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BMC Public Health

, 9:15

First Online: 13 January 2009Received: 26 May 2008Accepted: 13 January 2009DOI: 10.1186-1471-2458-9-15

Cite this article as: Kalina, O., Geckova, A.M., Jarcuska, P. et al. BMC Public Health 2009 9: 15. doi:10.1186-1471-2458-9-15


BackgroundKnowledge about the prevalence of sexual risk behaviour SRB in adolescence is needed to prevent unwanted health consequences. Studies on SRB among adolescents in Central Europe are rare and mostly rely on a single indicator for SRB. This study aims to assess the association of behavioural and psychological factors with three types of SRB in adolescents in Central Europe.

MethodsWe obtained data on behavioural factors having been drunk during previous month, smoking during previous week, early sexual initiation, psychological factors self-esteem, well-being, extroversion, neuroticism, religiousness, and SRB intercourse under risky conditions, multiple sexual partners, and inconsistent condom use in 832 Slovak university students response 94.3%.

ResultsAmong those with sexual experience 62%, inconsistent condom use was the most prevalent risk behaviour 81% in females, 72% in males. With the exception of having been drunk in males, no factor was associated with inconsistent condom use. Regarding the other types of SRB, early sexual initiation was most strongly associated. In addition, other, mostly behavioural, factors were associated, in particular having been drunk.

ConclusionResults suggest that behavioural factors are more closely related to SRB than psychological factors. Associations differ by type of SRB and gender but offer few clues to target risk groups for inconsistent condom use. Results show a high need for health-promotion programmes in early adolescence that target SRB in conjunction with other health risk behaviours such as alcohol abuse.

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Autor: Ondrej Kalina - Andrea M Geckova - Pavol Jarcuska - Olga Orosova - Jitse P van Dijk - Sijmen A Reijneveld


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