Yang M
Department of Obstetrics & Gynaecology, National University Hospital, Singapore.
Ann Acad Med Singap. 1995 Sep;24(5):736-40.
Adolescent sexual activity is increasing globally. Abstinence and a delay in the start of sexual intercourse may be the most effective methods in preventing the consequences of teenage sexual activity. However, these goals are seldom met. With the change in social norms, peer pressure and media influences; teenagers are engaging in premarital sex earlier. Family life education in countries like Sweden and Finland reduces teenage pregnancy and abortion. It is unrealistic to expect sexually active adolescents to stop their sexual activity. An effective contraceptive method will provide an alternative to prevent teenage pregnancy. Issues on compliance of contraceptive use, especially at the very outset of sexual activity should be addressed. Most of the problems associated with teenage pregnancy are now thought to be related to the social circumstances of the mother, the poor nutritional status before pregnancy and poor attendance at antenatal clinics. Risk-taking behaviour in this age group will also make them more prone to contracting sexually transmitted diseases. High risk groups should be screened and treated early. Contraceptive methods with protection against sexually transmitted diseases should be advised.
全球范围内青少年性活动呈上升趋势。禁欲和推迟开始性行为可能是预防青少年性活动后果的最有效方法。然而，这些目标很少能实现。随着社会规范的变化、同伴压力和媒体影响，青少年更早地开始婚前性行为。瑞典和芬兰等国的家庭生活教育减少了青少年怀孕和堕胎情况。期望性活跃的青少年停止性行为是不现实的。一种有效的避孕方法将提供预防青少年怀孕的替代方案。应解决避孕措施使用的依从性问题，尤其是在性活动刚开始时。现在认为与青少年怀孕相关的大多数问题都与母亲的社会环境、怀孕前营养状况差以及产前诊所就诊率低有关。这个年龄段的冒险行为也会使他们更容易感染性传播疾病。高危人群应尽早筛查和治疗。应建议使用能预防性传播疾病的避孕方法。
