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Trends in the sexual behaviour of 15-year olds in Scotland : 2002-2014

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Neville_et_al_in_press_Trends_in_the_Sex_Beh_of_15_yos_in_Scotland_02_14_EJPH_.pdf (445.1Kb)
Date
01/10/2017
Author
Neville, Fergus Gilmour
McEachran, Juliet
Aleman-Diaz, Aixa Y
Whitehead, Ross David
Cosma, Alina Paula
Currie, Dorothy Bruce
Currie, Candace
Keywords
Sexual health
Contraception
Trends
Inequalities
Reproductive health
Adolescent
RA0421 Public health. Hygiene. Preventive Medicine
Reproductive Medicine
3rd-DAS
SDG 3 - Good Health and Well-being
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Abstract
Background Early sexual initiation and inadequate contraceptive use can place adolescents at increased risk of unplanned pregnancy and sexually transmitted infections. These behaviours are patterned by gender and may be linked to social inequalities. This paper examines trends in sexual initiation and contraceptive use by gender and family affluence for Scottish adolescents. Methods Cross-sectional data from four nationally-representative survey cycles (2002, 2004, 2010, 2014) (n= 8,895) (mean age = 15.57) were analysed. Logistic regressions examined the impact of survey year on sexual initiation, condom use and birth control pill use at last sex; as well as any changes over time in association between family affluence and the three sexual behaviours. Analyses were stratified by gender. Results Between 2002 and 2014, adolescent males and females became less likely to report having had sex. Low family affluence females were more likely to have had sex than high family affluence females, and this relationship did not change over time. Condom use at last sex was reported less by males since 2002, and by females since 2006. Low family affluence males and females were less likely to use condoms than high family affluence participants, and these relationships did not change over time. There were no effects of time or family affluence for birth control pill use. Conclusion There has been a reduction in the proportion of 15-year olds in Scotland who have ever had sex, but also a decrease in condom use for this group. Economic inequalities persist for sexual initiation and condom use.
Citation
Neville , F G , McEachran , J , Aleman-Diaz , A Y , Whitehead , R D , Cosma , A P , Currie , D B & Currie , C 2017 , ' Trends in the sexual behaviour of 15-year olds in Scotland : 2002-2014 ' , European Journal of Public Health , vol. 27 , no. 5 , pp. 835-839 . https://doi.org/10.1093/eurpub/ckx049
Publication
European Journal of Public Health
Status
Peer reviewed
DOI
https://doi.org/10.1093/eurpub/ckx049
ISSN
1101-1262
Type
Journal article
Rights
© 2017, The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1093/eurpub/ckx049
Description
This research was funded by NHS Health Scotland.
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/11832

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