| Summary: | 碩士 === 國立陽明大學 === International Health Program === 99 === Presented manuscript intends to describe the influence of the part-child relationship on sexual behavior among adolescents aged 13-18 years old. It is believed that the presented work is the first attempt to perform insight into family relationship on sexual behavior in Mongolian adolescents living in Ulaanbaatar City area. Rising problem of the potential STDs epidemic it is crucial to identify the factors that may influence on sexual behavior in young generations.
The analysis encompassed 6 public and private schools located in Ulaanbaatar, Mongolia. The sample consist 320 pupils aged 13-18 years old. Questionnaire was adopted from the ‘Parental Monitoring Assessment’ (PMA) Questionnaire and Illustrative Questionnaire for Interview-Surveys Young People. The statistical analysis was performed with Chi-square test, logistic and linear regressions using SPSS 17 statistical package. The main outcome variable was having sexual experience, whereas mediating variables: alcohol consumption, cigarettes smoking and clubbing. The analysis was adjusted for age, sex, socio-economic status and sexual knowledge. The final model was stratified by living area – GER and urbanized regions of the Ulaanbaatar City.
The survey allowed for evaluating the parent-child relationship on the chance of having sexual experience among Mongolian adolescents aged 13-18 years old and the mediating variables that may induce risky sexual behaviors. The results still confirm that discussion of sex is still taboo. Examination of the parent-child relationship allowed of confirm study hypothesis that mothers are more likely to be a partner for discussions on intimate matters. Logistic regression yielded significant OR for parental control that may have an effect on sexual activity in adolescent. The parental control doubles the chance of having sexual initiation. The coefficients value and the significance drops when mediating variables are included indicating that they have an influence on the outcome variable. Additionally alcohol consumption covariate has very significant influence on sexual activity odds (OR: 5.50; 95%CI: 1.8-17.75).
The study failed to confirm that parental involvement in adolescents’ life can significantly mitigate the potential of risky sexual behaviors and sexual initiation. Interviewees do not perceive their parents as the important source of sex-related matters, other topics related to procreation and family planning. In most of the cases they selected teachers as first important source. Most of the variables describing parent-child relationship have no effect on the risky sexual behaviors that the study attempted to identify.
The results are believed as an initial stage for further analysis of the parent-child relationship effect on sexual behavior. The recommendations regarding reduction of risky sexual behaviors and age of sexual initiation concern educational activities and plan of interventions focused on adolescents living in peri-urban areas. Since this group was identified the most vulnerable, it is recommended to set it as priority target.
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