Sexual behaviours and associated risks in Chinese young people: a meta-analysis

Sexual Health ◽  
2013 ◽  
Vol 10 (5) ◽  
pp. 424 ◽  
Author(s):  
Xiao-ming Yu ◽  
Shuai-jun Guo ◽  
Yu-ying Sun
Keyword(s):  
High Risk ◽  
Young People ◽  
Sexual Activity ◽  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Sexual Debut ◽  
Meta Analysis ◽  
Health Concern ◽  
The Past ◽  
Sexual Behaviours

Background The earlier and unprotected sexual behaviour of young Chinese, and the consequences of these actions, have become a health concern, posing a challenge to traditional Chinese concepts. The aim of the present study was to investigate changes in sexual behaviour and associated risks among adolescents and young people in mainland China over the past three decades. Methods: A meta-analysis was undertaken to comprehensively review the sexual behaviour of Chinese young people (aged from 10 to 24 years) over the past 30 years. Relevant data published from 1979 to 2009 in the Chinese literature database were identified and retrieved. Analysis was performed based on set criteria. Results: Seventy-five studies were identified that were published after 1990. Overall, the estimated prevalence of sexual intercourse among young people was 12.6%, with an average age at sexual debut of 19.4 years. The rate of condom use at sexual debut was 37.2%; 53.6% of young people reported not using a condom during the most recent act of sexual intercourse. The rates of unintentional pregnancy and abortion among the sexually active were 15.1% and 10.8%, respectively. Reviewing the data according to decades revealed that the number of young people engaging in sexual intercourse decreased from 14.3% in 1990–1999 to 11.8% in 2000–2009. However, these rates are higher than the prevalence of sexual activity reported before 1990, which, according to sporadic studies, did not exceeded 1%. Conclusions: There have been increases in sexual activity and high-risk sexual behaviour in Chinese young people in the decades since the adoption of the open door policy in China, particularly since the mid-1990s. High-risk sexual behaviours have contributed to certain adverse consequences in adolescents and young people, such as unwanted pregnancy and sexually transmissible infection. Thus, efficacious intervention strategies need to be developed and implemented.

scholarly journals Transitions in Adolescent Boys and Young Men’s High-Risk Sexual Behaviour in India

2020 ◽  
Author(s):  
Santosh Kumar Sharma ◽  
Deepanjali Vishwakarma
Keyword(s):  
High Risk ◽  
Sexual Activity ◽  
Sexual Behaviour ◽  
Urban Areas ◽  
Sexual Debut ◽  
Sexual Experience ◽  
Young Men ◽  
Adolescent Boys ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour

Abstract Background: The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men’s high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods: A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used. Results: Overall, high-risk sexual behaviour has increased among adolescent boys (64% to 70%) and young men (18% to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6% to 6.0%) as well as in urban areas (3.1% to 10.9%) over the last ten years. Adolescent boys having 10th and above years of schooling (AOR=1.98; p<0.01), residing in urban areas (AOR=2.23; p<0.01), and belonging to the affluent class of households (AOR=1.41; p<0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR= 1.82; p<0.01) and young men (AOR=2.38; p<0.01) in 2015-16.Conclusions: The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which put them at higher-risky sexual behaviour as compared to young men. Adolescent’ sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.

scholarly journals Transitions in Adolescent Boys and Young Men’s High-Risk Sexual Behaviour in India

2020 ◽  
Author(s):  
Santosh Kumar Sharma ◽  
Deepanjali Vishwakarma
Keyword(s):  
High Risk ◽  
Sexual Activity ◽  
Sexual Behaviour ◽  
Urban Areas ◽  
Sexual Debut ◽  
Sexual Experience ◽  
Young Men ◽  
Adolescent Boys ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour

Abstract Background: The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men’s high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods: A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used. Results: Overall, high-risk sexual behaviour has increased among adolescent boys (64% to 70%) and young men (18% to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6% to 6.0%) as well as in urban areas (3.1% to 10.9%) over the last ten years. Adolescent boys having 10 th and above years of schooling (AOR=1.98; p<0.01), residing in urban areas (AOR=2.23; p<0.01), and belonging to the affluent class of households (AOR=1.41; p<0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR= 1.82; p<0.01) and young men (AOR=2.38; p<0.01) in 2015-16. Conclusions: The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which put them at higher-risky sexual behaviour as compared to young men. Adolescent’ sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.

