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Sexual health and behavior of young people in Switzerland

Titel Englisch Sexual health and behavior of young people in Switzerland
Gesuchsteller/in Suris Joan-Carles
Nummer 162538
Förderungsinstrument Projektförderung (Abt. I-III)
Forschungseinrichtung Unité des Services de Santé IUMSP Centre Hospitalier Universitaire Vaudois
Hochschule Universität Lausanne - LA
Hauptdisziplin Sozialmedizinische Probleme der Jugend
Beginn/Ende 01.01.2016 - 31.12.2018
Bewilligter Betrag 333'659.00
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Keywords (5)

Young adults; Adolescents; Life history calendar; Sexual behavior; Sexual health

Lay Summary (Französisch)

Lead
Comportement et santé sexuels des jeunes en Suisse
Lay summary

La santé sexuelle est une partie intégrante et importante du bien-être global des individus. L’amélioration de la santé sexuelle et reproductive est une priorité de santé publique et le moment des premiers rapports sexuels, ainsi que le contexte dans lequel ils se produisent, ont des implications en matière de santé. En outre, l'information et le suivi sont essentiels pour la conception et l'évaluation des interventions visant à améliorer la santé sexuelle.

Les principaux objectifs sont:

1. Obtenir des données épidémiologiques actuelles sur la santé sexuelle et reproductive et les comportements des jeunes à l'aide de la méthode du LHC.

2. Faire le lien entre la santé et les comportements sexuels des jeunes et leur contexte de vie afin de déterminer leurs influences réciproques.

Les objectifs secondaires sont:

1. Évaluer dans quelle mesure les changements contextuels influencent la santé et les comportements sexuels.

2. Avoir des données plus précises et approfondies portant sur des questions spécifiques.

Pour avoir une description précise des comportements sexuels des adolescents en Suisse, nous avons décidé de recruter un échantillon représentatif de jeunes adultes âgés de 25 ans au moment de l'enquête. Afin d'avoir une vue chronologique des faits, nous allons utiliser la méthode LHC, est une approche très structurée, mais souple, pour questionner qui facilite le rappel des événements du passé en utilisant les propres expériences de l'individu en tant que repères. Ces indices fournissent un contexte pour la récupération de la mémoire autobiographique. Ainsi, la méthode du LHC facilite le placement des événements dans un contexte temporel en les rapportant à d'autres événements et épisodes synchroniques (hiérarchiques) ou diachroniques (parallèle). Le principal avantage de ce procédé est de pouvoir déterminer la chronologie des événements.

 

Direktlink auf Lay Summary Letzte Aktualisierung: 06.11.2015

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Mitarbeitende

Abstract

Sexual health is an integral and important part of the overall wellbeing of individuals. Sexual health and behavior in adolescence will directly influence adult sexual health and behavior. Furthermore, poor sexual health during adolescence has important negative personal, social and economic consequences in adult life. Improving sexual and reproductive health is a public health priority and the timing of first sexual intercourse and the context in which it occurs both have health implications. Moreover, information and monitoring about sexual behavior is essential to the design and assessment of interventions to improve sexual health. For these reasons, the main objective of this research is to obtain epidemiological data on young people’s sexual and reproductive health and behaviors in Switzerland that will allow designing, implementing and assessing preventive interventions. To achieve this objective, we will gather information through a survey using the life history methodology in order to obtain longitudinal data. Moreover, with the purpose of monitoring sexual health and behavior, the survey will be repeated every four years.The main objectives of the proposed research are:1.To obtain current epidemiological data on young people’s sexual and reproductive health and behaviors using the life history calendar (LHC) method among a random sample of 25-year-olds living in Switzerland. This method will allow us to classify events longitudinally and, hence, to establish temporality between behaviors and health outcomes.2.To link youth’s sexual health and behaviors to their life context and to determine its reciprocal influences.The secondary objectives of this research are:1.To assess to what extent contextual changes influence sexual health and behavior.2.To have more accurate and in-depth data concerning specific issues.In order to have an accurate description of the sexual behaviors of adolescents in Switzerland, we have decided to recruit a representative sample of young adults aged 25 at the moment of the survey. We have chosen this age because by age 25 the vast majority of young people in Switzerland are already sexually experienced. In order to have a chronological view of the facts, we will use the LHC method. LHC is a highly structured but flexible approach to interviewing that facilitates recall of past events by using the individual’s own past experiences as cues for remembering; these cues provide context for retrieval of autobiographical memory. Thus, the calendar tools facilitate respondents to place events into a temporal context by relating them to other synchronic (parallel) or diachronic (hierarchical) events and episodes. The main advantage of the LHC method is that it enables to determine the chronology of events.To recruit a representative sample of young adults aged 25 years, we will ask the Swiss Federal Office of Statistics (OFS) to generate a random sample of young adults of this age living in Switzerland. In order to have a final sample of at least 10’000 participants, we will ask the OFS for a sample of 40’000, with an expected response rate of at least 25%, as referred in the literature. The OFS will provide the postal address of each one of the subjects to be contacted. Each subject in the sample will be contacted through postal mail with an information letter that will include the URL address to respond to the online questionnaire. At login, participants will be able to choose in which of the three main languages of the Confederation they wish to answer the questionnaire.Statistical analyses will combine different approaches to exploit the retrospective data collected through the LHC. We will rely mainly on the Cox model for the analysis of specific events, and to sequence analysis, optimal matching and Markovian models when dealing with complete trajectories of chronological events.The importance of this project is double. On the one side, it will be the first study on the sexual health and behavior of young people living in Switzerland carried out in 20 years. This study will provide data on how young people in Switzerland live their sexuality in the 21st century. On the other, as the survey will be repeated every four years, it will allow to monitor trends and changes in the sexual health and behavior of young people in Switzerland. This monitoring will allow creating prevention programs and strategies related to sexual health and behaviors and adjusting them according to the obtained results.It has been demonstrated that a healthy sexuality is a basic pillar of a healthy development. By monitoring and improving young people’s sexual health and behavior we can improve overall young people’s health in Switzerland.Aside substantive aspects, this study will produce methodological insights on the use of web-based life calendar that will be useful for future research on similar topics and methods.
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