加蓬青少年风险行为与心理健康调查：非洲青少年的风险行为与脆弱性

Survey of the risk behaviors and mental health of adolescents in Gabon risky behaviors and vulnerability of adolescent Africans.

作者信息

Djoba Siawaya Joel Fleury, Minto'o Rogombe Steeve, Diawara Mah, Avome Houechenou Rotimi Myrabelle, Efire Emagha Nora Sylvana, Andrews Zena, Moukambi Lydie Armelle, Maloupazoa Siawaya Anicet Christel, Mveang Nzoghe Amandine, Mvoundza Ndjindji Ofilia, Douada Mouguiama Patrick

机构信息

Service Laboratoire, Centre Hospitalier Universitaire Mère-Enfant Fondation Jeanne EBORI, BP. 212, Libreville, Gabon.

Unités de Recherche et de Diagnostics Spécialisés, Laboratoire National de Santé Publique, BP. 10 736, Libreville, Gabon.

出版信息

Commun Med (Lond). 2024 Nov 9;4(1):229. doi: 10.1038/s43856-024-00615-7.

DOI:10.1038/s43856-024-00615-7

PMID:39521908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11550377/

Abstract

BACKGROUND

Adolescence shapes adulthood and is a time of vulnerability. This study explores risk behaviors among African adolescents from Gabon.

METHODS

This study was done in 2021 and followed the Global School-Based Student Health Survey (GSHS) guidelines. Six core modules (alcohol, tobacco, and drug use, sexual behaviors, mental health, and safety) were included. A self-administered questionnaire was used to gather data. The data were analyzed using Prism version 6 GraphPad software.

RESULTS

This study includes 1009 adolescents aged 10-19 years (62% females and 38% males). 30.8% are under 16 years old. 41.3% have low to medium self-esteem. The prevalence of alcohol, tobacco, and cannabis use is 37%, 7.4%, and 4.3%, respectively. 15.4% of under 16 years are alcohol drinkers. 38% are sexually active (6% of them have had sexually transmitted diseases (STDs)). Alcohol increases by 6.1 (p < 0.0001) the odds of being sexually active. The age of the first sexual intercourse is 15.3 ± 1.9 years. Sexually active adolescents have, on average, 3.2 ± 2.2 sex partners. Also, 38% of sexually active adolescents experienced coerced sex. 11.3% of sexually active girls had an abortion, and 17.4% of them had kids. 19.4% have experienced sex under substance influence. Less than half of adolescents consistently use condoms. The odds of unprotected sex under the influence of alcohol or drugs is 10.7 (p < 0.001).

CONCLUSIONS

These results suggest Gabonese adolescents have a relatively high rate of alcohol use, risky sexual behaviors, sexual coercion, low to medium self-esteem, and vulnerability."

摘要

背景

青春期塑造成年期，是一个易受伤害的时期。本研究探讨加蓬非洲青少年中的风险行为。

方法

本研究于2021年进行，遵循全球学校学生健康调查（GSHS）指南。纳入了六个核心模块（酒精、烟草和药物使用、性行为、心理健康和安全）。使用自填式问卷收集数据。数据使用Prism 6版GraphPad软件进行分析。

结果

本研究包括1009名10 - 19岁的青少年（62%为女性，38%为男性）。30.8%的人年龄在16岁以下。41.3%的人自尊水平低至中等。酒精、烟草和大麻的使用率分别为37%、7.4%和4.3%。16岁以下的青少年中有15.4%饮酒。38%的青少年有性行为（其中6%患有性传播疾病（STD））。饮酒会使有性行为的几率增加6.1（p < 0.0001）。首次性交年龄为15.3 ± 1.9岁。有性行为的青少年平均有3.2 ± 2.2个性伴侣。此外，38%有性行为的青少年经历过强迫性行为。11.3%有性行为的女孩做过人工流产，其中17.4%有孩子。19.4%的人在受药物影响的情况下发生过性行为。不到一半的青少年持续使用避孕套。在酒精或药物影响下进行无保护性行为的几率为10.7（p < 0.001）。