and had more autonomy in deciding where to go than the general group; while male respondents in the sex exploratory group were older, ever had a romantic relationship, believed that boys should be more sexually active and more proactive than girls, had more autonomy on deciding where to go, and perceived less school connection and neighborhood cohesion. Female respondents in the sex exploratory group were older and less empowered in decision-making than the general group.

CONCLUSIONS

The result provides a picture of romantic and sexual behavior patterns among both gender of very young adolescents in China. Current sex education needs not only to be culturally appropriate but also to address the harm of gender inequality and stereotypes, as well as to provide accessible and supportive services to help young adolescents personalize their received information and strengthen their skills in communication, decision making, and critical thinking.

摘要

背景

研究非常年轻的青少年的恋爱和性经历将有助于了解早期性行为出现的背景。然而,由于数据稀疏和文化问题,此类研究在中国很少。

方法

本研究使用了在上海进行的 1776 名青少年的 GEAS 基线数据。多组潜在类别分析用于探索青少年的恋爱和性经历模式和亚组。随后进行多类别逻辑回归,以确定区分不同亚组的因素。

结果

非常年轻的青少年恋爱和性相关行为的终身患病率存在性别差异。多组潜在类别分析表明,参与者可分为三组:一般组、早期恋爱组和性探索组。多类别逻辑回归显示,早期恋爱组的青少年更有可能有异性朋友,曾经有过恋爱关系,并且在决定去哪里方面有更多的自主权,而一般组的青少年则更有可能有同性朋友,曾经有过恋爱关系,并且在决定去哪里方面有更多的自主权;而性探索组的男性受访者年龄更大,曾经有过恋爱关系,认为男孩应该更有性活跃,比女孩更积极主动,在决定去哪里方面有更多的自主权,并且对学校联系和邻里凝聚力的感知更少。性探索组的女性受访者比一般组的女性受访者年龄更大,决策能力更弱。

结论

研究结果提供了中国非常年轻的青少年的恋爱和性行为模式的概况。当前的性教育不仅需要文化上的适当性,还需要解决性别不平等和刻板印象的危害,并提供方便和支持性的服务,以帮助青少年个性化他们所接受的信息,并加强他们在沟通、决策和批判性思维方面的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce6c/8454020/ffb9bce52ff5/12978_2021_1235_Fig1_HTML.jpg

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