Self-identified sexual orientations and high-risk sexual behaviours among Chinese youth

2019 ◽  
Vol 45 (4) ◽  
pp. 255-262
Author(s):  
Yuning Liu ◽  
Minhui Yang ◽  
Chunshan Zhao ◽  
Shihui Tan ◽  
Kun Tang
Keyword(s):  
Sexual Orientation ◽  
High Risk ◽  
Sexual Intercourse ◽  
Sexual Minority ◽  
Minority Groups ◽  
Sexual Debut ◽  
Sexual Partners ◽  
Regular Partner ◽  
Chinese College Students ◽  
Sexual Behaviours

PurposeHigh-risk sexual behaviour is a factor affecting the health of sexual minority students, yet few related studies have been completed among Chinese students. This article explores the distribution of sexual minority groups and its association with high-risk sexual behaviours and symptoms of sexually transmitted infections(STIs) among Chinese college students.MethodsAn internet-based questionnaire was applied, and a sample of 17 966 surveys from 130 Chinese colleges was collected. Based on their self-reports, participants were classified into the following groups: homosexual male or female, heterosexual, bisexual, and sexual orientation unknown. High-risk sexual behaviours were defined as having sexual intercourse before the age of 18 years, having one's sexual debut with a non-regular partner, having had more than four sexual partners before investigation, and having mostly had sexual intercourse without using condoms. Logistic regression models were constructed to analyse the associations.ResultsThe proportions of the homosexual males and females, and the bisexual groups were 1.62%, 0.88% and 5.07%, respectively. Homosexual males were more likely to have their sexual debut with a non-regular partner (OR 4.79, 95% CI 3.38 to 6.78), having more than four sexual partners (OR 5.81, 95% CI 4.06 to 8.32), having their sexual debut before the age of 18 years (OR 1.92, 95% CI 1.34 to 2.76), and not using condoms for most episodes of sexual intercourse (OR 1.47, 95% CI 1.00 to 2.17). Similar associations also existed among homosexual females. A positive association between sexual orientation and having symptoms of STIs (OR 1.49, 95% CI 1.02 to 2.18) was found among homosexual males.ConclusionsSexual minority groups among Chinese college students had a greater risk of engaging in high-risk sexual behaviours and having STI symptoms. Future studies and interventions should focus on this population.

Premarital Sexual Behaviours among Secondary School Adolescents: A Cross-sectional Study in Kathmandu

2020 ◽  
Vol 8 ◽  
pp. 39-52
Author(s):  
Yadu Ram Upreti ◽  
Devaraj Acharya
Keyword(s):  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Sexuality Education ◽  
Sexual Debut ◽  
Cross Sectional Study ◽  
Premarital Sex ◽  
Cross Sectional ◽  
Sexual Activities ◽  
Sexual Behaviours ◽  
Premarital Sexual

Young people’s sexuality is often stigmatized in South Asian societies, including Nepal, where premarital sex is not accepted socially and culturally. However, the prevalence of early sexual activities among adolescents has increased over time. Given this background, this paper aimed to explore the prevalence of premarital sexual behaviour among the urban high school adolescents. This study utilized a cross-sectional design and collected a total of 609 students of grade 9-12 [ages 10-19] from both community and institutional schools in the Kathmandu metropolis. A validated structured questionnaire was employed and data were analyzed using SPSS with version 24. Univariate, bivariate, and multivariate analyses were performed to interpret the results. The study showed that the mean age of the respondents was 16 years. More than half of adolescents (52.4%) ever watched pornography, amongst whom eight percent did it on a regular basis. Similarly, 14 percent of in-school adolescents ever experienced premarital vaginal sexual intercourse, where the median age for the sexual debut was 16 years. Male respondents tended to be 13 times more likely to have premarital sex compared to the girls. Respondents who were exposed to pornography materials were likely to be exposed by 5.7 times higher than that who were not. Further, 48 percent respondents who ever had sex did not use condoms during their first sexual intercourse, followed by 45 percent who had multiple sex partners.The study concluded that a notable proportion of adolescents was involved in premarital sexual behaviours followed with vaginal sexual intercourse, especially among the boy students. Hence, the results of this study suggest school-based comprehensive sexuality education to minimize the risky sexual behaviour and promote the safer sexual activities among the secondary level school adolescents.  

scholarly journals Assessment of Sexual Risk Behaviours among Young People Patronizing Alcoholic Beverage Selling Outlets in Makurdi, Benue State, Nigeria

2020 ◽  
Vol 3 (2) ◽  
pp. 37-45
Author(s):  
O Audu ◽  
GO Ogbeyi ◽  
VN Omole ◽  
IA Joshua ◽  
AA Gobir ◽  
...  
Keyword(s):  
High Risk ◽  
Young People ◽  
Sexual Risk ◽  
Sexual Intercourse ◽  
Risk Taking ◽  
Sexual Debut ◽  
Alcoholic Beverage ◽  
Alcoholic Beverages ◽  
Sexual Risk Behaviour ◽  
Anal Sex

