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DOI: 10.1055/s-0040-1713411
Sexual Practices During Adolescence
Práticas sexuais na adolescência
Abstract
Adolescence is characterized by significant biological and psychological changes. During this time, the increased production of androgens leads to increased sexual behavior, and this may contribute to early initiation of sexual activity. The objectives of the present cross-sectional study of adolescents enrolled in state schools in the city of Ribeirão Preto, state of São Paulo, Brazil, were to determine the average age at the first sexual intercourse (sexarche), the average number of sexual partners, and the frequency of contraceptive and condom use. Information on the age at sexarche, number of sexual partners, use of different contraceptive methods, and use of condoms were obtained using a semistructured questionnaire. Quantitative variables are expressed as means and standard deviations (SDs), and qualitative variables as absolute and relative frequencies. The chi-squared test was used for comparisons of qualitative variables, and the Student t-test for comparisons of continuous variables. All statistical analyses were performed using SAS (version 9.4, North Carolina State University, USA). We evaluated 202 students who answered the questionnaire, 69 males (36.36%) and 133 females (63.64%). The age at sexarche for men ranged from 7 to 18 years old, and for women from 7 to 17 years old. Forty-eight girls (36.01%) and 21 boys (30.43%) were in the first year of high school, 66.94% of adolescents reported sexual intercourse, and 56.25% used a condom during the first sexual intercourse. A total of 36.72% of students said they had safe sex most of the time, and 83.59% said that the first sexual intercourse happened because they “had a crush on” the other person.
Resumo
A adolescência é caracterizada por significativas mudanças biológicas e psicológicas. Durante esse período, o aumento da produção de andrógenos leva ao aumento do comportamento sexual e isso pode contribuir para o início precoce da atividade sexual. Os objetivos do presente estudo transversal de adolescentes matriculados em escolas estaduais da cidade de Ribeirão Preto, São Paulo, Brasil, foram determinar a idade média na primeira relação sexual (sexarca), o número médio de parceiros sexuais e a frequência de uso de contraceptivos e preservativos. Informações sobre idade na sexarca, número de parceiros sexuais, uso de diferentes métodos contraceptivos e uso de preservativo foram obtidas por meio de um questionário semiestruturado. As variáveis quantitativas são expressas como média e desvio padrão (DP) e as variáveis qualitativas como frequências absolutas e relativas. O teste do qui-quadrado foi usado para comparações de variáveis qualitativas e o teste t de Student para comparações de variáveis contínuas. Todas as análises estatísticas foram realizadas no SAS (version 9.4, North Carolina State University, USA). Foram avaliados 202 estudantes que responderam ao questionário, 69 do sexo masculino (36,36%) e 133 do feminino (63,64%). A idade de sexarca para homens variou de 7 a 18 anos e para mulheres de 7 a 17 anos. Quarenta e oito meninas (36,01%) e 21 meninos (30,43%) cursavam o primeiro ano do ensino médio, 66,94% dos adolescentes relataram relações sexuais e 56,25% usaram camisinha durante a primeira relação sexual. Um total de 36,72% dos estudantes afirmou ter praticado sexo seguro a maior parte do tempo e 83,59% disseram que a primeira relação sexual aconteceu porque “tinham uma queda por” a outra pessoa.
Contributors
All of the authors contributed with the project and data interpretation, the writing of the article, the critical review of the intellectual content, and with the final approval of the version to be published.
Publication History
Received: 18 March 2020
Accepted: 27 April 2020
Article published online:
30 November 2020
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Cardoso da Silva D, Schwarz K, Fontanari AMV, Costa AB, Massuda R, Henriques AA. et al. WHOQOL-100 before and after sex reassignment surgery in Brazilian male-to-female transsexual individuals. J Sex Med 2016; 13 (06) 988-993
- 2 van der Sluis WB, Bouman MB, de Boer NKH, Buncamper ME, van Bodegraven AA, Neefjes-Borst EA. et al. Long-term follow-up of transgender women after secondary intestinal vaginoplasty. J Sex Med 2016; 13 (04) 702-710
- 3 Sousa BC, Santos RSD, Santana KC, Souzas R, Leite AJM, Medeiros DS. Sexual behavior and associated factors in rural adolescents. Rev Saude Publica 2018; 52: 39
- 4 Lara LAS, Abdo CHN. Age at time of initial sexual intercourse and health of adolescent girls. J Pediatr Adolesc Gynecol 2016; 29 (05) 417-423
- 5 United Nations Children's Fund. Annual results report 2017: HIV and AIDS. New York: UNICEF; 2018
- 6 Houlihan CF, de Sanjosé S, Baisley K, Changalucha J, Ross DA, Kapiga S. et al. Prevalence of human papillomavirus in adolescent girls before reported sexual debut. J Infect Dis 2014; 210 (06) 837-845
