SEXUAL BEHAVIOR AND IMPACT ON THE REPRODUCTIVE HEALTH OF ADOLESCENTS IN THE MUNICIPALITY OF INDJIJA
DOI:
https://doi.org/10.46793/PP160510008RKeywords:
reproductive health, adolescent, contraceptionAbstract
Introduction: Reproductive health of adoloscents is very susceptible on unfavorable environment impact, because it is especially conditioned by vulnerable and psychosocial development. The responsibility of youth towards their own health is often insufficient and their sexual behavior risky.
Aim: Examination of sexual behavior and habits of adolescents from municipality of Indjija and impact on reproductive health as well as analysis of appropriate measures for the improvement of health in this area.
Work methods: The study was conducted as cross sectional study during the school year 2014.-2015, among the adolescents in Indjija aged 15 to 19 years. Data on adolescent sexual behavior were collected by making anonymous survey.
Results: In this study, 490 adolescents have taken part, of whom 207 girls (42.24 %) and 283 boys (57.75 %). Sexual intercourse had 31.22% adolescents,39.57 % of the boys and 19.80 % of the girls. Examined adolescents have their first sexual intercourse with 16.33 years, boys with 16.25 years and girls with 16.53 years. Only 13.26% of adolescents who are sexually active had some form of education on reproductive health. Adolescents whose parents have lower eduaction tend to initiate their first sexual intercourse earlier. From contraceptives most adolescents use condoms (65.24%), the pace of fertile/infertile days used 18.64% of the girls and 7% of adolescent girls and the female partners of the examined adolescent boys are using birth control pills, and 14.84% of the boys and 8.47% of the girls have sexual intercourses without contraception. Pregnancy occured among 2.43% of the surveyed girls and no abortion. Sexual infection had 1.78% of the girls and 4.87% of the boys.
Conclusion: Considering the rise of sexually active adolescents and their earlier entry in sexual activity, in order to preserve their reproductive health, adolescents must be involved in education on sexuallity and family planning in early adolescence, initiated by parents, teachers, health workers as well as peer educators.
References
Stanković B, Novi morbiditet mladih, BIBLID 0038-982X 2012 ; 1-4 :53-76.
Sedlecki K, Rajin G, Banićević M. Reproduktivno zdravlje i polno ponašanje adolescenata. Obnavljanje stanovništva i zaštita reproduktivnog zdravlja, Beograd: Zavod za udžbenike i nastavna sredstva. 1999 ; 137-155.
Sedlecki K. Zdravstveni aspekti planiranja porodice, Vaspitanje mladih za humane odnose među ljudima i planiranje porodice. Službeni glasnik. 1999 ; 75-85.
Sedlecki K. Značaj ispitivanja cervicitisa čiji je uzročnik hlamydia trahomatis kod seksualno aktivnih adolescentkinja, doktorska disertacija, Beograd: Medicinski fakultet 1999.
World Health Organization. World Health Day 2012-Safe Motherhood. Geneva, 2012.
Woods JL, Hensel DJ, Fortenberry JD. Contraceptive with drawal in adolescents: a complex picture ofusage. J Pediatr Adolesc Gynecol 2009; 22 (4):233-237.
Institut za javno zdravlje Srbije, Rezultati istraživanja zdravlja stanovništva Srbije 2013; 54-56.
Kačavenda S. Zašita reproduktivnog zdravlja mladih. Treći godišnji kongres Udruženja za preventivnu pedijatriju Srbije sa međunarodnim učešćem. Prevencija u pedijatriji-osnov za zdrav život i dugovečnost; 2016. april 15-17; Beograd.
Stanojević S, Veljković M, Radulović O. Procena seksualnog ponašanja i ugroženosti reproduktivnog zdravlja adolescenata (www.medfak.ni.ac.rs/amm)Acta Medica Medianae 2009;48(3):20-24.
Cucić V. Zdravstveno ponašanje studentske i srednjoškolske omladine, Beograd, Stručno-naučni skup, Zavod za zdravstvenu zaštitu studenata 2000; 35-36.
Stanković M, Miljković S, Grbesa G, Visnjić A. General characteristics of adolescent sexual behaviour: national survey. Srp Arh Celok Lek 2009;137(7-8):409-15.
WHO 2012. Geneva, Switzerland: WHO Press, World Health Organization. Health and Health Behaviour among Young People.
John S. Santelli, Peter Beilenson. Risk factors for adolescent sexual behavior, fertility, and sexually transmitted diseases. Journal of school health 2009; 62(7):271-279.
Yarber WL, Parillo A. Adolescent and sexually transmitted diseases. Journal of school health 2009;62(7):331-338.
