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  • Title: [The first coitus as an outcome indicator].
    Author: Raboch J, Raboch J, Sindelár M.
    Journal: Cas Lek Cesk; 1994 May 02; 133(9):266-7. PubMed ID: 8194093.
    Abstract:
    BACKGROUND: For evaluation of the health status in specialized medical disciplines and comparisons in different regions (countries, world-wide comparisons) the World Health Organization recommends and uses so-called indicators. In the sphere of human sexuality the use of such indicators is difficult, because it cannot be assessed by objective data. The purpose of the present study was to assemble information on the time and course of the first sexual intercourse of contemporary Czech girls. METHODS AND RESULTS: A total of 700 Czech girls aged 16-18 years were interviewed; all menstruated already. 344 girls (49.1%) reported that they had heterosexual intercourse: in 24.1% the first intercourse occurred at the age of 15 years and in 75.9% between 16 and 18 years. As to the place where it occurred, in 64% it was the parents' apartment. For the contemporary Czech society it is typical that in cca 20% the place of the first intercourse was a weekend house. In 8.5% of the girls the intercourse was implemented by force or under the influence of abundant alcoholic drinks. As far as prevention of unwanted pregnancy is concerned, in 42.0% no contraception was used, coitus interruptus was practiced in 25.3%--i.e. unreliable contraception in 67.3% of sexual intercourse. A condom was used by 30.4% partners, hormonal birth control only by 2.3% girls. CONCLUSIONS: Information on "outcome indicators" on the time of the first sexual intercourse and the place where it occurred was assembled. The authors recorded also data on the use of force, the influence of alcohol and the use of contraception. These data make it possible to gain an idea on the sexual life during adolescence. For evaluation of the health status in specialized medical disciplines and comparisons in different regions, the World Health Organization recommends and uses indicators. In the sphere of human sexuality the use of such indicators is difficult, because sexuality cannot be assessed by objective data. The purpose of the present study was to assemble information on the time and course of the first sexual intercourse of contemporary Czech girls. A total of 700 Czech girls aged 16-18 years were interviewed during 1987-93 using a questionnaire made up of 78 items. 49.1% of the total or 344 girls (152 pupils and 192 high school students) reported that they had had heterosexual intercourse: 24.1% had the first intercourse at the age of 15 years and 75.9% between 16 and 18 years. As to the place where it occurred, in 64% it was the parents' apartment. For the contemporary Czech society it is typical that in about 20% the place of the first intercourse was a weekend house as opposed to only 3% in Denmark. 8.5% of the girls were forced to have the intercourse or were under the influence of heavy alcohol use. In Israel and Sweden similar events make up 7%. The use of force or moral pressure for first intercourse was also noted in 42.9% of Mormon women in the US, 37.9% of Americans in general, and 35.6% of Danish women. As far as prevention of unwanted pregnancy is concerned, in 42.0% no contraception was used, coitus interruptus was practiced in 25.3%, i.e. unreliable contraception in 67.3% of sexual intercourse. Condoms were used by 30.4% of partners, and hormonal birth control only by 2.3% of girls. In comparison 7% of Japanese students had first intercourse up to age 19, 55% of English girls up to age 18, 62% of Swedish urban girls, as did 3/4 of girls aged 16-18 in the former East Germany.
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