University of Mississippi Medical Center, School of Nursing,| School of Medicine, Department of Cell and Molecular Biology, Cancer Center and Research Institute, Jackson, MS, United States.
University of Mississippi Medical Center, School of Nursing, Jackson, MS.
J Sch Health. 2023 Jun;93(6):500-507. doi: 10.1111/josh.13311. Epub 2023 Mar 27.
Early sexual reproductive health (SRH) education is linked to a reduction in risky sexual behaviors. Sexually transmitted infections (STIs) are rising at alarming rates. Risky sexual behaviors, including initiation of sex before age 13, having more than four sexual partners, and lack of use of condoms, increase the chance of infection and cancer. Informing students about the link between risky behaviors and cancer is vital to reduce morbidity and mortality.
A trend analysis of the Youth Risk Behavior Surveillance System (YRBSS) data between 2001 and 2019 was conducted. Results from four survey responses related to sexual risk behaviors among 9th to 12th grade in Mississippi students are compared with their US peers.
Between 2001 and 2019, favorable declines in 3 out of 4 sexual risk behaviors were observed. Declining prevalence was reported for "ever had sexual intercourse," "age of sexual initiation at age 13 or younger," and "having 4 or more sexual partners in their lifetime" are promising. However, fewer students report using condoms. The adjusted prevalence rates for Mississippi students in all 4 measures were higher than the national responses.
Our analysis supports the need for early skill-based sex education to promote health. States with increased behavioral risk among students should consider trends in data to improve education and policy.
早期的性生殖健康（SRH）教育与降低危险性行为有关。性传播感染（STIs）的发病率正在以惊人的速度上升。危险性行为，包括 13 岁以前开始性行为、拥有超过四个性伴侣和缺乏使用安全套，会增加感染和癌症的风险。让学生了解危险行为与癌症之间的联系对于降低发病率和死亡率至关重要。
对 2001 年至 2019 年期间的青少年风险行为监测系统（YRBSS）数据进行趋势分析。将密西西比州 9 至 12 年级学生的四项与性风险行为相关的调查结果与美国同龄人进行比较。
在 2001 年至 2019 年期间，有 4 种性风险行为中的 3 种呈有利下降趋势。“曾经有过性行为”、“13 岁或以下开始性行为”和“一生中拥有 4 个或更多性伴侣”的比例下降，这是令人鼓舞的。然而，较少的学生报告使用安全套。在所有 4 项措施中，密西西比州学生的调整后流行率均高于全国水平。
我们的分析支持需要进行基于技能的早期性教育，以促进健康。在学生行为风险增加的州，应考虑数据趋势，以改善教育和政策。