Background: Young people constitute 16% of the global population and in Benue State Nigeria, majority of them take alcohol which is one of the identified drivers of high risk sexual behaviours. However, intervention strategies at the pubs where alcoholic beverages are sold remain peripheral. This study assessed the sexual risk taking behaviours among young people who patronized alcoholic beverage selling outlets in Makurdi, the Benue State capital.Methods: A community based cross-sectional study using interviewer administered questionnaire was conducted among 273 young people sampled from 4 night clubs and 28 bars. Logistic regression analysis was conducted to determine the relationship between alcohol use and risky sexual practices with statistical significance set at p =0.05Results: Seventy-four percent of the respondents had history of sexual intercourse with mean age of 18.2 (±3.0) years at sexual debut. Ninety eight (48.5%) had sexual intercourse within a week prior to the study, 73.8% took alcohol before the last sexual intercourse and the practice corroborates a cycle of sexual risk behaviour which include: heterosexual (100%), one-night stand (62.2%), sex without condoms (48.0%), oral sex (42.6%), sex in exchange for money (32.7%), anal sex (26.5%) and group sex (9.2%). Those who take alcohol are 8.5 times at higher risk of engaging in anal sex {(OR- 8.464) (95% CI = 2.919 – 24.53) (p= 0.0433)}.Conclusion: Policymakers working on risk taking behaviour intervention should consider night clubs and other drinking establishments in order to mitigate the effects of diseases transmitted through high risk sexual behavior among young people.

Condom Availability for Youth

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 281-285
Author(s):  
Keyword(s):  
High School Students ◽  
Condom Use ◽  
Sexual Activity ◽  
Sexual Intercourse ◽  
Hiv Transmission ◽  
Health Concern ◽  
School Students ◽  
The Past ◽  
Past Generation ◽  
Condom Availability

The medical consequences of adolescent sexual activity are a national health concern, highlighted by unintended pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS). Health promotion goals for teenagers include postponement of sexual activity until psychosocial maturity and consistent use of condoms by those who do engage in sexual intercourse. Although designing effective strategies to accomplish these goals remains a challenge, increased condom use is a realistic, achievable objective. The national public health agenda to reduce HIV transmission emphasizes the need to facilitate condom use as a method of disease prevention. Condom availability programs in schools are receiving widespread attention as a potential strategy to increase condom use by sexually active adolescents. Pediatricians are being asked for advice by school boards and community groups. This statement reviews the pertinent issues related to condom availability in schools and provides recommendations for use in responding to requests for advice. Background Sexual behavior of American adolescents has been studied for the past generation. Trend analysis shows increasing rates of sexual intercourse among young people over the past 20 years.1-3 Middle to late adolescence is now the average time for initiation of sexual intercourse. The 1992 Centers for Disease Control and Prevention national school-based Youth Risk Behavior Survey (YRBS) of 11 631 students in grades 6 through 12 reported that 54% of all high school students were coitally experienced, with 39% having had coitus in the 3 months before the survey. 4,5 Forty percent of 9th graders reported having sexual intercourse, a percentage that increased to 72% in 12th graders.

scholarly journals COVID-19 restrictions and changing sexual behaviours in HIV-negative MSM at high risk of HIV infection in London, UK

2021 ◽  
pp. sextrans-2020-054768
Author(s):  
Iain Hyndman ◽  
Diarmuid Nugent ◽  
Gary George Whitlock ◽  
Alan McOwan ◽  
Nicolò Girometti
Keyword(s):  
High Risk ◽  
Hiv Infection ◽  
Sexual Activity ◽  
Sexual Behaviour ◽  
Well Being ◽  
Categorical Variables ◽  
Cross Sectional ◽  
The Impact ◽  
Mental Well Being ◽  
Hiv Negative

ObjectivesThe COVID-19 pandemic and its related restrictions have affected attendance to and delivery of UK sexual healthcare services (SHS). We surveyed the impact on sexual behaviour of men having sex with men (MSM) to inform future SHS provision.MethodsWe conducted a cross-sectional, anonymous, web-based survey among HIV-negative MSM at high risk of HIV infection who attended 56 Dean Street, a sexual health and HIV clinic. The survey was conducted over a 7-day period in August 2020. Data on sociodemographic characteristics, sexual behaviour and related mental well-being experienced during lockdown (defined as 23 March–30 June 2020) were extracted. Categorical and non-categorical variables were compared according to HIV pre-exposure prophylaxis (PrEP) use.Results814 MSM completed the questionnaire: 75% were PrEP users; 76% reported they have been sexually active, of which 76% reported sex outside their household. 75% reported fewer partners than prior to lockdown. Isolation/loneliness (48%) and anxiety/stress (27%) triggered sexual activity, and 73% had discussed COVID-19 transmission risks with their sexual partners. While 46% reported no change to emotions ordinarily experienced following sex, 20% reported guilt for breaching COVID-19 restrictions. 76% implemented one or more changes to their sexual behaviour, while 58% applied one or more steps to reduce COVID-19 transmission during sex. 36% accessed SHS and 30% reported difficulties in accessing testing/treatment. Of those who accessed SHS, 28% reported an STI diagnosis. PrEP users reported higher partner number, engagement in ‘chemsex’ and use of SHS than non-PrEP users.ConclusionsCOVID-19 restrictions had a considerable impact on sexual behaviour and mental well-being in our survey respondents. High rates of sexual activity and STI diagnoses were reported during lockdown. Changes to SHS provision for MSM must respond to high rates of psychological and STI-related morbidity and the challenges faced by this population in accessing services.

Characteristics influencing high-risk sexual behaviours in elderly men

2018 ◽  
Vol 30 (4) ◽  
pp. 353-361 ◽  
Author(s):  
Gui-Yuan Xiao ◽  
Bin Peng ◽  
Ying Hu ◽  
Dou Qu ◽  
Min-Qing Lai ◽  
...  
Keyword(s):  
High Risk ◽  
Sexual Intercourse ◽  
Age Differences ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Sexual Partners ◽  
Elderly Men ◽  
Healthy Elderly ◽  
Sexual Behaviours ◽  
Age Related

With the objective of investigating the characteristics influencing high-risk sexual behaviours in elderly men (60–74 years of age) in Chongqing, China, a total of 1433 healthy elderly men with sexual intercourse frequencies of one to six times/month who were willing to participate in the questionnaires were studied at four hospitals. We measured serum testosterone levels and performed follow-ups every six months, with a total of 1128 elderly men followed up after two years. We also investigated socio-economic and demographic characteristics (age, education, income, location, marital status and number of marriages), types of sexual partners, age differences with fixed sexual partners, frequency of sexual intercourse, combined basic age-related diseases, sexually transmitted infections (STIs) education, elderly self-care ability and high-risk sexual behaviours (frequency of sexual intercourse and number of sexual partners) using questionnaires. We analysed the influencing factors of high-risk sexual behaviours in elderly men using a univariate analysis, multivariate logistic regression analysis, BP neural network prediction and cluster analysis. Finally, we found that serum total testosterone, age, types of sexual partners, age differences with fixed partners and frequency of sexual intercourse are five factors that influence high-risk sexual behaviours in elderly men.

scholarly journals Changes in contraceptive and sexual behaviours among unmarried young people in Nigeria: Evidence from nationally representative surveys

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246309
Author(s):  
Sunday A. Adedini ◽  
Jacob Wale Mobolaji ◽  
Matthew Alabi ◽  
Adesegun O. Fatusi
Keyword(s):  
Young People ◽  
Associated Factors ◽  
Sexual Debut ◽  
Economic Status ◽  
Binary Logistic Regression ◽  
Demographic And Health Surveys ◽  
Inconsistent Condom ◽  
Sexual Behaviours ◽  
Nationally Representative ◽  
Multiple Sexual Partnership

Context Nigeria is a high-burden country in terms of young people’s health. Understanding changes in young people’s sexual and reproductive health (SRH) behaviours and the associated factors is important for framing appropriate interventions. Objective This study assessed changes in SRH behaviours of unmarried young people aged 15–24 and associated factors over a ten-year period in Nigeria. Data and method We analysed datasets from Nigeria Demographic and Health Surveys of 2008, 2013 and 2018 to assess changes in inconsistent condom use, non-use of modern contraceptives; multiple sexual partnership; and early sexual debut. Using binary logistic regression, we assessed the association of selected variables with the SRH behaviours. Results Over four-fifths of unmarried young people (15–24) in Nigeria engaged in at least one risky sexual behaviour in each survey year. The pattern of changes in the four risky SRH behaviours was consistent over the 10-year period, with the highest rates of each behaviour occurring in 2018 while the lowest rates were in 2013, thus indicating an increase in the proportion of respondents engaging in risky sexual behaviours over the study period. Comprehensive HIV/AIDS knowledge, male gender, older age category (20–24), residence in south-west Nigeria, urban residence, higher socio-economic status, secondary/higher education were mostly protective against the four SRH variables analysed across the different data waves. Conclusion Addressing the high and increasing level of risky SRH behaviours among young people in Nigeria is imperative to improve overall national health status and to ensure progress towards achieving SDG target 3.7 focusing on SRH.

scholarly journals High-risk sexual behaviour in young people with mental health disorders

2018 ◽  
Vol 13 (4) ◽  
pp. 867-873 ◽  
Author(s):  
Asiel Yair Adan Sanchez ◽  
Elizabeth McMillan ◽  
Amit Bhaduri ◽  
Nancy Pehlivan ◽  
Katherine Monson ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Young People ◽  
Sexual Behaviour ◽  
Mental Health Disorders ◽  
High Risk Sexual Behaviour ◽  
Health Disorders ◽  
Risk Sexual Behaviour
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