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首页> 外文期刊>Journal of women’s health >Early age at first intercourse and subsequent gaps in contraceptive use.
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Early age at first intercourse and subsequent gaps in contraceptive use.

机译：第一次性交时年龄较早，随后在避孕方面的差距。

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BACKGROUND: Sexual debut before age 15 years has been associated with increased sexual risk behaviors among teens, but little is known about its effects beyond adolescence. This study examines the relationship between the age at first intercourse and subsequent contraceptive gaps. METHODS: We identified 3538 sexually active, fertile women participants from the 2006-2008 National Survey of Family Growth. Women were classified as consistent contraceptive users or inconsistentonusers. Age at first intercourse with a man was determined by self-report and categorized as <15, 15-17, and >/=18 years. RESULTS: Twenty-three percent reported gaps in contraceptive use in the year prior to interview. Compared with women who were 18 or older at first intercourse, women who were <15 years of age at the time of first intercourse were nearly two times as likely to report a gap in contraceptive use (adjusted odds ratio: 1.93; 95% confidence interval: 1.23-3.00). CONCLUSIONS: Age at first intercourse is associated with inconsistent or nonuse of contraceptives in later life. Primary prevention efforts should be established to empower girls to make informed and autonomous decisions about sexual debut. Personalized contraceptive counseling has been demonstrated as being effective in increasing contraceptive use and compliance and should be offered to all women, with particular focus on women who report an early age at first intercourse or other factors associated with inconsistent contraceptive use.
机译：背景：15岁之前的性行为首次出现与青少年中性风险行为的增加有关，但鲜为人知。这项研究检查了第一次性交时的年龄与随后的避孕间隙之间的关系。方法：我们从2006-2008年全国家庭成长调查中确定了3538名性活跃，可生育的女性参与者。妇女被分为一致的避孕药使用者或不一致/不使用的妇女。首次与男性交往的年龄由自我报告确定，分为<15岁，15-17岁和> / = 18岁。结果：23％的人在接受采访前一年报告了避孕药具使用方面的差距。与初次性交时18岁或以上的女性相比，初次性交时小于15岁的女性报告避孕使用差异的可能性几乎是两倍（调整后的优势比：1.93; 95％的置信区间） ：1.23-3.00）。结论：初次性交年龄与以后生活中避孕药的不一致或不使用有关。应建立初级预防措施，以使女孩有能力就性行为的初次做出知情的自主决定。个性化的避孕咨询已被证明可以有效提高避孕药具的使用和依从性，应向所有妇女提供，尤其侧重于初次性交时报告年龄过早或与避孕药具使用不一致的其他因素的妇女。

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