Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Collection
Procedure
2.2. Measures Tool
2.2.1. Child and Adolescent Protection System Form (CAPSys [35])
2.2.2. Sexual Knowledge and Attitudes Questionnaire (CAS [36])
2.2.3. Contraception Methods Knowledge Questionnaire (ANTI [36])
2.2.4. Sexuality and Health Knowledge Questionnaire (SYS [36])
2.2.5. Ambivalent Sexism Inventory (ASI [37,38])
2.2.6. AIDS Prevention Questionnaire (CPS [39])
2.3. Statistical Analysis
2.4. Ethic Considerations
3. Results
3.1. Sociodemographic Characteristics
3.2. Sexual Knowledge
3.3. Sexual Attitudes
3.4. Sexual Behaviors
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Range | Total M (SD) | Age | Gender | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
11–13 M (SD) | 14–16 M (SD) | 17–19 M (SD) | R | Male M (SD) | Female M (SD) | t-Test a | d (CI) a | ||||
Knowledge | General | 0–17 | 9.9 (3.2) | 8.56 (2.68) | 10.16 (3.1) | 10.02 (3.4) | 0.1 | 9.24 (2.95) | 11.16 (3.31) | 5.47 *** | 0.62 (0.39, 0.85) |
Contraception methods | 0–9 | 5.16 (1.7) | 4.44 (1.48) | 5.14 (1.59) | 5.44 (1.81) | 0.2 *** | 4.95 (1.72) | 5.57 (1.59) | 3.25 ** | 0.37 (0.14, 0.59) | |
STIs | 0–9 | 5.61 (1.93) | 4.43 (1.91) | 5.88 (1.77) | 5.66 (2.01) | 0.1 | 5.32 (1.95) | 6.17 (1.77) | 3.89 *** | 0.45 (0.22, 0.67) | |
Attitudes | General | 0–17 | 13.36 (2.82) | 13.02 (2.63) | 13.6 (2.63) | 13.19 (3.07) | −0.03 | 12.81 (2.9) | 14.41 (2.34) | 5.47 *** | 0.59 (0.36, 0.81) |
Ambivalent sexism | 20–120 | 61.46 (21.86) | 61.12 (12.09) | 59.23 (20.24) | 63.79 (24.02) | 0.09 | 67.73 (49.63) | 49.63 (19.24) | −7.88 *** | −0.77 (−1.01, −0.54) | |
Hostile sexism | 10–60 | 29.81 (11.67) | 28.49 (9.73) | 28.66 (11.23) | 31.37 (12.51) | 0.14 * | 32.74 (11.58) | 24.24 (9.66) | −6.8 *** | −0.85 (1.08, −0.62) | |
Benevolent sexism | 10–60 | 31.65 (12.12) | 32.63 (11.37) | 30.56 (11.42) | 32.43 (13.04) | 0.04 | 34.96 (11.27) | 25.39 (11.19) | −7.44 *** | −0.89 (−1.13, −0.66 |
Total M (SD)/% (n) | Age | Gender | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
11–13 M (SD)/% (n) | 14–16 M (SD)/% (n) | 17–19 M (SD)/% (n) | M (SD) b | r/t-Test | d (CI) a | Male M (SD)/ % (n) | Female M (SD)/ % (n) | χ2/ t-Test c | OR (CI)/ d (CI) a | ||||
Behavior | Sexual Practices | Masturbation | 80.8 (274) | 56.1 (23) | 80.7 (134) | 88.6 (117) | 15.95 (1.63) | −4.76 ** | −0.72 (−0.99, −0.44) | 92 (206) | 59.8 (70) | 51.44 *** | 7.68 (4.19, 14.1) |
Age first time | 12.25 (2.31) | 10.52 (1.72) | 11.79 (2.31) | 13.13 (2.07) | NA | 0.37 *** | NA | 12.27 (2.15) | 12.21 (2.71) | −0.19 | −0.03 (−0.31, 0.25) | ||
Mutual masturbation | 59.6 (201) | 29.3 (12) | 63 (104) | 64.9 (85) | 15.97 (1.57) | −3.09 ** | −0.36 (−0.58, −0.14) | 56.3 (125) | 66.7 (78) | 3.42 | 0.64 (0.4, 1.03) | ||
