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中国青少年高危性行为的Meta分析

A meta-analysis of high-risk sexual behaviors among adolescents in China’s mainland

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【作者】 郭帅军余小鸣孙玉颖

【Author】 GUO Shuaijun,YU Xiaming,SUN Yuying Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing 100191,China

【机构】 北京大学公共卫生学院儿童青少年卫生研究所

【摘要】 目的:了解中国大陆青少年高危性行为发生的状况,为进一步研究干预及预防对策提供依据。方法:根据文献检索策略及纳入、排除标准,检索中国相关生物医学数据库,并结合文献追溯的方法,查找相关文献,提取数据,制成数据库进行Meta分析。结果:检索、识别相关文献717篇,纳入75篇文献,青少年首次性行为发生的平均年龄为(19.38±1.94)岁,首次性行为安全套使用率37.2%(95%CI:35.5%~38.9%);多个性伴侣发生率33.2%(95%CI:31.0%~35.5%);青少年妊娠发生率15.1%(95%CI:13.9%~16.4%)。相对于女生,男生发生性行为的概率是女生的2.09倍(OR=2.09,95%CI:1.79~2.39)。结论:我国青少年高危性行为发生状况令人担忧,尽早完善指导性干预措施势在必行。

【Abstract】 Objectives: To examine high-risk sexual behaviors among adolescents in China’s mainland and to provide the reference for the future intervention and prevention.Methods: The articles about high-risk sexual behaviors among adolescents were sorted based on our selection and exclusion criteria.We also checked the reference lists of relevant articles.Meta-analysis was conducted to obtain overall effect size of variables on high-risk sexual behaviors among adolescents.Results: In total,717 articles were sorted and 75 were included.Meta-analysis showed that the average age for sexual behavior debut was 19.38±1.94;the rate of condom use at sexual behavior debut was 37.2%(95%CI:35.5%-38.9%);the occurrence of sexual behaviors with multiple partners accounted for 33.2%(95%CI:31.0%-35.5%) and the rate of adolescent pregnancy was 15.1%(95%CI:13.9%-16.4%).Compared with female adolescents,male adolescents were 2.09 times more easier to have sexual intercourse(OR=2.09,95%CI:1.79-2.39).Conclusion: The phenomenon of high-risk sexual behaviors among adolescents should attract more concern in China’s mainland.The corresponding intervention and prevention measures should be developed as early as possible.

【关键词】 青少年学生性行为性经历Meta分析
【Key words】 AdolescentStudentSexual behaviorSexual experienceMeta analysis
  • 【文献出处】 中国性科学 ,The Chinese Journal of Human Sexuality , 编辑部邮箱 ,2012年10期
  • 【分类号】R181.3
  • 【被引频次】19
  • 【下载频次】485
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