Cent Eur J Public Health 2020, 28(1):3-12 | DOI: 10.21101/cejph.a5823

Risky sexual behaviour and contraceptive use among young women in the Czech Republic

Petr Křepelka1,2, Tomáš Fait3, Iva Urbánková1, Jiří Hanáček1,2, Ladislav Krofta1,2, Vladimír Dvořák4
1 Institute for the Care of Mother and Child, Prague, Czech Republic
2 Third Faculty of Medicine, Charles University, Prague, Czech Republic
3 Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University, Prague, Czech Republic
4 Centre of Outpatient Gynaecology and Primary Care, Brno, Czech Republic

Objective: This study aimed to obtain sexual and reproductive behaviour data of late adolescent women in the Czech Republic and to analyse the relationships between sexual behaviour and social, demographic, and behavioural factors.

Methods: Data were obtained using the Computer-Assisted Web Interviewing method from 25 April to 2 May 2018 from a representative group of sexually active women aged 18-24 years. Results were statistically evaluated using sign schema on adjusted residuals.

Results: A total of 525 women participated (median age of coitarche - 16 years, condom use with/without hormonal contraception - 65%, unprotected sex - 9.3% in the sexual debut). Anamnestic artificial abortion and sexually transmitted disease (STD) rates were 5.3% and 3.8%, respectively. Early coitarche, number of sexual partners, history of abortion, and STDs were positively correlated with current hormonal contraceptive use; the number of sexual partners and use of hormonal contraception were negatively correlated. Hormonal contraceptive users were more likely vaccinated against human papilloma virus (HPV) in comparison with women without any contraception. There was no correlation between risky sexual behaviour, contraceptive use, and socio-demographic factors.

Conclusion: Women with early coitarche and a high cumulative number of sexual partners have more unwanted pregnancies and STDs; moreover, those with regular coital activity without contraception are less frequently vaccinated against HPV.

Klíčová slova: sexual behaviour, adolescence, contraception, coitarche, STD, HPV vaccination

Vloženo: 17. květen 2019; Revidováno: 28. únor 2020; Přijato: 28. únor 2020; Zveřejněno: 30. březen 2020  Zobrazit citaci

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Křepelka P, Fait T, Urbánková I, Hanáček J, Krofta L, Dvořák V. Risky sexual behaviour and contraceptive use among young women in the Czech Republic. Cent Eur J Public Health. 2020;28(1):3-12. doi: 10.21101/cejph.a5823. PubMed PMID: 32228810.
Stáhnout citaci

