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      A comparison of sexual behaviour and attitudes of healthy adolescents in a Danish high school in 1982, 1996, and 2001

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          Abstract

          Aim

          To assess changes in sexual behaviour among students at a high school in Denmark from 1982 to 2001.

          Methods

          An anonymous self-administered questionnaire was used to compare data from three identical cross-sectional surveys performed in 1982, 1996, and 2001.

          Results

          Girls: More girls reported their first sexual intercourse before their 16th birthday in 2001 (42%) than in 1996 (29%) In 1982 it was also 42% (Chi-square for trend: p = 0.003). Fewer girls with no regular partner used condoms for their personal protection in 2001 (2%) than in 1996 (9%) and 1982 (0%) (Chi-square for trend p = 0.016). The proportion of girls with no regular partner who considered protection from sexually transmitted disease important for their choice of contraception was 39% in 2001 compared with 71% in 1996 and only 10% in 1982 (Chi-square for trend: p < 0.0001).

          Boys: More boys reported sexual debut before their 16th birthday in 2001 (40%) than in 1996 (37%) and 1982 (24%) (Chi-square for trend: p = 0.023). For boys with no regular partner, condom was preferred for personal protection by 85% in 2001, 91% in 1996 and 61% in 1982 (Chi-square for trend p = 0.007). Protection against sexually transmitted infection declined, especially among boys with no regular partner, from 51% in 2001 to 72% in 1996 and 21% in 1982 Chi-square for trend: p < 0.0001).

          The tendency towards earlier sexual debut and less use of safe sex practices to protect against sexually transmitted infections (STI) was accompanied by a rise in the number of detected STIs during this period.

          Conclusions

          The period from 1982 to 1996 during which sexual attitudes were directed toward safer sex seems to have given way to a reverse trend in the period from 1996 to 2001. These findings may have significant implications for health care authorities organising preventive strategies for healthy adolescents.

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          Most cited references17

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          Multiple drug-resistant Chlamydia trachomatis associated with clinical treatment failure.

          In vitro susceptibility testing and genotyping were done on urogenital isolates of Chlamydia trachomatis from 3 patients, 2 of whom showed evidence of clinical treatment failure with azithromycin and one of whom was the wife of a patient. All 3 isolates demonstrated multidrug resistance to doxycycline, azithromycin, and ofloxacin at concentrations >4.0 microg/mL. Recurrent disease due to relapsing infection with the same resistant isolate was documented on the basis of identical genotypes of both organisms. This first report of clinically significant multidrug-resistant C. trachomatis causing relapsing or persistent infection may portend an emerging problem to clinicians and public health officials.
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            Are trends in HIV, gonorrhoea, and syphilis worsening in western Europe?

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              Types of adolescent sexual relationships and associated perceptions about condom use

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                Author and article information

                Journal
                Popul Health Metr
                Population Health Metrics
                BioMed Central (London )
                1478-7954
                2004
                23 March 2004
                : 2
                : 5
                Affiliations
                [1 ]Research Unit Q, Department of Infectious Diseases, Skejby Sygehus, Aarhus University Hospital, Brendstrupgaardsvej 100, Skejby Sygehus, DK-8200 Aarhus N, Denmark
                [2 ]Research Unit and Department of General Practice, University of Aarhus, Vennelyst Boulevard 6, DK-8000 Aarhus C, Denmark
                [3 ]HIV/STI Division, Health Protection Agency, Communicable Disease Surveillance Centre, 61 Colindale Ave, London NW9 5EQ, United Kingdom
                Article
                1478-7954-2-5
                10.1186/1478-7954-2-5
                394347
                15038827
                9f615170-2e64-498c-84e1-410f77e85332
                Copyright © 2004 Kangas et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
                History
                : 18 July 2003
                : 23 March 2004
                Categories
                Research

                Health & Social care
                Health & Social care

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