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Sexual and reproductive health of Portuguese adolescents

  • Neuza Mendes EMAIL logo , Fátima Palma and Fátima Serrano
Published/Copyright: February 6, 2014
International Journal of Adolescent Medicine and Health
From the journal International Journal of Adolescent Medicine and Health Volume 26 Issue 1

Abstract

Background: As adolescent pregnancy and sexually transmitted infections (STIs) are major sources of morbidity, preventing them is an important health goal for Portuguese society.

Objective: To review data on the knowledge, attitudes and statistics on sexual and reproductive health.

Methods: A systematic review was conducted including peer-reviewed articles addressing issues influencing the sexuality of Portuguese adolescents (aged 13 to 19), published up to 2011 and conducted in any type of setting. After crossing-cleaning the reference list, 33 articles were included.

Results: The rate of sexual activity by Portuguese adolescents is high (44%–95%), but there has been an increase in the age of intercourse debut (currently 15.6 years). Early commencement of sexual intercourse is associated with smoking and regular alcohol consumption. Condoms are the most frequently chosen contraceptive method for first (76%–96%) and subsequent (52%–69%) sexual encounters. The perception of a double standard in sex still exists in teenage culture for both genders and influence behavior. There are significant differences between migrant and native adolescents: African adolescents initiate sexual intercourse at earlier ages and are more likely to have unprotected sex. Only one-third of Portuguese teenagers have ever visited a health facility to seek counseling concerning contraception or STIs, and less than half have ever attended classes on reproductive health. Very few (12%) have knowledge about Chlamydia trachomatis infection. The prevalence of STIs in Portuguese youth is unknown. The adolescent fertility rate is still high (14.7 births per 1000 females aged 15–19 years), but it, as well as the rate of abortion, is steadily decreasing.

Conclusions: There is still a long way to go towards promoting a resourceful young population. Citizens and institutions must focus on increasing both the competence of youths and external supports. Information must be provided systematically and health services must have greater accessibility. Studies addressing cultural and environmental determinants that contribute to the molding of the sexual conduct of Portuguese adolescents must be held to produce new and effective culturally sensitive health interventions.

Keywords: adolescents; reproductive health; sexual behavior
Corresponding author: Neuza Mendes, MD, Centro Hospitalar de Lisboa Central-Maternidade Dr. Alfredo da Costa, Rua de Viriato, 1069-089 Lisbon, Portugal; and Department of Obstetrics and Gynaecology, Nova Medical School, Universidade Nova de Lisboa, Lisbon, Portugal, Phone: +00351 964992499, E-mail:

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Received: 2012-10-8
Accepted: 2013-1-8
Published Online: 2014-02-06
Published in Print: 2014-02-01

©2014 by Walter de Gruyter Berlin Boston

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  1. Masthead
  2. Masthead
  3. Editorial
  4. To vaccinate or not to vaccinate
  5. Review
  6. Sexual and reproductive health of Portuguese adolescents
  7. Original articles
  8. Tobacco consumption among 12- to 15-year-old schoolchildren in Delhi
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  10. The prevalence of bullying and cyberbullying in high school: a 2011 survey
  11. Short- and medium-term impact of a residential weight-loss camp for overweight adolescents
  12. Personal and family attributes of pregnant teenagers: findings from a community-based study in Sri Lanka
  13. Adolescents with anorectal malformation: physical outcome, sexual health and quality of life
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  15. Experiences of returning to elite alpine skiing after ACL injury and ACL reconstruction
  16. Hyperandrogenemia in male autistic children and adolescents: relation to disease severity
  17. The career aspirations of adolescents with eating disorders: an exploratory study and suggested links to adolescent self-concept development
  18. Differential effects of religiosity on sexual initiation among Nigerian in-school adolescents
  19. Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria
  20. The concepts of work, study, and leisure of parents and children
  21. How do Iranian female adolescents express their health education needs? A needs assessment with qualitative thematic analysis
  22. Attitudes and knowledge levels of nurses and residents caring for adolescents with an eating disorder
  23. Predictors of suicide ideation and risk for HIV among juvenile offenders in Georgia
  24. Short Communication
  25. Association between food intake frequency and obesity among adolescent girls in Saudi Arabia
  26. Case reports
  27. Unusual cause of urethral bleeding in an adolescent: a case in dilemma
  28. Cannabinoid hyperemesis syndrome: a specific cause of cyclical vomiting
https://doi.org/10.1515/ijamh-2012-0109
Keywords for this article
adolescents; reproductive health; sexual behavior

Articles in the same Issue

  1. Masthead
  2. Masthead
  3. Editorial
  4. To vaccinate or not to vaccinate
  5. Review
  6. Sexual and reproductive health of Portuguese adolescents
  7. Original articles
  8. Tobacco consumption among 12- to 15-year-old schoolchildren in Delhi
  9. Perceptions of communication, family adaptability and cohesion: a comparison of adolescents newly diagnosed with cancer and their parents
  10. The prevalence of bullying and cyberbullying in high school: a 2011 survey
  11. Short- and medium-term impact of a residential weight-loss camp for overweight adolescents
  12. Personal and family attributes of pregnant teenagers: findings from a community-based study in Sri Lanka
  13. Adolescents with anorectal malformation: physical outcome, sexual health and quality of life
  14. What sources do adolescents turn to for information about their health concerns?
  15. Experiences of returning to elite alpine skiing after ACL injury and ACL reconstruction
  16. Hyperandrogenemia in male autistic children and adolescents: relation to disease severity
  17. The career aspirations of adolescents with eating disorders: an exploratory study and suggested links to adolescent self-concept development
  18. Differential effects of religiosity on sexual initiation among Nigerian in-school adolescents
  19. Prevalence of menstrual disorders among adolescent girls in Osogbo, South Western Nigeria
  20. The concepts of work, study, and leisure of parents and children
  21. How do Iranian female adolescents express their health education needs? A needs assessment with qualitative thematic analysis
  22. Attitudes and knowledge levels of nurses and residents caring for adolescents with an eating disorder
  23. Predictors of suicide ideation and risk for HIV among juvenile offenders in Georgia
  24. Short Communication
  25. Association between food intake frequency and obesity among adolescent girls in Saudi Arabia
  26. Case reports
  27. Unusual cause of urethral bleeding in an adolescent: a case in dilemma
  28. Cannabinoid hyperemesis syndrome: a specific cause of cyclical vomiting
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