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| Flowchart of systematic review (Worldwide, 2001-2020).
Source publication
Objectives: This review aims to examine the association between community-level factors, namely, community structure and condition, and risky sexual behavior (RSB) including early sexual debut, having multiple sex partners, and unprotected sex, in adolescents and young adults.
Methods: In total, 17 observational studies were identified for review u...
Context in source publication
Context 1
... current systematic review of the literature focuses on structural factors and conditions in the community. Figure 1 presents the study selection process using the PRISMA guidelines [23]. Among the 11,216 identified articles, 8,361 duplicates were removed and 1,962 articles were excluded after title screening. ...
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The objective of this systematic review was to determine whether there is an association between pornography use and sexual risk behaviors in adolescents. A search for scientific articles was carried out in the PsycINFO, PubMed, Scopus and Web of Science databases, obtaining a total of 706 studies. After the selection process, 20 studies were inclu...
Citations
... The socio-economic and ethnic profile of the neighbourhood has been found to matter, with later sexual initiation in White middle-class areas (Vasilenko, 2022), though many of these findings derive from US studies where patterns of area segregation may differ from those in Europe. Other studies from the US and South Africa have pointed to higher levels of social disadvantage and/or poverty at neighbourhood level being associated with earlier sexual initiation, even controlling for individual and family factors (Bae et al., 2022;Orihuela et al., 2020). Subjective indicators of neighbourhood quality (such as the prevalence of rubbish, public drinking and abandoned houses) are found to have an influence on the timing of sexual initiation, though only for males (Orihuela et al., 2020). ...
This report uses Growing Up in Ireland data to look at the timing of sexual initiation and the circumstances under which first sex occurred, in particular, whether the perceived timing was about right and whether contraception was used.
... No entanto, apesar dessa aparente aceitação da discussão, o valor médio de 15,55 pontos no QCS é inferior aos resultados obtidos em estudos semelhantes no ensino médio regular (Carvalho et al., 2017;Silva et al., 2020;Pereira et al., 2022). Essa disparidade pode ser atribuída tanto à deficiente educação sexual na EJA quanto aos baixos índices educacionais no Maranhão, uma vez que, segundo Bae;Jeong;Yang (2022), comunidades socialmente desfavorecidas podem influenciar o comportamento sexual. Assim, deve haver um alerta de maior incentivo na educação sobre sexualidade nas instituições da EJA, quando comparado à educação regular e ao ensino em outras regiões. ...
... No entanto, apesar dessa aparente aceitação da discussão, o valor médio de 15,55 pontos no QCS é inferior aos resultados obtidos em estudos semelhantes no ensino médio regular (Carvalho et al., 2017;Silva et al., 2020;Pereira et al., 2022). Essa disparidade pode ser atribuída tanto à deficiente educação sexual na EJA quanto aos baixos índices educacionais no Maranhão, uma vez que, segundo Bae;Jeong;Yang (2022), comunidades socialmente desfavorecidas podem influenciar o comportamento sexual. Assim, deve haver um alerta de maior incentivo na educação sobre sexualidade nas instituições da EJA, quando comparado à educação regular e ao ensino em outras regiões. ...
... No entanto, apesar dessa aparente aceitação da discussão, o valor médio de 15,55 pontos no QCS é inferior aos resultados obtidos em estudos semelhantes no ensino médio regular (Carvalho et al., 2017;Silva et al., 2020;Pereira et al., 2022). Essa disparidade pode ser atribuída tanto à deficiente educação sexual na EJA quanto aos baixos índices educacionais no Maranhão, uma vez que, segundo Bae;Jeong;Yang (2022), comunidades socialmente desfavorecidas podem influenciar o comportamento sexual. Assim, deve haver um alerta de maior incentivo na educação sobre sexualidade nas instituições da EJA, quando comparado à educação regular e ao ensino em outras regiões. ...
