曼谷青少年性行为风险及相关因素：基于学校网络调查的结果。

Risky sexual behavior and associated factors among sexually-experienced adolescents in Bangkok, Thailand: findings from a school web-based survey.

机构信息

ASEAN Institute for Health Development, Mahidol University, 25/25, Phutthamonthon 4 Rd, Nakhon Pathom, 73170, Thailand.

Taunggyi University, Taunggyi, Shan State, Myanmar.

出版信息

Reprod Health. 2022 May 28;19(1):127. doi: 10.1186/s12978-022-01429-3.

DOI:10.1186/s12978-022-01429-3

PMID:35643503

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9148491/

Abstract

BACKGROUND

The risk of sexually transmitted infections (STI) arises when there is unsafe sexual activity. Unsafe sex often begins in the teenage years, and it will persist as long as there is the opportunity for risky sexual activity. The purpose of this study was to assess the sexual risk behaviors and related factors of sexually-active adolescents in educational institutions in Thailand.

METHODS

This was cross-sectional survey using an Internet-based application in schools in Bangkok from November 2020 to February 2021 with a total of 6,167 high school and vocational students. The schools were selected by simple random sampling among institutions, and the students were systematically randomly selected, with an equal number of males and females. We used multivariable logistic regression to analyze associations and control confounding variables. Indicators of risky sex include: (1) Not using a condom; (2) Having more than one sex partner; (3) Having sex in exchange for cash or in-kind compensation; and (4) Having sex without consent.

RESULTS

Of a total of 872 sexually-active participants, the mean age was 15.6 years, 66.9% were vocational students, 42.1% were male, 57.9% were female, and 69.5% had sex risk behavior. The multivariate logistic regression analysis identified the following statistically-significant factors related to risky sex: smokes cigarettes (AOR = 1.79; 95% CI 1.12-2.88); uses cannabis (AOR = 2.84; 95% CI 1.23-6.56); gambles (AOR = 1.81; 95% CI 1.28-2.55); has sex without contraception (AOR = 2.74; 95% CI 2.91-3.93); has a history of childhood sex abuse (AOR = 1.60; 95% CI 1.03-2.56).

CONCLUSIONS

Our findings suggest that, in designing and implementing sexual risk prevention programs for adolescents in educational settings, there is a need to highlight the role of substance abuse in relation to sexual risk behaviors. Programs should target both male and female students. Teenagers who use marijuana are more likely to be sexually active than those who have never used marijuana. These potential risks should be taken into account with respect to legalization of marijuana and recreational use of this drug.

摘要

背景

当存在不安全的性行为时，就会有性传播感染（STI）的风险。不安全的性行为通常始于青少年时期，只要存在危险的性行为机会，这种行为就会持续存在。本研究的目的是评估泰国教育机构中活跃的青少年的性风险行为及其相关因素。

方法

这是一项横断面调查，于 2020 年 11 月至 2021 年 2 月期间在曼谷的学校使用基于互联网的应用程序进行，共有 6167 名高中生和职业学校学生参与。学校通过机构的简单随机抽样进行选择，学生则通过系统随机抽样选择，男女学生人数相等。我们使用多变量逻辑回归分析来分析关联并控制混杂变量。有风险的性行为指标包括：（1）不使用安全套；（2）有多个性伴侣；（3）以现金或实物补偿换取性行为；以及（4）未经同意发生性行为。

结果

在总共 872 名活跃的参与者中，平均年龄为 15.6 岁，66.9%为职业学校学生，42.1%为男性，57.9%为女性，69.5%有性风险行为。多变量逻辑回归分析确定了与性行为风险相关的以下具有统计学意义的因素：吸烟（AOR=1.79；95%CI 1.12-2.88）；使用大麻（AOR=2.84；95%CI 1.23-6.56）；赌博（AOR=1.81；95%CI 1.28-2.55）；无避孕措施发生性行为（AOR=2.74；95%CI 2.91-3.93）；有儿童期性虐待史（AOR=1.60；95%CI 1.03-2.56）。