目的:身体疾病的性后果在成年人群中有很好的记录,但很少在青少年和年轻人(AYA)中进行调查。这项研究比较了8,696名15岁至24岁的丹麦人的性和性健康指标,这些丹麦人有或没有长期或严重的身体疾病治疗史。
方法:使用项目SEXUS的基线数据,一项关于丹麦人口性健康的全国代表性队列研究,调查了患有AYA和未接受长期或严重身体疾病治疗的AYA之间性行为和性健康各领域的差异。Logistic回归分析得出了人口统计学加权年龄调整后的优势比(ORs),以确定身体疾病和性结局之间的关联。
结果:接受长期或严重身体疾病治疗的AYA在性兴趣的基本方面与健康同龄人相似,活动和满意度。然而,各种性困难和功能障碍的赔率比显著增加,早期性首次亮相,性伴侣数量高,对身体或生殖器外观的不满,性别不符合,非异性恋,并观察到暴露于性侵犯,总体或在特定疾病类别内。
结论:接受身体疾病治疗的AYA与健康同龄人在性方面的总体相似性表明,临床医生在遇到患有慢性健康状况的AYA时,应常规解决与性和关系有关的问题。此外,观察到的某些逆境的过剩,包括性侵犯,在身体疾病中,AYA强调需要专门针对患有身体疾病的AYA的预防措施和咨询服务。
Sexual ramifications of physical disease are well-documented in adult populations, but are scarcely investigated among adolescents and young adults (AYA). This study compared measures of sexuality and sexual health among 8,696 15-year-old to 24-year-old Danes with and without a history of treatment for long-lasting or severe physical disease.
Using baseline data from Project SEXUS, a nationally representative cohort study on sexual health in the Danish population, differences in various domains of sexual behaviors and sexual health between AYA who have and AYA who have not been treated for long-lasting or severe physical disease were investigated. Logistic regression analyses yielded demographically weighted age-adjusted odds ratios (ORs) for associations between physical diseases and sexual outcomes.
AYA treated for long-lasting or severe physical disease resembled their healthy peers on fundamental aspects of sexual interest, activity and satisfaction. However, significantly increased odds ratios of various sexual difficulties and dysfunctions, early sexual debut, high sex partner numbers, discontentment with body or genital appearance, gender nonconformity, nonheterosexuality, and exposure to sexual assaults were observed, overall or within specific disease categories.
The overall similarity in sexual profiles between AYA treated for physical disease and healthy peers indicates that clinicians should routinely address questions related to sexuality and relationships when encountering AYA with chronic health conditions. Moreover, the observed excess of certain adversities, including sexual assaults, among physically ill AYA highlights the need for preventive measures and counseling services specifically targeted at AYA afflicted by physical disease.