High-risk sexual behavior among unmarried adolescents aged 15-24 years in Beijing
ZHANG Yan, HAN Li-li, GAO Li-li, ZHANG Yue, SHEN Jie
Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing 100026, China
Abstract：Objective To understand the current status of high-risk sexual behavior and its related risk factors among unmarried adolescents aged 15-24 years in Beijing so as to provide a basis for formulating targeted intervention measures. Methods The convenience sampling method was used to select 1,354 unmarried adolescents aged 15-24 years in four pilot districts implemented the Comprehensive Prevention and Treatment Project for Caring for Beijing Adolescents’ Reproductive Health. Self-designed questionnaires were employed to survey the adolescents’ general information and sexual behavior, and then the factors related to high-risk behavior were analyzed. Results The incidence rate of sexual behavior among the unmarried adolescents was 16.3%. Among the adolescents with sexual experience, the incidence rate of high-risk sexual behavior was 51.1%. As for the last sexual encounter, 10.7% of the adolescents reported no contraception, and 16.8% reported using inefficient contraception. 48.2% of the adolescents reported low frequency of contraception usage. 12.3% of the adolescents had an experience of unintended pregnancy, and 20.2% had multiple sexual partners. Multivariate analysis results showed that sexual behavior debut under 18 years old was the risk factor for adolescents’ high-risk sexual behavior (OR=3.737, 95%CI:1.804-7.740). Conclusions The incidence rate of high-risk sexual behavior in the adolescents was high, and initiating sexual activity at an early age was the risk factor for occurring high-risk sexual behavior. Universities and communities should strengthen the education about sexual and reproductive health among adolescents so as to delay the age of first sexual behavior and decline the occurrence of high-risk sexual behavior.
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2020, Vol. 27 
