Resum
Background: Although condom use in adolescence is related to higher
lifetime educational attainment, the association between primary education
(from kindergarten to eighth grade) and adolescent sexual behavior
is not well understood. This study examined the association between type
of school in which primary education was completedVpublic, charter, or
privateVand condom use at sexual debut among Chilean adolescents.
Methods: Drawing on the 2009 Chilean National Youth Survey, a
population-based sample of general community youth aged 15 to 29 years,
we conducted a study of the 4217 participants who reported onset of sexual
activity during adolescence. Bivariate and multple logistic regression
was used to examine the relationship between type of primary school
attended (60.1% public, 30.3% charter, and 9.6% private) and condom use
at sexual debut while controlling for sociodemographic characteristics
and sexual behavior. Results: Compared with students who completed their primary education in private or charter schools, students who completed their primary education in public schools had 1.85 (95% confidence interval,
1.12Y3.04) and 1.67 (95% confidence interval, 1.26Y2.23) higher odds,
respectively, of not using condoms at sexual debut. Odds were similar
for students living in urban settings, whereas there were too few students
attending private schools in rural areas to allow meaningful estimates.
Conclusions: Independent of household income, primary schooling is
associated with sexual health behaviors among Chilean adolescents living
in urban areas and can serve as a target for public health interventions designed to prevent sexually transmitted infections in adolescence. (Extraído del documento)