Age first time | 13.76 (2.01) | 10.91 (1.97) | 13.2 (1.48) | 14.88 (1.89) | NA | 0.61 *** | NA | 13.98 (2.02) | 13.43 (1.93) | −1.84 | −0.28 (−0.57, 0.02) | ||
Oral sex | 48.4 (163) | 24.4 (10) | 47.6 (78) | 56.8 (75) | 16.1 (1.56) | −3.92 *** | −0.85 (−0.9, −0.6) | 47.7 (106) | 50.4 (59) | 0.22 | 0.89 (0.57, 1.41) | ||
Age first time | 14.11 (1.98) | 11.1 (1.45) | 13.53 (1.57) | 15.2 (1.69) | NA | 0.68 *** | NA | 14.28 (2.04) | 13.86 (1.86) | −1.24 | −0.21 (−0.55, 0.12) | ||
Vaginal intercourse | 71.4 (242) | 24.4 (10) | 73.9 (122) | 82.7 (110) | 16.12 (1.47) | −6.23 *** | −0.42 (−0.64, −0.21) | 73.7 (165) | 67.5 (79) | 1.42 | 1.35 (0.83, 2.19) | ||
Age first time | 13.79 (1.93) | 10.67 (1.32) | 13.28 (1.61) | 14.65 (1.79) | NA | 0.49 *** | NA | 13.94 (1.99) | 13.51 (1.75) | −1.54 | −0.22 (−0.51, 0.06) | ||
Anal sex | 18.8 (63) | 7.5 (3) | 17.1 (28) | 24.2 (32) | 16.19 (1.44) | −2.67 ** | −0.32 (−0.59, −0.05) | 19.5 (43) | 17.1 (20) | 0.28 | 1.17 (0.65, 2.1) | ||
Age first time | 14.16 (1.8) | 11 (1) | 13.6 (1.5) | 15.04 (1.51) | NA | 0.59 *** | NA | 14.06 (1.86) | 14.35 (1.73) | 0.55 | 0.15 (−0.43, 0.74) |
Sexual Practices/Age of First Time | Total | Gender | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Male | Female | χ2 | ||||||||||
12 Years Old or Younger % (n) | Between 13 and 15 Years Old % (n) | 16 Years Old or Older % (n) | 12 Years Old or Younger % (n) | Between 13 and 15 Years Old % (n) | 16 Years Old or Older % (n) | 12 Years Old or Younger % (n) | Between 13 and 15 Years Old % (n) | 16 Years Old or Older % (n) | ||||
Behavior | Sexual Practices | Any sexual activity | 46.4 (127) | 50.7 (139) | 2.9 (8) | 47 (86) | 51.4 (94) | 1.6 (3) | 45.1 (41) | 49.5 (45) | 5.5 (5) | 3.19 |
Masturbation | 44 (109) | 51.8 (128) | 4 (10) | 41.8 (28) | 50.7 (34) | 7.5 (5) | 45 (81) | 52.2 (94) | 2.8 (5) | 2.78 | ||
Mutual masturbation | 21.2 (39) | 59.3 (109) | 19.5 (36) | 25.7 (19) | 64.9 (48) | 9.5 (7) | 18.2 (20) | 55.5 (61) | 26.4 (29) | 8.29 | ||
Oral sex | 19.6 (28) | 56 (77) | 23.8 (35) | 19.6 (11) | 64.3 (36) | 16.1 (9) | 19.5 (17) | 50.6 (44) | 29.9 (26) | 3.8 | ||
Vaginal intercourse | 19.6 (42) | 63.7 (137) | 16.4 (36) | 24.3 (18) | 64.9 (48) | 10.8 (8) | 17 (24) | 63.1 (89) | 19.9 (28) | 3.72 | ||
Anal sex | 17.5 (9) | 56.8 (29) | 25.4 (13) | 11.8 (2) | 58.8 (10) | 29.4 (5) | 20.6 (7) | 55.9 (19) | 23.5 (8) | 0.67 |
Total % (n) | Age | Gender | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
11–13 % (n) | 14–16 % (n) | 17–19 % (n) | M (SD) b | F-Value | d (CI) a, c | Male % (n) | Female % (n) | χ2 | ||||
Behavior | Contraception Methods Use | Male Condom | 25.74 *** | 9.65 ** | ||||||||