- 7 Steinberg L. A dual systems model of adolescent risk-taking. Dev Psychobiol 2010; 52 (03) 216-224
- 8 Ximenes Neto FRG, Dias MdoS, Rocha J, Cunha ICKO. Gravidez na adolescência: motivos e percepções de adolescentes. Rev Bras Enferm 2007; 60 (03) 279-285
- 9 Silva PDB, Oliveira MDS, Matos MA, Tavares VR, Medeiros M, Brunini S, Teles SA. Comportamentos de risco para as doenças sexualmente transmissíveis em adolescentes escolares de baixa renda. Rev Eletrônica Enferm. 2006; 7 (02) 185-189
- 10 Villela WV, Doreto DT. Sobre a experiência sexual dos jovens. Cad Saude Publica 2006; 22 (11) 2467-2472
- 11 Pinyopornpanish K, Thanamee S, Jiraporncharoen W, Thaikla K, McDonald J, Aramrattana A, Angkuararanon C. Sexual health, risky sexual behavior and condom use among adolescents young adults and older adults in Chiang Mai, Thailand: findings from a population based survey. BMC Res Notes 2017; 10 (01) 682
- 12 Pringle J, Mills KL, McAteer J. et al. The physiology of adolescent sexual behaviour: A systematic review. Cogent Soc Sci 2017; 3 (01) 1368858
- 13 Elaut E, Bogaert V, De Cuypere G, Weyers S, Gijs L, Kaufman J-M, T'Sjoen G. Contribution of androgen receptor sensitivity to the relation between testosterone and sexual desire: An exploration in male-to-female transsexuals. J Endocrinol Invest 2010; 33 (01) 37-41
- 14 Murad MH, Elamin MB, Garcia MZ, Mullan RJ, Murad A, Erwin PJ, Montori VM. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clin Endocrinol (Oxf) 2010; 72 (02) 214-231
- 15 Charles VE, Blum RW. Core competencies and the prevention of high-risk sexual behavior. New Dir Child Adolesc Dev 2008; 2008 (122) 61-74
- 16 Kotchick BA, Shaffer A, Forehand R, Miller KS. Adolescent sexual risk behavior: a multi-system perspective. Clin Psychol Rev 2001; 21 (04) 493-519
- 17 Luster T, Small SA. Factors associated with sexual risk-taking behaviors among adolescents. J Marriage Fam 1994; 56 (03) 622-632
- 18 Taquette SR, Vilhena MM. Uma contribuição ao entendimento da iniciação sexual feminina na adolescência. Psicol Estud 2008; 13 (01) 105-114
- 19 Malta DC, Sardinha LMV, Brito I, Gomes MRO, Rabelo M, Moraes Neto OL, Penna GO. Orientações de saúde reprodutiva recebidas na escola - uma análise da Pesquisa Nacional de Saúde do Escolar nas capitais brasileiras e no Distrito Federal, 2009. Epidemiol Serv Saude 2011; 20 (04) 481-490
- 20 Bouman MB, van der Sluis WB, van Woudenberg Hamstra LE, Buncamper ME, Kreukels BPC, Meijerink WJHJ, Mullender MG. Patient-reported esthetic and functional outcomes of primary total laparoscopic intestinal vaginoplasty in transgender women with penoscrotal hypoplasia. J Sex Med 2016; 13 (09) 1438-1444
- 21 Nishioka E. [Trends in Research on Adolescent Sexuality Education, Fertility Awareness, and the Possibility of Life Planning Based on Reproductive Health Education]. Nippon Eiseigaku Zasshi 2018; 73 (02) 185-199
- 22 Ferrara P, Gatto A, Manganelli NP, Ianniello F, Amodeo ME, Amato M. et al. The impact of an educational program on recognition, treatment and report of child abuse. Ital J Pediatr 2017; 43 (01) 72
- 23 Afsari A, Mirghafourvand M, Valizadeh S, Abbasnezhadeh M, Galshi M, Fatahi S. The effects of educating mothers and girls on the girls' attitudes toward puberty health: a randomized controlled trial. Int J Adolesc Med Health 2017; 29 (02) :/j/ijamh.2017.29.issue-2/ijamh-2015-0043/ijamh-2015-0043.xml
- 24 Gambadauro P, Carli V, Hadlaczky G, Sarchiaponi M, Apter A, Balazs J. et al. Correlates of sexual initiation among European adolescents. PLoS One 2018; 13 (02) e0191451
- 25 Buncamper ME, van der Sluis WB, de Vries M, Witte BI, Bouman MB, Mullender MG. Penile inversion vaginoplasty with or without additional full-thickness skin graft: to graft or not to graft?. Plast Reconstr Surg 2017; 139 (03) 649e-656e
- 26 Olsen JM, Lago TDG, Kalckmann S, Alves MCGP, Escuder MML. Práticas contraceptivas de mulheres jovens: inquérito domiciliar no Município de São Paulo, Brasil. Cad Saude Publica 2018; 34 (02) e00019617
- 27 Abma J, Driscoll A, Moore K. Young women's degree of control over first intercourse: an exploratory analysis. Fam Plann Perspect 1998; 30 (01) 12-18
- 28 Gullette D, Booth BM, Wright PB, Montgomery BEE, Stewart KE. Sexual sensation seeking, transactional sex, and rural African American cocaine users. J Assoc Nurses AIDS Care 2014; 25 (04) 289-296
- 29 Borges ALV, Schor N. Início da vida sexual na adolescência e relações de gênero: um estudo transversal em São Paulo, Brasil, 2002. Cad Saude Publica 2005; 21 (02) 499-507
- 30 Gubert D, Madureira VSF. Iniciação sexual de homens adolescentes. Cien Saude Colet 2008; 13 (Suppl. 02) 2247-2256
- 31 Becker ML, Bhattacharjee P, Blanchard JF, Cheuk E, Isac S, Musioki HK. et al. Vulnerabilities at first sex and their association with lifetime gender-based violence and hiv prevalence among adolescent girls and young women engaged in sex work, transactional sex, and casual sex in Kenya. J Acquir Immune Defic Syndr 2018; 79 (03) 296-304
- 32 Lara LAS, Arruda EPT. O que os adolescentes querem saber sobre sexualidade?. Femina 2019; 47 (07) 390-407