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Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort.
Gonçalves, Helen; Gonçalves Soares, Ana L; Bierhals, Isabel O; Machado, Adriana K F; Fernandes, Mayra P; Hirschmann, Roberta; da Silva, Thais M; Wehrmeister, Fernando C; Menezes, Ana M B.
Afiliación
  • Gonçalves H; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. Electronic address: hdgs.epi@gmail.com.
  • Gonçalves Soares AL; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil; MRC Integrative Epidemiology Unit at the University of Bristol, School of Social & Community Medicine, University of Bristol, Bristol, UK.
  • Bierhals IO; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • Machado AKF; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • Fernandes MP; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • Hirschmann R; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • da Silva TM; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • Wehrmeister FC; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
  • Menezes AMB; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil.
J Affect Disord ; 221: 259-266, 2017 10 15.
Article en En | MEDLINE | ID: mdl-28662457
BACKGROUND: Studies have shown that sexual initiation at earlier ages increases the risk of depressive symptoms in adolescents. However, little is known about its association with major depressive episode (MDE). METHODS: The association between age of sexual initiation and MDE at 18 years was assessed in the 1993 Pelotas Birth Cohort using multiple logistic regression. Sexual initiation characteristics (age and type of partner) were assessed at the 15- and 18-years follow-up. The age of sexual initiation was evaluated in categories (11-14, 15-16, 17+ years). The type of partner was categorized into: boyfriend/ girlfriend, casual partner and other. MDE was assessed using the Mini International Neuropsychiatric Interview (MINI). RESULTS: From the 4027 adolescents assessed, the prevalence of MDE was higher in females (10.1%) than in males (3.4%), and 66.7% of the males and 58.6% of the females reported sexual initiation up to 16 years (p < 0.001). Female adolescents who had sexual initiation <17 years had higher odds of MDE (15-16 years: OR 2.29; 11-14 years: OR 2.23), however no association was found for males. The type of partner in the first sexual intercourse was not associated to depression. LIMITATIONS: Possibility of recall bias on the age of sexual initiation, and low statistical power for some analyses. CONCLUSIONS: A positive association between age of sexual initiation and MDE was observed only in females. More investigation is needed to understand the mechanisms through which age of sexual initiation can affect the risk of depression and whether the association persists in adulthood.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Conducta del Adolescente / Coito / Trastorno Depresivo Mayor Tipo de estudio: Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Affect Disord Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conducta Sexual / Conducta del Adolescente / Coito / Trastorno Depresivo Mayor Tipo de estudio: Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Child / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Affect Disord Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos