Facteurs associés à une initiation sexuelle précoce chez les filles : données françaises de l’enquête internationale Health Behaviour in School-aged Children (HBSC)/OMS Factors associated with early sexual initiation: French data from the international survey Health Behaviour in School-aged Children (HBSC)/WHO

Objective. – Inspite of unquestionable progress, the protection of girls at first sexual intercourse is still not perfect. The main risks are well known (sexually transmitted infections [STIs], unwanted pregnancies, psychological consequences) and seem to be higher in the case of early sexual initiation. The aim of this epidemiological study is to analyse factors associated with early heterosexual intercourse (age 15 or before) among girls, considered as risk factors for pregnancies and STIs. * Auteur correspondant. Adresse e-mail : [email protected] (E. Godeau). 1297-9589/$ – see front matter # 2008 Elsevier Masson SAS. Tous droits réservés. doi:10.1016/j.gyobfe.2007.12.006 E. Godeau et al. / Gynécologie Obstétrique & Fertilité 36 (2008) 176–182 177 Population and methods. – Our data come from the 2002 international survey Health Behaviour in School-aged Children (HBSC)/WHO. The questionnaire is completed anonymously in class and measures health, health behaviours and their contexts among 11-, 13and 15-year-old students. Only the 15 year-olds are asked about their sexual behaviour. In France, 1264 15-year-old (plus or minus six months) girls have answered the survey. Results. – Two hundred and twenty-four girls (17,7 %) state they have already had sexual intercourse. Among these, 88,4 % say that condoms and/or pills were used at last sexual intercourse. Multivariate analysis (n = 1159) show that seven variables are significantly and independently linked to a higher frequency of early sexual intercourse: single-parent or reconstructed family, repeated drunkenness, daily smoking, cannabis experimentation, frequent evenings out, negative life appreciation and early menarche. Discussion and conclusion. – Identifying factors associated with early sexual initiation should help professionals to better take care of those high risk adolescent girls. # 2008 Elsevier Masson SAS. Tous droits réservés. Mots clés : Enquête épidémiologique ; Adolescentes ; Sexualité précoce ; Conduites à risque