Orygen, Melbourne, Australia.
Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia.
Early Interv Psychiatry. 2023 Feb;17(2):159-166. doi: 10.1111/eip.13301. Epub 2022 Mar 30.
The sexual health of adults with schizophrenia is poorer than the general population; however, less is known about young people experiencing a first episode of psychosis (FEP). The aim of this study was to explore the high-risk sexual behaviours and sexual well-being indicators of a cohort of young people with FEP.
Data collected from young people (15-24 years) with FEP attending the EPPIC service in Melbourne and participating in a physical health intervention were analysed. Baseline trial data collected on sexual health and high-risk behaviours, psychiatric symptomology, functioning, and substance use are presented by gender. Associations between symptomology and functioning with sexual behaviour are explored.
A total of 69 young people were included in this study; mean age was 19.6 years (SD±2.8), 53.6% were male, 59.6% identified as heterosexual, and 21.7% were currently in a relationship. Within the cohort, 78.3% had ever been sexually active. Of these, 44.2% consistently used a condom at last sex act and 35.7% used barrier contraception consistently, 22.5% had previously been pregnant, and 18.6% had tested positive for an STI. Finally, young people were more likely to have been sexually active if they were currently using substances.
These findings suggest that high rates of high-risk sexual behaviour remain an issue for young people experiencing a first episode of psychosis. Promoting sexual well-being and communication skills between sexual partners should be targeted to ensure that high-risk sexual health outcomes are mitigated as early as possible.
精神分裂症患者的成年人的性健康状况比一般人群差；然而，对于首次出现精神病发作（FEP）的年轻人了解较少。本研究旨在探讨一组患有 FEP 的年轻人的高风险性行为和性健康指标。
对在墨尔本 EPPIC 服务中心就诊并参加身体健康干预的 FEP 年轻患者（15-24 岁）收集的数据进行了分析。按性别列出了基线试验中收集的性健康和高风险行为、精神症状、功能和物质使用情况的数据。探讨了症状和功能与性行为之间的关联。
本研究共纳入 69 名年轻人；平均年龄为 19.6 岁（SD±2.8），53.6%为男性，59.6%为异性恋，21.7%目前处于恋爱关系中。在该队列中，78.3%有过性行为。在这些人中，44.2%的人在上一次性行为中始终使用避孕套，35.7%始终使用屏障避孕法，22.5%曾怀孕，18.6%的人 STI 检测呈阳性。最后，年轻人如果当前正在使用物质，则更有可能有过性行为。
这些发现表明，首次出现精神病发作的年轻人仍然存在高风险性行为的高发率问题。应针对促进性健康和性伴侣之间的沟通技巧，以确保尽早减轻高风险的性健康后果。
