Most studies on sexual behavior and knowledge focus on risk group identification and the conclusions are naturally biased on the primary selection. What we want to know is specific knowledge patterns, sexual attitudes and behavior but also in which way these may be influenced. The social dimension will work in concert with the contents of any questionnaire or interview together with type of media and the person asking are likely to influence the reported results. When reviewing trends the change of focus on the subject is remarkable. We repeatedly performed a survey in one particular municipality whose social distribution and income is close to the national level every seventh year since 1986. The cross sectional data over 31 years includes the time of the HIV/AIDS awareness, the rise in chlamydia incidence, concern on pornography in public spaces, and rise in focus on skills of communication and decision-making. Methods All pupils in 9th grade in the municipality of Viborg were presented to a questionnaire without prior notice to teachers or pupils. The pupils anonymously completed the questionnaire on the same day and time in the class room supervised by the teachers. Until now the survey was performed five times every 7th year between 1986 and 2014 and was sampled in a municipality with 95,000 inhabitants, whose income and age distribution is close to the national Danish average. Results The proportion of pupils with sex debut was 23% in 2014 and decreased from 39% in 2007. Through the past 28 years the proportion was 20 to 40% of 9th grade pupils having sex debut with a significant increase in boys (p < 0.01) as well as in girls (p =0.02) from 1993 and 2007. At first intercourse in 2014 92 % of the pupils stated use of contraception consisting of condoms in 90%. In 2007, 77% used condoms either alone or in combination with the pill at debut. The trend was an increased use from only 60% in 1986. Over the past 28 years the number of pupils protected against sexually transmitted infections (STI) at first intercourse increased from 60 % to 90% assuming that the condom was used during all genital contact. Overall a shift was noted in the preferred type of contraception towards the pill from first to latest intercourse. Forty four percent of pupils in 2014 used the pill at latest intercourse. However, 21% of the pupils did not use any contraception at all at latest intercourse. This observation confirmed similar results form the previous surveys, e.g. 18% in 2000 and 17% in 2007. In 2001 the emergency contraceptive pill became available over the counter in pharmacies, but no increase in use was noted since 2000. A fair to good knowledge of STI was present in 85% of pupils and good knowledge was associated with the use of contraceptives. The non-debuted pupils reported the reason(s) why they had not had intercourse. Two thirds stated lack of the right partner as reason and one quarter each stated fear of pregnancy, STI, fear of pain, and disinclination. The majority of the non-debuted pupils felt ready to have sex if the right circumstances and partner emerged. In conclusion use of contraceptive was substantial amongst sexually active pupils. A shift from use of condoms at first sex to the pill at later coitus was confirmed. However, a considerable number of pupils are neither protected against STIs nor pregnancy at first or later intercourse.
|Bidragets oversatte titel||Trends i unges seskuelle adfærd og viden om reproduction|
|Titel||Sex Education: Global Perspectives, Effective Programs and Socio-Cultural Challenges|
|Redaktører||Raquel Alicia Benavides Torres, Dora Julia Onofre-Rodríguez, María Aracely Márquez-Vega, Rosalva del Carmen Barbosa-Martínez|
|Forlag||Nova Science Publishers|
|Status||Udgivet - 2017|