Reference

  1. Fontanella CA, Hiance-Steelesmith DL, Phillips GS, Bridge JA, Lester N, Sweeney HA, et al. Widening rural-urban disparities in youth suicides, United States, 1996-2010. JAMA Pediatr. 2015 May;169(5):466-73. Přejít k původnímu zdroji... Přejít na PubMed...
  2. Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, et al.; Centers for Disease Control and Prevention (CDC). Youth risk behavior surveillance - United States, 2007. MMWR Surveill Summ. 2008 Jun 6;57(4):1-131.
  3. Rice F, Sellers R, Hammerton G, Eyre O, Bevan-Jones R, Thapar AK, et al. Antecedents of new-onset major depressive disorder in children and adolescents at high familial risk. JAMA Psychiatry. 2017 Feb 1;74(2):153-60. Přejít k původnímu zdroji... Přejít na PubMed...
  4. Kelly J, Davis C, Schlesinger C. Substance use by same sex attracted young people: prevalence, perceptions and homophobia. Drug Alcohol Rev. 2015;34(4):358-65. Přejít k původnímu zdroji... Přejít na PubMed...
  5. Willie TC, Powell A, Lewis J, Callands T, Kershaw T. Who is at risk for intimate partner violence victimization: using latent class analysis to explore interpersonal polyvictimization and polyperpetration among pregnant young couples. Violence Vict. 2017 Jun 1;32(3):545-64. Přejít k původnímu zdroji... Přejít na PubMed...
  6. Miller E, Jordan B, Levenson R, Silverman JG. Reproductive coercion: connecting the dots between partner violence and unintended pregnancy. Contraception. 2010;81(6):457-9. Přejít k původnímu zdroji... Přejít na PubMed...
  7. Wellings K, Johnson AM. Framing sexual health research: adopting a broader perspective. Lancet. 2013;382(9907):1759-62. Přejít k původnímu zdroji... Přejít na PubMed...
  8. Huibregtse BM, Bornovalova MA, Hicks BM, McGue M, Iacono W. Testing the role of adolescent sexual initiation in later-life sexual risk behavior: a longitudinal twin design. Psychol Sci. 2011;22(7):924-33. Přejít k původnímu zdroji... Přejít na PubMed...
  9. Pizzarossa LB, Perehudoff K. Global survey of national constitutions: mapping constitutional commitments to sexual and reproductive health and rights. Health Hum Rights. 2017;19(2):279-93. Přejít k původnímu zdroji...
  10. Brant AR, Ye PP, Teng SJ, Lotke PS. Non-contraceptive benefits of hormonal contraception: established benefits and new findings. Curr Obstet Gynecol Rep. 2017;6(2):109-17. Přejít k původnímu zdroji...
  11. Kocourkova J. Relationship between abortion and contraception: a comparative socio-demographic analysis of Czech and Slovak populations. Women Health. 2016;56(8):885-905. Přejít k původnímu zdroji... Přejít na PubMed...
  12. Mother and newborn 2014-2015 [Internet]. Prague: Institute of Health Information and Statistics of the Czech Republic; 2017 [cited 2018 Jun 12]. Available from: https://www.uzis.cz/sites/default/files/knihovna/rodnov2014_2015.pdf. (In Czech.)
  13. Harden KP. True love waits? A sibling-comparison study of age at first sexual intercourse and romantic relationships in young adulthood. Psychol Sci. 2012;23(11):1324-36. Přejít k původnímu zdroji... Přejít na PubMed...
  14. Crochard A, Luyts D, di Nicola S, Goncalves MA. Self-reported sexual debut and behavior in young adults aged 18-24 years in seven European countries: implications for HPV vaccination programs. Gynecol Oncol. 2009 Dec;115(3 Suppl):S7-S14. Přejít k původnímu zdroji... Přejít na PubMed...
  15. Pastor Z, Weiss P, Sigmundová D. Trends in sexual behaviour in Czech schoolchildren between 2002-2014. Cent Eur J Public Health. 2017;25 Suppl 1:S64-S8. Přejít k původnímu zdroji... Přejít na PubMed...
  16. Boislard MA, van de Bongardt D, Blais M. Sexuality (and lack thereof) in adolescence and early adulthood: a review of the literature. Behav Sci (Basel). 2016 Mar 17;6(1). pii: E8. Přejít k původnímu zdroji... Přejít na PubMed...
  17. Lloyd CB, Behrman JR, Stromquist NP, Cohen B, editors. The Changing transitions to adulthood in developing countries: selected studies. Washington, D.C.: The National Academies Press; 2005.
  18. Lee RLT, Yuen Loke A, Hung TTM, Sobel H. A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities. J Clin Nurs. 2018 Feb;27(3-4):478-501. Přejít k původnímu zdroji... Přejít na PubMed...
  19. Moreau C, Trussell J, Bajos N. Religiosity, religious affiliation, and patterns of sexual activity and contraceptive use in France. Eur J Contracept Reprod Health Care. 2013;18(3):168-80. Přejít k původnímu zdroji... Přejít na PubMed...
  20. Lowry R, Robin L, Kann L. Effect of forced sexual intercourse on associations between early sexual debut and other health risk behaviors among US high school students. J Sch Health. 2017;87(6):435-47. Přejít k původnímu zdroji... Přejít na PubMed...
  21. Davies SL, DiClemente RJ, Wingood GM, Person SD, Dix ES, Harrington K, et al. Predictors of inconsistent contraceptive use among adolescent girls: findings from a prospective study. J Adolesc Health. 2006 Jul;39(1):43-9. Přejít k původnímu zdroji... Přejít na PubMed...
  22. Santelli J, Carter M, Orr M, Dittus P. Trends in sexual risk behaviors, by nonsexual risk behavior involvement, U.S. high school students, 1991-2007. J Adolesc Health. 2009 Apr;44(4):372-9. Přejít k původnímu zdroji... Přejít na PubMed...
  23. Shafii T, Stovel K, Holmes K. Association between condom use at sexual debut and subsequent sexual trajectories: a longitudinal study using biomarkers. Am J Public Health. 2007;97(6):1090-5. Přejít k původnímu zdroji... Přejít na PubMed...
  24. Weiss P, Zvěřina J. Sexual behavior in the Czech Republic - situations and trends. Prague: Portal; 2001. (In Czech.)
  25. True K, Bajos N, Bohet A, Moreau C. Timing of contraceptive initiation and association with future sexual and reproductive outcomes. Hum Reprod. 2014 Aug;29(8):1651-8. Přejít k původnímu zdroji... Přejít na PubMed...
  26. Wu JP, Kusunoki Y, Ela EJ, Barber JS. Patterns of contraceptive consistency among young adult women in Southeastern Michigan: longitudinal findings based on journal data. Women's Health Issues. 2016 May-Jun;26(3):305-12. Přejít k původnímu zdroji... Přejít na PubMed...
  27. Vasilenko SA, Lanza ST. Predictors of multiple sexual partners from adolescence through young adulthood. J Adolesc Health. 2014;55(4):491-7. Přejít k původnímu zdroji... Přejít na PubMed...
  28. Dogan SJ, Stockdale GD, Widaman KF, Conger RD. Developmental relations and patterns of change between alcohol use and number of sexual partners from adolescence through adulthood. Dev Psychol. 2010;46(6):1747-59. Přejít k původnímu zdroji... Přejít na PubMed...
  29. Rossi E, Poulin F, Boislard MA. Trajectories of annual number of sexual partners from adolescence to emerging adulthood: individual and family predictors. J Youth Adolesc. 2017;46(5):995-1008. Přejít k původnímu zdroji... Přejít na PubMed...
  30. Lindberg LD, Santelli JS, Desai S. Changing patterns of contraceptive use and the decline in rates of pregnancy and birth among U.S. adolescents, 2007-2014. J Adolesc Health. 2018;63(2):253-6. Přejít k původnímu zdroji... Přejít na PubMed...
  31. Remez L. One in 10 adolescents had recurrent sexually transmitted disease. Fam Plan Perspect. 1996;28(5):239-40. Přejít k původnímu zdroji...