摘要
目的:了解非意愿首次性行为与有关因素的关联情况,探索其与人工流产、避孕、生殖道感染等生殖健康事件、健康结局的关联。方法:在上海3家不同等级、常规提供人工流产服务的医院,纳入年龄小于25岁、来院进行人工流产的未婚女性开展匿名问卷调查。结果:调查对象发生首次性行为的平均年龄为19.6岁,8.4%的调查对象首次性行为是与非固定性伴发生的,15.3%的调查对象首次性行为是非意愿的;首次性行为年龄小、首次性行为与非固定性伴发生的对象较容易发生非意愿首次性行为;发生非意愿首次性行为的对象更早发生人工流产,更可能与非固定性伴发生性行为造成本次意外妊娠,在以后的性经历中更可能有多性伴,更可能曾因为性伴的原因而不使用避孕措施,更可能出现生殖道感染症状。结论:非意愿首次性行为与发生首次性行为的年龄、性伴类型相关,发生非意愿首次性行为会影响青少年今后的性行为模式、危害青少年的性与生殖健康。
Objectives： To understand the related factors of non- consensual first sex and to explore the correlation be- tween non - consensual first sex and reproductive health events and outcomes, such as induced abortion, contraception and repro- ductive tract infection. Methods： An anonymous questionnaire survey was conducted in three different hospitals which provided abortion service in Shanghai among 429 unmarried women aging below 25 who sought abortion. Results： The average age when respondents had their first sex is 19. 6. 8.4% of respondents had their first sex with non - regular partners, and 15.3% had non - eonsensual first sex ; respondents who had their first sex at an earlier age or with non - regular partners are more likely to have non - consensual first sex ; those who suffered from non - consensual first sex are more likely to get induced abortion at an earlier age and have unwanted pregnancy with non - regular sexual partner, and are less likely to use contraceptives because of their sexual partners. Non - consensual first sex showed positive correlation with reproductive tract infection. Conclusion ： Non - consen- sual first sex is related to age and the type of partners for first sexual behavior. Non - consensual first sex would affect adoles- cents＇ sexual behavior pattern, and eventually threaten their sexual and reproductive health.
出处
《中国性科学》
2013年第7期57-61,共5页
Chinese Journal of Human Sexuality
基金
世界卫生组织资助项目(A65494)
关键词
人工流产
非意愿性行为
青少年
Induced abortion
Non - consensual sex
Adolescents
