分析年轻人提出安全性行为建议能力中的交叉社会资源——瑞典全国性基于人群的调查结果。
Analysing intersecting social resources in young people's ability to suggest safer sex - results from a national population-based survey in Sweden.
机构信息
Centre for Sexology and Sexuality Studies, Department of Social Work, Faculty for Health and Society, Malmö University, Malmö, Sweden.
Unit for Sexual Health and HIV Prevention, Department of Communicable Disease Control and Health Protection, The Public Health Agency of Sweden, Solna, Sweden.
出版信息
BMC Public Health. 2022 Jul 4;22(1):1285. doi: 10.1186/s12889-022-13672-1.
BACKGROUND
Safer sex is one of the most crucial areas in sexual and reproductive health and rights (SRHR). Drawing on the theory of health promotion where social life generates resources for health our hypothesis is that having control over one's life situation, affects the ability for safer sex and thereby sexual health. The aim is to explore the association between having control over one's life and the ability to suggest safer sex among young people aged 16-29, and how this plays out in relation to membership of six constructed social groups based on: gender, transgender experience, sexual identity, economy, being foreign-born, and social welfare recipiency followed by an in-depth analysis of the intersection of gender and sexual identity.
METHODS
The data set comprises cross-sectional survey responses from a stratified random sample of 7755 in the total Swedish population of young people. The SRHR-focused questionnaire was developed within the HIV-monitoring program at the Public Health Agency of Sweden. Data collection was conducted by Statistics Sweden between April 15 and June 8 in 2015. The survey had a response rate of 26%, which was in line with the study design. Statistical analysis was used to explore the self-reported outcome variable ability for safer sex and the exposure variable control over one's life. The methods used comprise multivariate logistic regression and an intersecting multivariate regression exploring 12 intersecting social positions by gender and sexual identity.
RESULTS
The results show that young people's control over their lives is associated with their ability for safer sex. Due to this, control over one's life can be seen as a resource for safer sex. The associations in the 12 intersecting social positions showed complex patterns.
CONCLUSIONS
The intersections of resources show the complexity and that gender cannot account for all differences in the resources for young people's ability to suggest safer sex. Implications for policy and practitioners involve both addressing and strengthening the sexual rights of young people from sexual minorities and tailoring interventions in a way that takes the intersections between gender and sexual identity into consideration.
背景
安全性行为是性健康和生殖健康与权利（SRHR）领域最重要的领域之一。基于健康促进理论，社会生活为健康创造资源，我们的假设是，对自己生活状况的控制会影响安全性行为的能力，从而影响性健康。目的是探讨 16-29 岁年轻人对自己生活的控制与建议安全性行为的能力之间的关系，以及这种关系如何在基于性别、跨性别经历、性认同、经济、外国出生和社会福利接受者等六个构建的社会群体中表现出来，随后对性别和性认同的交叉点进行深入分析。
方法
该数据集包含来自瑞典总人口中分层随机抽样的 7755 名年轻人的横断面调查应答。该以 SRHR 为重点的问卷是在瑞典公共卫生署的 HIV 监测计划中制定的。数据收集由瑞典统计局于 2015 年 4 月 15 日至 6 月 8 日进行。调查的回应率为 26%，与研究设计相符。统计分析用于探索自我报告的结果变量安全性行为能力和暴露变量对生活的控制。所使用的方法包括多变量逻辑回归和探索性别和性认同的 12 个交叉社会地位的交叉多变量回归。
结果
结果表明，年轻人对自己生活的控制与他们进行安全性行为的能力有关。因此，对生活的控制可以被视为安全性行为的一种资源。12 个交叉社会地位的关联显示出复杂的模式。
结论
资源的交叉表明了复杂性，并且性别不能解释年轻人建议安全性行为能力的所有资源差异。对政策制定者和从业者的启示涉及到解决和加强性少数群体年轻人的性权利，并以考虑到性别和性认同之间的交叉为方式调整干预措施。
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