School of Medicine, Universidad de San Martín de Porres, Chiclayo, Peru.
Sociedad Científica San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Front Public Health. 2023 Sep 18;11:1191722. doi: 10.3389/fpubh.2023.1191722. eCollection 2023.
BACKGROUND: Sexually transmitted infections (STIs) are a serious public health problem worldwide, especially among reproductive-age women. The early sexual onset of sexual intercourse (EOSI) has been suggested as a risk factor, although there is no data at the national level. OBJECTIVE: To evaluate the association between EOSI and STIs in Peruvian women of childbearing age. METHODS: Analytical cross-sectional study with secondary data analyzes of the Peruvian Demographic and Family Health Survey 2018. The outcome was the presence of STIs in the last 12 months and the exposure variable was EOSI (age < 15 years at the time of their first sexual experience). To evaluate the association of interest, crude and adjusted prevalence ratios (aPRs) were calculated using generalized linear models with Poisson family and logarithmic link function. RESULTS: We analyzed data from 31,028 women of childbearing age. The 11.3% reported having STIs in the last 12 months and 20.2% of the participants had an EOSI. After adjusting for potential confounders, we found that EOSI was associated with STIs (aPR: 1.27; 95% CI: 1.08-1.50; = 0.005). When conducting stratified analysis by area of residence and number of sexual partners, this association was maintained in women living in urban areas (aPR: 1.36; 95% CI: 1.11-1.66; = 0.003) those who did not report having a history of multiple sexual partners (aPR: 1.27; 95% CI: 1.08-1.51; = 0.005), and those in the middle (aPR: 1.42; 95% CI: 1.03-1.97; = 0.034) and highest (aPR: 2.12; 95% CI: 1.33-3.39; = 0.002) wealth quintiles. CONCLUSION: Among reproductive-age women from Peru, EOSI was associated with STIs, especially in women living in urban areas, with no history of multiple sexual partners, and belonging to the middle to higher wealth index. The implementation of measures to prevent EOSI and fostering appropriate sexual health counseling for women with EOSI is advised.
背景:性传播感染(STIs)是全球范围内严重的公共卫生问题,尤其是在育龄妇女中。早期性开始(EOSI)被认为是一个风险因素,尽管在国家层面上尚无相关数据。
目的:评估秘鲁育龄妇女中 EOSI 与性传播感染的关系。
方法:这是一项基于 2018 年秘鲁人口与家庭健康调查的二次数据分析的分析性横断面研究。结果是在过去 12 个月内患有性传播感染,暴露变量为 EOSI(首次性经历时年龄<15 岁)。为了评估感兴趣的关联,使用具有泊松家族和对数链接函数的广义线性模型计算了未调整和调整后的患病率比(aPR)。
结果:我们分析了 31028 名育龄妇女的数据。11.3%的报告在过去 12 个月内患有性传播感染,20.2%的参与者有 EOSI。在调整了潜在混杂因素后,我们发现 EOSI 与性传播感染相关(aPR:1.27;95%CI:1.08-1.50; = 0.005)。当按居住区域和性伴侣数量进行分层分析时,这种关联在居住在城市地区的妇女中仍然存在(aPR:1.36;95%CI:1.11-1.66; = 0.003),那些没有报告有多个性伴侣的妇女(aPR:1.27;95%CI:1.08-1.51; = 0.005),以及处于中等(aPR:1.42;95%CI:1.03-1.97; = 0.034)和最高(aPR:2.12;95%CI:1.33-3.39; = 0.002)财富五分位数的妇女。
结论:在秘鲁的育龄妇女中,EOSI 与性传播感染有关,尤其是在居住在城市地区、没有多个性伴侣、以及属于中等到较高财富指数的妇女中。建议采取措施预防 EOSI 并为有 EOSI 的妇女提供适当的性健康咨询。
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