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Factors Associated With the Sexual Behavior of Canadian Aboriginal Young People and Their Implications for Health Promotion

机译:加拿大原住民青少年性行为的相关因素及其对健康促进的意义

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摘要

Objectives. We examined factors associated with having ever had sex, having more than 1 lifetime sexual partner, and condom nonuse at last incident of sexual intercourse among Canadian Aboriginal young people.Methods. We conducted a secondary analysis of data from the 2003 British Columbia Adolescent Health Survey, a cross-sectional survey of young people in grades 7 through 12.Results. Of 1140 young Aboriginal men, 34% had ever had sex; of these, 63% had had more than 1 sexual partner, and 21% had not used a condom at their last incident of sexual intercourse. Of 1336 young Aboriginal women, 35% had ever had sex; of these, 56% had had more than 1 sexual partner, and 41% had not used a condom at their last incident of sexual intercourse. Frequent substance use, having been sexually abused, and having lived on a land reservation were strongly associated with sexual behavior outcomes. Feeling connected to family was strongly associated with increased condom use.Conclusions. Sexual behavior change interventions for Aboriginal young people must move beyond the individual and incorporate interpersonal and structural dimensions. Interventions to reduce substance use and sexual abuse and promote feelings of family connectedness in this population should be explored. Young people living on land reserves need special attention.
机译:目标。我们研究了与曾经发生过性行为,拥有超过一生的性伴侣以及在加拿大原住民年轻人之间最后一次性交事件中不使用安全套有关的因素。我们对2003年不列颠哥伦比亚省青少年健康调查的数据进行了二次分析,该调查是对7至12年级年轻人的横断面调查。在1140名年轻的土著男子中,有34%有过性行为;其中63%有超过1个性伴侣,而21%在上一次性交事件中未使用安全套。在1336名年轻的土著妇女中,有35%有过性行为;其中56%有超过1个性伴侣,而41%在上一次性交事件中未使用安全套。频繁使用毒品,遭受性虐待和居住在土地保留区与性行为结果密切相关。与家庭有关的感觉与使用安全套的增加密切相关。针对土著年轻人的性行为改变干预措施必须超越个人,并纳入人际关系和结构方面。应该探索减少毒品使用和性虐待,增进家庭联系感的干预措施。生活在土地储备上的年轻人需要特别注意。

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