Never | 35 (116) | 82.5 (33) | 32.7 (51) | 23.3 (31) | 14.87 (1.93) | 29.6 (64) | 45.2 (52) | |||||
Sometimes | 23 (76) | 2.5 (1) | 28.2 (44) | 23.3 (31) | 16.07 (1.37) | −0.69 (−0.99, −0.39) | 26.9 (58) | 15.7 (18) | ||||
Usually | 42 (139) | 15 (6) | 39.1 (61) | 53.4 (71) | 16.3 (1.52) | −0.83 (−1.09, −0.57) | 43.5 (94) | 39.1 (45) | ||||
Withdrawal | 2.04 | 6.99 * | ||||||||||
Never | 64.7 (214) | 90 (36) | 60.3 (94) | 63.2 (84) | 15.62 (1.93) | 65.3 (141) | 63.5 (73) | |||||
Sometimes | 24.2 (80) | 10 (4) | 26.3 (41) | 24.8 (33) | 15.9 (146) | −0.15 (−0.41, 0.11) | 20.8 (45) | 30.4 (35) | ||||
Usually | 11.2 (37) | 0 (0) | 13.5 (21) | 12 (16) | 16.19 (1.22) | −0.31 (−0.66, 0.04) | 13.9 (30) | 6.1 (7) | ||||
Oral contraceptive pills d | 2.11 | 14.49 ** | ||||||||||
Never | 78.9 (261) | 92.5 (37) | 78.2 (122) | 75.2 (100) | 15.64 (1.8) | 83.8 (181) | 69.6 (80) | |||||
Sometimes | 13 (43) | 7.5 (3) | 12.2 (19) | 15.8 (21) | 16.09 (1.69) | −0.25 (−0.58, 0.07) | 12 (26) | 14.8 (17) | ||||
Usually | 8.2 (27) | 0 (0) | 9.6 (15) | 9 (12) | 16.19 (1.42) | −0.31 (−0.71,0.09) | 4.2 (9) | 15.7 (18) | ||||
Female condom d | 0.09 | 0.28 | ||||||||||
Never | 96.7 (320) | 100 (40) | 95.9 (149) | 97 (129) | 15.74 (1.78) | 96.3 (208) | 97.4 (112) | |||||
Sometimes | 3.3 (11) | 0 (0) | 4.5 (7) | 3 (4) | 15.91 (1.04) | −0.096 (−0.69, 0.51) | 3.7 (8) | 2.6 (3) | ||||
Usually | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 15.75 (1.76) | −0.006 (−1.97, 1.96) | 0 (0) | 0 (0) | ||||
Hormone patches and injections d | 3.14 * | 17.34 *** | ||||||||||
Never | 86.4 (286) | 100 (40) | 86.5 (135) | 82 (109) | 15.65 (1.82) | 90.7 (196) | 78.3 (90) | |||||
Sometimes | 7.3 (24) | 0 (0) | 7.1 (11) | 9.8 (13) | 16.33 (1.17) | −0.38 (−0.79, 0.04) | 6.9 (15) | 7.8 (9) | ||||
Usually | 6.3 (21) | 0 (0) | 6.4 (10) | 8.3 (11) | 16.38 (1.32) | −0.41 (−0.85, 0.04) | 2.3 (5) | 13.9 (16) |
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Fernández-García, O.; Gil-Llario, M.D.; Ballester-Arnal, R. Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors. Int. J. Environ. Res. Public Health 2022, 19, 12948. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912948
Fernández-García O, Gil-Llario MD, Ballester-Arnal R. Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors. International Journal of Environmental Research and Public Health. 2022; 19(19):12948. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912948
Chicago/Turabian StyleFernández-García, Olga, María Dolores Gil-Llario, and Rafael Ballester-Arnal. 2022. "Sexual Health among Youth in Residential Care in Spain: Knowledge, Attitudes and Behaviors" International Journal of Environmental Research and Public Health 19, no. 19: 12948. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph191912948