A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities

Lee, Regina; Loke, Alice Yuen; Hung, Tommy Tsz Man; Sobel, Howard

doi:10.1111/jocn.13933

Cited by 70 publications

(68 citation statements)

References 53 publications

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“…The youth by themselves may have access to different behavioral change communication through different mass media. The above reasons may have an effect on the value and norms of the community towards early sexual initiation and early marriage (9,16,45). Even though the result of this study was more representative than other studies and the model considered different levels of analysis, it is not without limitations.…”

Section: Discussionmentioning

confidence: 99%

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Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

Arefaynie

Yalew

Damtie

et al. 2020

Preprint

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Background: Evidences on determinants of early sexual initiation among female youth is still limited especially; community-level factors are not investigated in Ethiopia. Therefore, the aim of this study was to assess individual and community-level factors associated with early sexual initiation among female youth in Ethiopia.Methods: The 2016 Ethiopian Demographic and Health Survey (EDHS) dataset were used and a total of 6,143 participants (female youth) were included. Multi-level mixed-effect logistic regression was done to identify individual and community-level factors. Adjusted odds ratio along with 95% confidence interval was used to show the strength and direction of the association. Finally, the level of statistical significance was declared at P value less than 0.05.Results: Individual-level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.8, 95% CI= (4.6, 7.3)], not attending school [AOR=14.1, 95% CI= (8.1, 24.7)], ever chewing Chat [AOR= 2.0, 95% CI= (1.3, 3.0)]. From community-level factors: living in Addis Ababa [AOR= 0.3, 95% CI= (0.2, 0.5)], living in Gambella [AOR=2.7, 95% CI= (1.7, 4.3)] and live in a low proportion of poor communities [AOR= 0.7, 95% CI= (0.5, 0.9)] were significantly associated with early sexual initiation among female youth in Ethiopia.Conclusions: Age, low educational status, ever chewing Chat, region and live in a high proportion of poor community had a statistical association with early sexual initiation among female youth in Ethiopia. Improving educational coverage and community-level of wealth status are important intervention areas to delay the age of early sexual initiation.

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Section: Discussionmentioning

confidence: 99%

“…Different scholars de ne early sexual initiation according to the social and demographic context of the nation (7)(8)(9). But, the Universal Declaration of Human Rights proclaimed as age below 18 years old is considered as a child, they couldn't decide concerning marriage and/or consensual sexual relationship (10).…”

Section: Introductionmentioning

confidence: 99%

Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

Arefaynie

Yalew

Damtie

et al. 2020

Preprint

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“…Most commonly the victims of sexual coercion are women and children [3,4]. These includes acts of being worn down by someone who repeatedly asks for sex being lied to or being promised things that weren't true to trick you into having sex; having someone threaten to end a relationship or spread rumors about you if you don't have sex with them; and having an authority gure, like a boss, property manager use their in uence or authority to pressure young female into having sex [5,6]. It is commonly believed that sexual coercion is perpetrated by the male sex against the female sex [5].…”

Section: Introductionmentioning

confidence: 99%

Sexual Coercion at sexual debut and associated factors among Young Females in rural areas of Boset District, Eastern Ethiopia: A Mixed Method Study

Abeya

2020

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Background The sexual behavior and experience of young people in developing countries have considerable attention. Despite growing recognition of the problem, relatively little is known about the issue of coercive sex in rural settings in developing countries including Ethiopia. Objectives Assess the prevalence and associated factors of sexual coercion at sexual debut among young females in rural areas of Boset district, Oromia Region, Eastern Ethiopia. Methods Cross-sectional community based study was conducted using both qualitative and quantitative data collection methods. A sample of 632 young females aged 10–24 years was taken from six rural Kebeles by systematic random sampling procedure for quantitative and data were collected using a pre-tested structured questionnaire. The collected data were analyzed using SPSS version 23. Principally Binary Logistic regression model was fitted. Moreover, eight focus group discussions targeting different groups were held and analyzed thematically. Results The prevalence of sexual coercion at sexual debut was 36.5% among sexually active respondents. Married young female (COR, 0.39; 95%CI: 0.21,0.71), living alone (away from their parents (AOR, 5.07; 95%CI: 1.07,24.01), age (AOR, 0.19; 95%CI: 0. 064, 0.544), alcohol consumption (AOR, 2.44; 95%CI: 1.17, 5.08) and Khat chewing (AOR, 8.30; 95%CI: 1.892, 36.378) were factors predicting the likelihood of having sexual coercion at sexual debut. Conclusion Sexual coercion at sexual debut is a major public health problem among young females in the study community. The emerging program interventions need to take this problem into consideration.

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“…Gender differences exist, with females consistently reporting higher rates of experiencing sexual coercion than males. This can lead to poorer reproductive and sexual health outcomes, particularly for adolescent girls [3]. Most studies of sexual coercion focus on young adults and urban areas [4,5].…”

Section: Introductionmentioning

confidence: 99%

Only Yes Means Yes: Sexual Coercion in Rural Adolescent Relationships

Katz

Hensel

Hunt³

et al. 2019

Journal of Adolescent Health

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Sexual Coercion Among Rural Adolescents 2 Implications and ContributionConsent is essential to healthy adolescent relationships, but sexual consent and coercion are under-studied in rural youth. In our study, youth from a rural high school commonly experienced sexual coercion, and female and male students identified different modifiable risk and protective factors.Sexual Coercion Among Rural Adolescents 3 ABSTRACT Purpose: Sexual consent is important to healthy relationships; however sexual coercion is common. We examine modifiable risk and protective factors for sexual coercion among high school students in a rural community. Methods:We surveyed 10 th graders (N=442) in a rural, Midwestern, low-to-middle income county prior to receiving an evidence-based sex education program. Sexual coercion was a single item, "has anyone you were dating or going out with forced you to do sexual things that you did not want to do?". We examined associations between sexual coercion and demographics, risk behaviors, sexual self-efficacy, controlling relationship behaviors, parent communication and adverse childhood experiences (ACEs). Results: Approximately 22% of females and 8% of males reported experiencing sexual coercion at least once in their lifetime. