妇女滥交和生殖健康问题:调查结果和政策含义

P. Bourne, Charlene Sharpe-Pryce, C. Francis, A. Hudson-Davis, I. Solan, D. Lewis, Olive Watson-Coleman, Jodi-Ann Blake
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引用次数: 2

摘要

背景:几千年来,拥有多个性伴侣的女性一直被贴上妓女、妓女、滥交和商业性工作者的标签和污名。然而,很少有文献全面解决这一群体的生殖健康相关因素。目的:本研究的目的是阐明有多个性伴侣的妇女的生殖健康问题。环境和设计:本研究使用的数据来自2007年《牙买加生殖健康调查》。采用分层随机抽样设计采样框。材料和方法:目前的研究抽取了225名受访者(7168名年龄在15-49岁之间的女性)的样本,这些受访者表示有多个性伴侣。统计分析使用:数据分析使用统计软件包为社会科学的Windows,版本21.0。采用多元logistic回归分析影响当前避孕方法的因素。结果:有多个性伴侣的女性平均与比自己年长9.5岁以上的男性发生关系,其中72%的女性怀孕。目前,避孕措施的使用可以用社会阶层来解释(中产阶级,优势比(OR) = 0.08, 95% CI= 0.01 €0.59);第一次性交年龄(OR = 0.90, 95% CI = 0.68 - 1.21);就业状况(就业,OR = 5.07, 95% CI = 1.06 - 24.36);婚姻状况(已婚或同居,or = 0.09, 95% CI = 0.02 - 0.38)。结论:年轻妇女过早开始性行为是一个公共卫生问题,因为少女怀孕和性传播疾病的发生率增加,必须以与防治人体免疫机能丧失病毒/后天免疫机能丧失综合症(艾滋病毒/艾滋病)相同的力度和资源分配来解决这一问题。
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Women Promiscuity and Reproductive Health Matters: Findings andPolicy Implications
Background: For millennia, women with multiple sexual partners have been labeled and stigmatized as whores, prostitutes, promiscuous and commercial sex workers. However, there is little literature comprehensively addressing factors related to reproductive health in this group. Aim: The aim of the current study is to elucidate the reproductive health matters of women who have multiple sexual partners. Setting and design: The data use for this research is taken from the Jamaica Reproductive Health Survey, 2007. Stratified random sampling is used to design the sampling frame. Materials and Methods: The current study extracts a sample of 225 respondents (from 7,168 women ages 15-49 years) who indicate having had multiple sex partners. Statistical analysis used: Data are analyzed using the Statistical Packages for the Social Sciences for Windows, Version 21.0. Multiple logistic regressions were used to analyze factors that explained current method of contraception. Results: Women with multiple sex partners on average are involved with men at least 9.5 years their senior, and 72% of them have become pregnant. Currently, contraception use can be explained by social class (middle class, Odds ratio (OR) = 0.08, 95% CI= 0.01 – 0.59); age at first sexual intercourse (OR = 0.90, 95% CI = 0.68 – 1.21); employment status (employed, OR = 5.07, 95% CI = 1.06 – 24.36); and marital status (married or common-law, OR = 0.09, 95% CI = 0.02 – 0.38). Conclusion: The early sexual initiation among young women is a public health problem because of the increased incidence of teenage pregnancy and increased incidence of sexually transmitted diseases, which must be addressed with the same intensity and resource allocation used to fight against Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS)
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