Pierre N, Shrier L A, Emans S J, DuRant R H
Division of Adolescent/Young Adult Medicine, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
J Adolesc Health. 1998 Dec;23(6):364-9. doi: 10.1016/s1054-139x(98)00035-4.
To determine whether sexually active adolescent males who report being the victim of forced sexual contact and engaging in health risk and problem behaviors are more likely to report getting someone pregnant.
In 1995, 4159 students in Grades 9-12 in 59 randomly selected public high schools in Massachusetts were anonymously surveyed using the Youth Risk Behavior Survey (YRBS). Data were analyzed for 824 sexually active males. Demographic variables and indicators of sexual behavior, pregnancy, violence, and suicide were assessed. Data were analyzed with multiple logistic regression.
A total of 12.0% of sexually active males reported having been involved in a pregnancy. The proportion of males who reported getting a partner pregnant increased with age. Of the sample, 8.1% gave a history of having had sexual contact against their will. Of those who reported forced sexual contact, 36.4% reported having been involved in a pregnancy; of the males who did not report a history of forced sexual contact, 9.4% were involved in a pregnancy (CV = 0.23; p < 0.00001). Based on multiple logistic regression, forced sexual contact [odds ratio (OR) 3.56; 95% confidence interval (CI) 1.79-7.09], frequency of weapon carrying on school property (OR 1.39; 95% CI 1.18-1.64), number of cigarettes smoked per day (OR 1.22; 95% CI 1.08-1.38), number of sexual partners in the previous 3 months (OR 1.43; 95% CI 1.25-1.65), and condom nonuse at last intercourse (OR 1.80; 95% CI 1.06-3.02) correctly classified 89.9% of the males who were involved in a pregnancy.
This study highlights the association between health-risk and problem behaviors, forced sexual contact, and involvement in pregnancy among sexually active male high school students. In our analysis, a history of forced sexual contact was associated with a higher risk of high school males' involvement in pregnancy. These results strongly suggest the importance of screening sexually active males for a history of forced sexual intercourse and health risk and problem behaviors in the effort to prevent teenage pregnancy and childbearing.
确定那些报告曾是强迫性接触受害者且有健康风险和问题行为的性活跃青少年男性是否更有可能报告使他人怀孕。
1995年，对马萨诸塞州59所随机挑选的公立高中9至12年级的4159名学生使用青少年风险行为调查（YRBS）进行了匿名调查。对824名性活跃男性的数据进行了分析。评估了人口统计学变量以及性行为、怀孕、暴力和自杀的指标。使用多元逻辑回归分析数据。
共有12.0%的性活跃男性报告曾使他人怀孕。报告使伴侣怀孕的男性比例随年龄增加。在样本中，8.1%有过非自愿性接触史。在那些报告有强迫性接触的人中，36.4%报告曾使他人怀孕；在没有报告强迫性接触史的男性中，9.4%使他人怀孕（卡方值 = 0.23；p < 0.00001）。基于多元逻辑回归分析，强迫性接触（比值比[OR] 3.56；95%置信区间[CI] 1.79 - 7.09）、在学校携带武器的频率（OR 1.39；95% CI 1.18 - 1.64）、每天吸烟数量（OR 1.22；95% CI 1.08 - 1.38）、前三个月性伴侣数量（OR 1.43；95% CI 1.25 - 1.65）以及上次性交时未使用避孕套（OR 1.80；95% CI 1.06 - 3.02）能正确分类89.9%曾使他人怀孕的男性。
本研究强调了性活跃的高中男生中健康风险和问题行为、强迫性接触与怀孕之间的关联。在我们的分析中，强迫性接触史与高中男生使他人怀孕的较高风险相关。这些结果强烈表明，在努力预防青少年怀孕和生育时，对性活跃男性筛查强迫性交史以及健康风险和问题行为具有重要意义。
