학술논문

Age at Sexual Initiation and Sexual and Health Risk Behaviors Among Jamaican Adolescents and Young Adults
Document Type
article
Source
AIDS and Behavior. 22(Suppl 1)
Subject
Public Health
Health Sciences
Prevention
Basic Behavioral and Social Science
Teenage Pregnancy
Adolescent Sexual Activity
Behavioral and Social Science
Infectious Diseases
Pediatric
Clinical Research
Pediatric Research Initiative
Sexually Transmitted Infections
Contraception/Reproduction
Prevention of disease and conditions
and promotion of well-being
Aetiology
3.1 Primary prevention interventions to modify behaviours or promote wellbeing
2.3 Psychological
social and economic factors
Reproductive health and childbirth
Good Health and Well Being
Adolescent
Adolescent Behavior
Age Factors
Black People
Cross-Sectional Studies
Female
HIV Infections
Health Knowledge
Attitudes
Practice
Health Risk Behaviors
Humans
Jamaica
Male
Reproductive Health
Sex Education
Sexual Behavior
Young Adult
Sexual debut
Sexual and reproductive health policy
Sexual risk behavior
Adolescent sexual health
Public Health and Health Services
Social Work
Public health
Language
Abstract
Current policies limit access to sexual and reproductive health services for adolescents younger than 16 years in Jamaica. Using data from a national survey, we explored the relationship between age at sexual initiation and subsequent sexual risk behaviors in a random sample of 837 Jamaican adolescents and young adults aged 15-24 years. In the sample overall, 21.0% had not yet had sex. Among the 661 sexually active participants, the mean age at first sex was 14.7 years. High percentages of sexually active youth reported engaging in risk behaviors such as inconsistent condom use (58.8%), multiple sex partners (44.5%), and transactional sex (43.0%). Age of sexual initiation for males was unrelated to subsequent sexual risk behaviors. However, earlier sexual debut for females was associated with their number of partners during the preceding year. Findings underscore the potential benefits of access to sexual and reproductive education and services at earlier ages than current policies allow. Interventions before and during the period of sexual debut may reduce sexual risk for Jamaican adolescents and young adults.