卢旺达基加利圣安德烈学院高中生的危险性行为及其相关因素：一项基于机构的横断面研究。
Risky sexual behaviors and their associated factors within high school students from Collège Saint André in Kigali, Rwanda: An institution-based cross-sectional study.
作者信息
Ndagijimana Emmanuel, Biracyaza Emmanuel, Nzayirambaho Manasse
机构信息
Department of Epidemiology and Biostatistics, School of Public Health, University of Rwanda, Kigali, Rwanda.
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
出版信息
Front Reprod Health. 2023 Mar 3;5:1029465. doi: 10.3389/frph.2023.1029465. eCollection 2023.
BACKGROUND
Risky sexual behaviors (RSBs) remain public health concerns in adolescents from sub-Saharan Africa (SSA), and these practices may increase vulnerability to reproductive health problems if no early healthcare strategies are implemented. While previous studies reported that adolescents are engaged in these RSBs due to diverse influences such as the teenage stage, urbanization, and change in the environment they experience, there is a shortage of studies on RSB among adolescents in SSA. This study assessed the magnitude of RSBs and the RSB-associated factors among in-school adolescents.
METHODS
School-based cross-sectional study was conducted among 263 Saint Andre school students in Kigali, Rwanda, from July 3, 2020, to September 30, 2020. Systematic random sampling techniques were employed. All data were entered into Epi-Data and analyzed using SPSS version 25. Chi-square tests and multivariable logistic regression analyses were applied to determine factors associated with risky sexual behaviors. Confidence intervals (CIs) of 95% and 5% for statistical significance were maintained.
RESULTS
Of 263 participants, 109 (41%) experienced RSB in their lifetime. Among them, 66 respondents (60.55%) utilized contraceptive methods to prevent sexual and reproductive problems that can be caused by unprotected sexual intercourse. The students who experienced domestic violence had increased odds of experiencing RSB [odds ratio (OR) = 4.22; 95% CI: 1.6-11.23] than their counterparts. Those in grade 11 (OR = 2.68; 95% CI: 1.06-6.78) and grade 12 (OR = 4.39; 95% CI: 1.82-10.56) were more likely to practice RSB than those in grade 10. Alcohol users were almost more likely to experience RSB (OR = 3.9; 95% CI: 1.97-5.5) than their counterparts. Those who lived away from their biological parents had higher likelihood of experiencing RSB (OR = 2.5; 95% CI: 1.14-4.42) than those who lived with one or both parents. Students who experienced peer pressure were more likely to engage in RSB (OR = 3.9; 95% CI: 2.01-7.51) than their counterparts.
CONCLUSION
Promoting specific intervention programs built upon the factors associated with RSB among high school students needs to be prioritized.
背景
在撒哈拉以南非洲（SSA）的青少年中，危险的性行为（RSBs）仍然是公共卫生问题，如果不实施早期医疗保健策略，这些行为可能会增加生殖健康问题的易感性。虽然先前的研究报告称，青少年由于青春期阶段、城市化以及他们所经历的环境变化等多种影响而参与这些危险的性行为，但关于SSA青少年中危险的性行为的研究却很少。本研究评估了在校青少年中危险的性行为的程度以及与危险的性行为相关的因素。
方法
2020年7月3日至2020年9月30日，在卢旺达基加利的263名圣安德烈学校学生中进行了基于学校的横断面研究。采用系统随机抽样技术。所有数据都输入到Epi-Data中，并使用SPSS 25版进行分析。应用卡方检验和多变量逻辑回归分析来确定与危险的性行为相关的因素。维持95%的置信区间（CIs）和5%的统计学显著性。
结果
在263名参与者中，109人（41%）一生中经历过危险的性行为。其中，66名受访者（60.55%）使用避孕方法来预防性传播和生殖问题，这些问题可能由无保护的性行为引起。经历过家庭暴力的学生比同龄人经历危险的性行为的几率更高[优势比（OR）=4.22；95%CI：1.6 - 11.23]。11年级（OR = 2.68；95%CI：1.06 - 6.78）和12年级（OR = 4.39；95%CI：1.82 - 10.56）的学生比10年级的学生更有可能进行危险的性行为。饮酒者比同龄人更有可能经历危险的性行为（OR = 3.9；95%CI：1.97 - 5.5）。与父母一方或双方同住的学生相比，那些远离亲生父母生活的学生经历危险的性行为的可能性更高（OR = 2.5；95%CI：1.14 - 4.42）。经历过同伴压力的学生比同龄人更有可能参与危险的性行为（OR = 3.9；95%CI：2.01 - 7.51）。
结论
需要优先推广基于高中生中与危险的性行为相关因素的特定干预项目。
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