MEDICAL AND SOCIAL PROBLEMS OF FORMATION OF REPRODUCTIVE BEHAVIOR OF ADOLESCENT GIRLS OF RISK GROUP
Objective: to study the characteristics and assess the impact of sexual behavior of adolescent girls with non-heterosexual preferences on reproductive health. Material and methods. A study was conducted among 89 sexually active adolescent girls (group NHS, n = 89) who sought advice from specialists of the organizational and methodological department for sex education for adolescents and youth "Youth Clinic" of the Donetsk Republican Center for the Protection of Motherhood and Childhood for the period 2012-2020. Eligibility criteria of patients: sexually active adolescent girls, age 16-18 years, identification of sexual preference as non-heterosexual, informed consent of the patient for inclusion in the study. Results. The practice of risky forms of sexual activity during the previous 12 months among adolescent girls in the study group was confirmed: in 79.8 % (p < 0.05) cases, the exchange of biological fluids in an item is possible. Every second girl accepts sex with a partner with long nails (p < 0.05) and uses joint sex toys without the use of barrier means of protection against STIs (p < 0.05), for every third suspicious elements on the mucous membranes and skin is not a limitation for oral sex, sex with a male partner and drunken sex was in every eighth and every second (p < 0.05), respectively. This suggests that the gateway for STIs / HIV, the mechanisms of their transmission and risks to reproductive health are high. There is a low level of awareness about the degree of risk of HIV infection. In 77.5 % of cases, girls do not know their HIV status, since they do not consider themselves to be at risk, which is assessed as a high risk to health, including reproductive health. Conclusion. It is possible to prevent the reduction of its losses from STIs within the framework of interdisciplinary interaction and a friendly approach, based on an understanding of the characteristics of sexual behavior, an assessment of its impact on the reproductive health of adolescent girls with non- heterosexual preference. Involvement in voluntary counseling and testing for HIV can be the key to solving many socially significant problems.