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Changes in the sexual health behaviours of New Zealand secondary school students, 2001–2012: findings from a national survey series

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Authors:
Summary:

This analysis examined trends in self-reported sexual and reproductive health behaviours among New Zealand secondary school students, using findings from nationally representative health and wellbeing surveys conducted in 2001 (n=9699), 2007 (n=9107) and 2012 (n=8500). Logistic regression analyses revealed significant reductions over time in certain sexual outcomes: ‘Ever had sex’ (−6.9%; p<0.001); ‘currently sexually active’ (− 2.3%; p<0.001); ‘always use condoms’ (−3.3%; p=0.006); ‘condoms at last sex’ (−7.0; p=0.002); ‘contraception at last sex’ (−5.8%; p<0.001) and sexually transmitted infections (−0.3%; p=0.001). However, there was no significant change over time in ‘Always use contraception’ (−1.4%, p=0.514). In 2012, Māori (OR 0.7), Pacific (OR 0.5) and socioeconomically deprived students (OR 0.7) were less likely to use condoms than students in 2001. Moreover, Māori (OR 0.6), Pacific (OR 0.4), Asian (OR 0.5), younger (OR 0.6), and socioeconomically deprived (OR 0.6) students were less likely to use contraception, compared to students in 2001.

Comment:
Māori youth are less likely to use contraception/condom when they are depressed, are feeling low or are regular users of marijuana or other drugs. As a GP I’m comfortable to talk to young people about starting contraception, or provide free condoms; but I’m probably not addressing those other factors that support young people to use these adequately, as well as I should.
Reference: Aust N Z J Public Health. 2016;40(4):329-36
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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