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.

Keywords: sexual behaviour, adolescence, contraception, coitarche, STD, HPV vaccination

Received: May 17, 2019; Revised: February 28, 2020; Accepted: February 28, 2020; Published: March 30, 2020  Show citation

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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.
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    References

    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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to PubMed...
    7. Wellings K, Johnson AM. Framing sexual health research: adopting a broader perspective. Lancet. 2013;382(9907):1759-62. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source...
    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. Go to original source...
    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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to PubMed...
    27. Vasilenko SA, Lanza ST. Predictors of multiple sexual partners from adolescence through young adulthood. J Adolesc Health. 2014;55(4):491-7. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to 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. Go to original source... Go to PubMed...
    31. Remez L. One in 10 adolescents had recurrent sexually transmitted disease. Fam Plan Perspect. 1996;28(5):239-40. Go to original source...

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