A sexualidade envolve um processo complexo de descobertas que está diretamente relacionada com a saúde sexual, reprodutiva e mental. O acesso à educação sexual é fundamental para a Educação de Jovens e Adultos (EJA), marcada por diversidade etária e vulnerabilidade social. Este estudo avaliou o conhecimento sobre sexualidade e comportamento sexual de estudantes da EJA. Trata-se de uma pesquisa observacional de corte transversal, quantitativa e analítica, que utilizou SPSS/25, considerando p<0,05, e os testes não paramétricos Mann-Whitney, Kruskal-Wallis e Qui-quadrado. Participaram da pesquisa 189 estudantes da EJA de Imperatriz - MA, com aplicação do questionário avaliativo. Os estudantes estão mais propensos a utilizar preservativos masculinos. Na primeira experiência sexual, a maioria não adotou o uso de preservativos e há uma correlação entre essa falta de prevenção inicial e a tendência a não utilizá-los em experiências subsequentes. O sexo masculino apresenta menor conhecimento sobre sexualidade, especialmente no que diz respeito à prevenção da gravidez. Indivíduos desempregados têm um entendimento mais limitado sobre sexualidade. O comportamento sexual de risco é mais prevalente entre os alunos com menor conhecimento sobre sexualidade. Recomenda-se a realização de estudos específicos sobre sexualidade na população da EJA, para uma melhor compreensão dos impactos na saúde desse grupo.
Purpose:
The objective of this study was to develop a predictive model for the sexual experiences of adolescents using the random forest method and to identify the "variable importance."
Methods:
The study utilized data from the 2019 to 2021 Korea Youth Risk Behavior Web-based Survey, which included 86,595 man and 80,504 woman participants. The number of independent variables stood at 44. SPSS was used to conduct Rao-Scott χ² tests and complex sample t-tests. Modeling was performed using the random forest algorithm in Python. Performance evaluation of each model included assessments of precision, recall, F1-score, receiver operating characteristics curve, and area under the curve calculations derived from the confusion matrix.
Results:
The prevalence of sexual experiences initially decreased during the COVID-19 pandemic, but later increased. "Variable importance" for predicting sexual experiences, ranked in the top six, included week and weekday sedentary time and internet usage time, followed by ease of cigarette purchase, age at first alcohol consumption, smoking initiation, breakfast consumption, and difficulty purchasing alcohol.
Conclusion:
Education and support programs for promoting adolescent sexual health, based on the top-ranking important variables, should be integrated with health behavior intervention programs addressing internet usage, smoking, and alcohol consumption. We recommend active utilization of the random forest analysis method to develop high-performance predictive models for effective disease prevention, treatment, and nursing care.
Aim:
The aim of this study was to investigate high-risk human papillomavirus (hrHPV) prevalence according to socioeconomic and demographic characteristics in a Danish screening population.
Methods:
We used data from HPV SCREEN DENMARK, which was an implementation study embedded into the routine cervical cancer screening programme. During 2017-2020, women aged 30-59 years screened in the Region of Southern Denmark were offered HPV testing or cytology. In the HPV group, liquid-based cytology samples were tested for 14 hrHPV types. We obtained registry information on socioeconomic and demographic characteristics and used log-binomial regression to estimate the prevalence ratio (PR) of hrHPV in three age groups (30-39, 40-49, 50-59 years), adjusting for age and marital status.
Results:
We included 31,124 HPV unvaccinated women. In all age groups, the age-adjusted hrHPV prevalence was higher in women with basic versus higher education (e.g. age 30-39: 11.9% vs. 9.5%; PRage-adjusted=1.24; 95% confidence interval (CI): 1.02-1.50); women who were unemployed vs. employed (e.g. age 30-39: 11.6% vs. 10.4%; PRage-adjusted=1.11; 95% CI: 0.95-1.28); and in women with highest vs. lowest income (e.g. age 30-39: 11.6% vs. 9.5%, PRage-adjusted=1.18, 95% CI: 0.98-1.44). In models adjusted for marital status, these associations largely disappeared.
Conclusions:
We found slightly higher hrHPV prevalences in women with basic education, low income and unemployment. The differences largely disappeared when taking into account marital status as a potential proxy for sexual behaviour. Our findings support a need for targeted information on safe sexual practices and promoting socioeconomic equality in HPV vaccination and cervical cancer screening participation.
