Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort
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). The association between age of sexual initiation and MDE at 18 years was assessed in the 1993 Pelota...
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| Veröffentlicht in: | Journal of affective disorders 2017-10, Vol.221, p.259-266 |
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| creator | 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. |
| description | 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).
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).
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 |
| doi_str_mv | 10.1016/j.jad.2017.06.033 |
| format | Article |
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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).
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.
Possibility of recall bias on the age of sexual initiation, and low statistical power for some analyses.
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.
•The prevalence of depression was higher in females (10.1%) than in males (3.4%).•The association between age of sexual initiation and depression differed by sex.•Females who had sexual initiation < 17 years had higher odds of depression.•The type of partner in the sexual debut was not associated to depression.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2017.06.033</identifier><identifier>PMID: 28662457</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>1993 Pelotas Cohort ; Adolescent ; Adolescent Behavior - psychology ; Age Distribution ; Brazil - epidemiology ; Child ; Cohort studies ; Coitus ; Coitus - psychology ; Depressive disorder ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - psychology ; Female ; Humans ; Logistic Models ; Male ; Multivariate Analysis ; Prevalence ; Research Paper ; Sex Distribution ; Sexual and reproductive health ; Sexual Behavior - psychology ; Sexual Partners</subject><ispartof>Journal of affective disorders, 2017-10, Vol.221, p.259-266</ispartof><rights>2017 The Authors</rights><rights>Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>2017 The Authors 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-7171134dcdc87d994c9ad4ac13c873b9618914340ba2d28f6b58127b39b996e3</citedby><cites>FETCH-LOGICAL-c451t-7171134dcdc87d994c9ad4ac13c873b9618914340ba2d28f6b58127b39b996e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2017.06.033$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28662457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gonçalves, Helen</creatorcontrib><creatorcontrib>Gonçalves Soares, Ana L.</creatorcontrib><creatorcontrib>Bierhals, Isabel O.</creatorcontrib><creatorcontrib>Machado, Adriana K.F.</creatorcontrib><creatorcontrib>Fernandes, Mayra P.</creatorcontrib><creatorcontrib>Hirschmann, Roberta</creatorcontrib><creatorcontrib>da Silva, Thais M.</creatorcontrib><creatorcontrib>Wehrmeister, Fernando C.</creatorcontrib><creatorcontrib>Menezes, Ana M.B.</creatorcontrib><title>Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>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).
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).
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.
Possibility of recall bias on the age of sexual initiation, and low statistical power for some analyses.
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.
•The prevalence of depression was higher in females (10.1%) than in males (3.4%).•The association between age of sexual initiation and depression differed by sex.•Females who had sexual initiation < 17 years had higher odds of depression.•The type of partner in the sexual debut was not associated to depression.</description><subject>1993 Pelotas Cohort</subject><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Age Distribution</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Cohort studies</subject><subject>Coitus</subject><subject>Coitus - psychology</subject><subject>Depressive disorder</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Prevalence</subject><subject>Research Paper</subject><subject>Sex Distribution</subject><subject>Sexual and reproductive health</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Partners</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9vFCEYh4nR2G31A3gxHOthRl5gYNCkSbv-TZrooXfCANNhMzuswDbqpy-brY1ePJEXnvfHCw9Cr4C0QEC83bQb41pKQLZEtISxJ2gFnWQN7UA-RavKdA1hVJ6g05w3hBChJHmOTmgvBOWdXKHp8tbjOOLsf-7NjMMSSjAlxAWbxWHnd8nnfChD3XFx9tn6peR3-IMpBo8pbnGZPAalGP7u51hMxudXyfwO8xt8FVKZ8DpOMZUX6Nlo5uxfPqxn6ObTx5v1l-b62-ev68vrxvIOSiNBAjDurLO9dEpxq4zjxgKrNRuUgF4BZ5wMhjraj2LoeqByYGpQSnh2hi6Osbv9sPXuMGwys96lsDXpl44m6H9PljDp23inu44yxUUNOH8ISPHH3ueit6G-eZ7N4uM-a1DQMU4rXVE4ojbFnJMfH68Bog-C9EZXQfogSBOhq6Da8_rv-R47_hipwPsj4Osn3QWfdLbBL9a7kLwt2sXwn_h7-nugqg</recordid><startdate>20171015</startdate><enddate>20171015</enddate><creator>Gonçalves, Helen</creator><creator>Gonçalves Soares, Ana L.</creator><creator>Bierhals, Isabel O.</creator><creator>Machado, Adriana K.F.</creator><creator>Fernandes, Mayra P.</creator><creator>Hirschmann, Roberta</creator><creator>da Silva, Thais M.</creator><creator>Wehrmeister, Fernando C.</creator><creator>Menezes, Ana M.B.</creator><general>Elsevier B.V</general><general>Elsevier/North-Holland Biomedical Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171015</creationdate><title>Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-7171134dcdc87d994c9ad4ac13c873b9618914340ba2d28f6b58127b39b996e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>1993 Pelotas Cohort</topic><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Age Distribution</topic><topic>Brazil - epidemiology</topic><topic>Child</topic><topic>Cohort studies</topic><topic>Coitus</topic><topic>Coitus - psychology</topic><topic>Depressive disorder</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Prevalence</topic><topic>Research Paper</topic><topic>Sex Distribution</topic><topic>Sexual and reproductive health</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Partners</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gonçalves, Helen</creatorcontrib><creatorcontrib>Gonçalves Soares, Ana L.</creatorcontrib><creatorcontrib>Bierhals, Isabel O.</creatorcontrib><creatorcontrib>Machado, Adriana K.F.</creatorcontrib><creatorcontrib>Fernandes, Mayra P.</creatorcontrib><creatorcontrib>Hirschmann, Roberta</creatorcontrib><creatorcontrib>da Silva, Thais M.</creatorcontrib><creatorcontrib>Wehrmeister, Fernando C.</creatorcontrib><creatorcontrib>Menezes, Ana M.B.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gonçalves, Helen</au><au>Gonçalves Soares, Ana L.</au><au>Bierhals, Isabel O.</au><au>Machado, Adriana K.F.</au><au>Fernandes, Mayra P.</au><au>Hirschmann, Roberta</au><au>da Silva, Thais M.</au><au>Wehrmeister, Fernando C.</au><au>Menezes, Ana M.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2017-10-15</date><risdate>2017</risdate><volume>221</volume><spage>259</spage><epage>266</epage><pages>259-266</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>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).
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).
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.
Possibility of recall bias on the age of sexual initiation, and low statistical power for some analyses.
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.
•The prevalence of depression was higher in females (10.1%) than in males (3.4%).•The association between age of sexual initiation and depression differed by sex.•Females who had sexual initiation < 17 years had higher odds of depression.•The type of partner in the sexual debut was not associated to depression.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28662457</pmid><doi>10.1016/j.jad.2017.06.033</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 1993 Pelotas Cohort Adolescent Adolescent Behavior - psychology Age Distribution Brazil - epidemiology Child Cohort studies Coitus Coitus - psychology Depressive disorder Depressive Disorder, Major - epidemiology Depressive Disorder, Major - psychology Female Humans Logistic Models Male Multivariate Analysis Prevalence Research Paper Sex Distribution Sexual and reproductive health Sexual Behavior - psychology Sexual Partners |
| title | Age of sexual initiation and depression in adolescents: Data from the 1993 Pelotas (Brazil) Birth Cohort |
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