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Factors Associated to the Occurrence of the First Intercourse in Adolescents

Factors Associated to the Occurrence of the First Intercourse in Adolescents. Authors:. Prof. Dr. Jorge Pelaéz Mendoza Dr. Orlando Rodríguez Pons Dr. Raúl Bermúdez Sánchez. JPM/SIJ.SCOG/1999. Factors Associated to the Ocurrence of the First Intercourse in Adolescents.

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Factors Associated to the Occurrence of the First Intercourse in Adolescents

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  1. Factors Associated to the Occurrence of the First Intercourse in Adolescents Authors: Prof. Dr. Jorge Pelaéz Mendoza Dr. Orlando Rodríguez Pons Dr. Raúl Bermúdez Sánchez JPM/SIJ.SCOG/1999

  2. Factors Associated to the Ocurrence of the First Intercourse in Adolescents • Today’s adolescent are affected by a disproportionately high prevalence of unplanned pregnancies, sexually transmitted diseases, including AIDS, and other serious problems that affect their reproductive health. • A risky sexual behaviour is considered responsible of all of this problems JPM/SIJ.SCOG/1999

  3. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Risky Sexual Behaviour • Precocious first intercourse. • Poor recognition of the risks involved in relationships held in inappropriate circumstances and places. • Frequent changes of couples. • Ignorance about sexuality. • Birth control is not considered as a couple’s problem. • Lack of essential knowledge and use of contraceptive methods. • Insufficient knowledge about STD and their prevention. JPM/SIJ.SCOG/1999

  4. Factors Associated to the Occurrence of the First Intercourse in Adolescents Sexual Initiation: Defined as the first coitus seen as an intimate experience of communication of desires, affections and instincts between two human beings, which could take part voluntarily or involuntarily. JPM/SIJ.SCOG/1999

  5. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Precocious Sexual Initiation: It is considered as a sexual relationship that begins before the adolescent’s arrival to the consolidation stage, between ages 17 and 19 (Bloss & Erickson 1989) JPM/SIJ.SCOG/1999

  6. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Adolescent Psychosexual Development: Adapted from Bloss and Erickson JPM/SIJ.SCOG/1999

  7. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Adolescent Psychosexual Development: Adapted from Bloss and Erickson JPM/SIJ.SCOG/1999

  8. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Commitment in a couple does not end in the mutual preoccupation about sexual pleasure, but extends up to include the reciproque responsability on birth control and the results of such union, in other words, pregnancy. Master and Jhonson, 1989 JPM/SIJ.SCOG/1999

  9. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Precocious sexual initiation, consequences: • Frustrating experiences favouring sexual dysfunction. • Continuous changes of couple resulting in a risky sexual behaviour. • Increased risk of STD, genital infections and their sequels(CIN-PID). • Higher risk of abortion. • Unplanned pregnancies and their consequences. • Higher risk to suffer from PID and its medium & long term consequences (infertility/ectopic pregnancy). • Increased reproductive risk. JPM/SIJ.SCOG/1999

  10. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Objectives of the study: 1.To know the frequency of adolescents attending secondary school that have initiated intercourse. 2.To determine the causes that lead them to have a precocious intercourse. 3.To study the adolescent’s environment to establish risk and protective factors for precocious intercourse. 4.To know the characteristics and motivation for the first intercourse. JPM/SIJ.SCOG/1999

  11. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Method: • Eight junior high, technical and high school institutions from Havana City were randomly selected. • A self responded and anonymous questionnaire was applied to the totality of students who went to classes on the day established by the study. • Four multidisciplinary teams were created who were responsible for the application of the questionnaire. JPM/SIJ.SCOG/1999

  12. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Method: • A total of 2713 students filled the questionnaire. • Seventy three questionnaires were excluded due to incompleteness or mistakes, totalling 2640 students (1425 males, 1215 females) • Informed consent was obtained from each individual and Institution. JPM/SIJ.SCOG/1999

  13. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Adolescents included in the survey by gender 54% 46% 1215 1425 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  14. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Distribution by age Ages Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  15. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Sexual initiation by Gender P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  16. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Sexual initiation by age and gender Ages P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  17. Factors Associated to the Ocurrence of the First Intercourse in Adolescents First Intercourse: Characteristics of the partner. Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  18. Factors Associated to the Ocurrence of the First Intercourse in Adolescents First Intercourse: Causes or motivation. P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  19. Factors Associated to the Ocurrence of the First Intercourse in Adolescents Sexual Initiation Characteristics of Peers Groups P<0,005 Peers Group JPM/SIJ.SCOG/1999 Sources: Adolescent Sexuality Survey Havana 1998

  20. Sexual Practices in Adolescents Sexual Initiation Antecedents of abortion in Peers Groups Peers Group P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  21. Sexual Practices in Adolescents Sexual Initiation Characteristics of the family. Relationships P<0,005 JPM/SIJ.SCOG/1999 Sources: Adolescent Sexuality Survey Havana 1998

  22. Sexual Practices in Adolescents Sexual Initiation Adolescent Convivence. Convivence P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  23. Sexual Practices in Adolescents Sexual Initiation First Intercourse: Judgement by Gender P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  24. Sexual Practices in Adolescents Sexual Initiation First Intercourse: Use of contraceptive methods Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  25. Sexual Practices in Adolescents Sexual Initiation First Intercourse: Reasons given for not use contraceptive JPM/SIJ.SCOG/1999 Sources: Adolescent Sexuality Survey Havana 1998

  26. Sexual Practices in Adolescents Sexual Initiation First Intercourse: Where it happened Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  27. Sexual Practices in Adolescents Sexual Initiation Sexuality information level Information level P<0,005 JPM/SIJ.SCOG/1999 Sources: Adolescent Sexuality Survey Havana 1998

  28. Sexual Practices in Adolescents Sexual Initiation Life Project Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  29. Sexual Practices in Adolescents Sexual Initiation Life Project Life Project P<0,005 Sources: Adolescent Sexuality Survey Havana 1998 JPM/SIJ.SCOG/1999

  30. Sexual Practices in Adolescents Sexual Initiation Conclusions: • There is a high percentage of adolescent that initiate precociously their sexual relationships, more frequently among males. • The majority of adolescents start their first intercourse voluntarily, although some of them under some degree of pressure from their counterparts and groups. • Belong to a group in which the majority have begun sexual relationship, as well as to belong to a dysfunctional family behaved as risk factor of precocious sexual initiation. JPM/SIJ.SCOG/1999

  31. Sexual Practices in Adolescents Sexual Initiation Conclusions: • A vast majority of adolescents had their first intercourse in inappropriate places and circumstances, did not use contraceptive methods. • A great percentage of female referred a non-pleasant experience for their first intercourse. • The convivence with both parents, as well as a clear definition of their life project behaved as a protective factors of the precocious sexual initiation JPM/SIJ.SCOG/1999

  32. Sexual Practices in Adolescents Sexual Initiation Recommendations: • An intense work should be developed aimed to the elimination, modification or control of reproductive risk factors in adolescents, with special attention to the precocious sexual initiation. • The following aspects should be considered: • Gender perspectives • Education in sexual health • Programs for the development of youth • Psicologic and social pressures • Media participation JPM/SIJ.SCOG/1999

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