The presence of unprotected sex activity in women living with type 1 diabetes (T1D) who have insufficient glycemic control should be considered as a specific risky behavior. To evaluate risky behaviors, including unprotected sexual activity, sources of information and knowledge related to reproductive health in adolescents and young adult women with T1D (PwT1D) compared to a group of adolescents and young adult women without diabetes (Comparison group). PwT1D and the Comparison group completed a questionnaire with validated measures that assessed reproductive health. PwT1D (n = 115, age = 17.7 ± 3.2 years) and Comparison group (n = 386, age = 18.3 ± 2.9) were recruited. The proportion of women reporting having sex without any contraceptive was similar in both groups (57.1% and 50%, in PwT1D and Comparison group, respectively). The use of non-effective contraceptive was reported in 63.2% and 63.6% of the PwT1D and Comparison group, respectively. Among PwT1D, parents, formal sex education, and friends were the primary source of information on reproductive health. Low levels of knowledge about diabetes and pregnancy were observed in PwT1D. HbA1c level was associated with having at least one sexual activity without any contraception (OR = 1.63, p = 0.039). PwT1D have similar rates of risky behaviors compared to a Comparison group. Sexual risky behaviors should be especially considered in PwT1D with glycemic control above the optimal level. Parents are an important source of reproductive health information for PwT1D. Use of effective contraception should be reinforced in sexually active PwT1D.

中文翻译：

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患有 1 型糖尿病的青少年和年轻成年女性的危险性行为：一个被忽视的问题

在血糖控制不足的 1 型糖尿病 (T1D) 女性中存在无保护的性活动应被视为一种特定的危险行为。与一组没有糖尿病的青少年和年轻成年女性（比较组）相比，评估患有 T1D 的青少年和年轻成年女性 (PwT1D) 的危险行为，包括无保护的性活动、与生殖健康相关的信息和知识来源。PwT1D 和对照组完成了一份问卷，其中包含评估生殖健康的有效措施。PwT1D（n  = 115，年龄 = 17.7 ± 3.2 岁）和对照组（n = 386，年龄 = 18.3 ± 2.9) 被招募。两组报告在没有任何避孕药的情况下发生性行为的女性比例相似（PwT1D 组和对照组分别为 57.1% 和 50%）。据报道，PwT1D 和对照组分别有 63.2% 和 63.6% 的人使用了无效避孕药。在 PwT1D 中，父母、正规性教育和朋友是生殖健康信息的主要来源。在 PwT1D 中观察到关于糖尿病和怀孕的知识水平较低。HbA1c 水平与至少有一次没有任何避孕措施的性活动相关（OR = 1.63，p = 0.039)。与对照组相比，PwT1D 的危险行为发生率相似。在血糖控制高于最佳水平的 PwT1D 中，应特别考虑性风险行为。父母是 PwT1D 生殖健康信息的重要来源。在性活跃的 PwT1D 中应加强使用有效的避孕措施。