Ku L, Sonenstein F L, Pleck J H
Urban Institute, Washington, DC 20037.
Public Health Rep. 1993 Nov-Dec;108(6):680-94.
Analyses of a nationally representative survey of 1,880 15- to 19-year-old men were conducted to examine factors associated with (a) the age when first sexual intercourse occurred and (b) whether a condom or other contraceptive method was used at first intercourse. Discrete time-event history models assessed factors influencing their age until first intercourse. Black males began sexual activity significantly earlier than white or Hispanic males. Males who had been held back in school also began sexual activity earlier. If a respondent's mother had been a teenager when she first gave birth, or if his mother was employed during his childhood, he was more likely to initiate intercourse early. A variety of combinations of AIDS and sex education topics were examined for their association with one's age at the time of first intercourse: two topics were associated with earlier intercourse, and one was associated with delays in first intercourse. Logistic regression models examined correlates of using a condom or any effective male or female method of contraception at first intercourse: having received education about birth control was marginally associated with increased probability of using a condom or any effective male or female contraceptive method at first intercourse. These findings indicate the relevance of integrated approaches to school-based sex and AIDS education in delaying intercourse and promoting use of contraceptive methods.
对一项针对1880名15至19岁男性的全国代表性调查进行了分析,以研究与以下因素相关的情况:(a)首次发生性行为的年龄,以及(b)首次性交时是否使用了避孕套或其他避孕方法。离散时间事件史模型评估了影响他们首次性交年龄的因素。黑人男性开始性活动的时间明显早于白人或西班牙裔男性。在学校留级的男性也更早开始性活动。如果受访者的母亲在首次生育时是青少年,或者他的母亲在他童年时期有工作,那么他更有可能较早开始性交。研究了各种艾滋病和性教育主题组合与首次性交时年龄的关联:两个主题与较早性交有关,一个主题与首次性交延迟有关。逻辑回归模型研究了首次性交时使用避孕套或任何有效的男性或女性避孕方法的相关因素:接受过避孕教育与首次性交时使用避孕套或任何有效的男性或女性避孕方法的可能性略有增加有关。这些发现表明,综合的学校性教育和艾滋病教育方法对于延迟性交和促进避孕方法的使用具有重要意义。