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Relationship between Methamphetamine Use and Risky Sexual Behavior in Adolescents

青少年吸食安非他命和危險性行為之間的關聯

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摘要


物質濫用和危險性行為皆會危及青少年的心理健康發展,本研究比較有無吸食安非他命的青少年之間危險性行為的差別,以及不同安非他命吸食頻率的青少年之間危險性行為的差別,來了解青少年吸食安非他命和危險性行為之間的關聯性。本研究採個案對照研究設計,個案組為85位因吸食安非他命接受觀察勒戒的青少年,對照組則為170位以性別和個案組配對、未曾使用安非他命的社區青少年。研究首先調查所有青少年高往性行為經驗,對於曾有性行為者,進行個案組和對照組之間、以及不同安非他命吸食頻率者之間各項危險性行為的比較,並對於個案組中已有和尚未曾有性行為的青少年進行安非他命吸食特徵的比較。研究結果發現:個案組比對照組青少年有較高比例具有性行為經驗;個案組青少年具有較多的性交對象,並且較容易在酒精影響下發生非預期的性行為;吸食安非他命頻率較高的青少年比吸食頻率低者有較多性交對象、較易發生非預期的性行為、較常在性交前吸食安非他命;個案組中已有性行為的青少年比尚未有性行為者具有較高的安非他命吸食頻率。由本研究結果可知:青少年吸食安非他命和危險性行為之間具有顯著的關顯性,極有必要針對吸食安非他命的青少年進行降低危險性行為發生的介入策略,以減少不良後果的發生。

並列摘要


Substance abuse and risky sexual behavior have been identified as behaviors that can endanger adolescent psychosocial development. This study examined the relationship between methamphetamine (MAMP) use and risky sexual behavior in adolescents. Risky sexual behavior was compared not only between MAMP users and non-users, but also between high-frequency and low-frequency MAMP users. We compared the sexual intercourse histories of 85 adolescents formally charged as MAMP users with those of 170 gender matched adolescents with no record of MAMP use. MAMP usage characteristics were compared between users who had and those who had not experienced sexual intercourse. Previous sexual experience was more likely in MAMP users than in non-users than in non-users. MAMP users were also more likely to have had a greater total number of sexual partners and were more likely to have had unplanned sex under the influence of alcohol. High-frequency MAMP use was associated with increased tendencies to engage in unprotected sex and to use MAMP before sexual intercourse. In general, the chance of sexual intercourse increased in proportion to frequency of MAMP use. Given the clear link between MAMP use and risky sexual behavior, risk-reduction programs directed at teen MAMP users are urgently needed.

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