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ADOLESCENCE, SEXUAL BEHAVIOR AND RISK FACTORS TO HEALTH
Comportamento Perigoso
Fatores de Risco
Adolescente
Comportamento do Adolescente
Affilliation
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro Latino Americano de Estudos de Violência e Saúde Jorge Careli. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro Latino Americano de Estudos de Violência e Saúde Jorge Careli. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro Latino Americano de Estudos de Violência e Saúde Jorge Careli. Rio de Janeiro, RJ, Brasil.
Abstract
OBJECTIVE: To analyze the relationships between sexual behavior and risk
factors to physical and mental health in adolescents.
METHODS:
Study of 3,195 pupils aged 15 to 19 in secondary education,
in public and private schools in 10 state capitals in Brazil between 2007
and 2008. Multi-stage (schools and pupils) cluster sampling was used in
each city and public and private educational network. All of the students
selected completed a questionnaire on the following items: socioeconomic
and demographic data; sexual behavior; having sex with those of the same
sex, the opposite sex, or both; alcohol and cannabis use; using condoms;
traumatic sexual experiences as a child or adolescent; suicidal thoughts.
The analysis included describing frequencies, Chi-square test, analysis of
multiple and cluster correspondence. Responses to an open ended question
in which the adolescent expressed general comments about themselves and
their lives were qualitatively analyzed using content analysis.
RESULTS:
Around 3.0% of adolescents reported homosexual or bisexual
behavior, with no difference according to sex, age, skin color, social status
family structure or educational network. Adolescents with homosexual/
bisexual sexual behavior, compared to their heterosexual peers, reported: (p
< 0.05): getting drunk (18.7% and 10.5%, respectively), frequent cannabis
use (6.1% and 2.1%, respectively), suicidal thoughts (42.5% and 18.7%,
respectively), and having been the victim of sexual violence (11.7% and 1.5%;
respectively). Adolescents with homosexual/bisexual sexual behavior reported
that they used condoms less frequently (74.2%) than their heterosexual peers
(48.6%, p < 0.001). In the correspondence analysis, three groups were
found, one composed of adolescents with homosexual/bisexual behavior and
experiencing risk factors; suffering sexual violence, never using a condom,
suicidal thoughts, frequent cannabis use; another composed of occasional
cannabis and condom users, who got drunk frequently, and adolescents
with heterosexual behavior and none of the risk factors investigated. More
of the risk factors were found in adolescents with homosexual/bisexual
behavior compared with those with heterosexual behavior. Adolescents with
homosexual/bisexual sexual behavior were more likely to talk about their
positive personal experiences and negative relationship experiences that their
heterosexual peers, but spoke less about religion.
CONCLUSIONS:
Not only should this issue be studied in more detail, but
preventative actions aimed at adolescents with homosexual/bisexual behavior
should be widened.
DeCS
Comportamento SexualComportamento Perigoso
Fatores de Risco
Adolescente
Comportamento do Adolescente
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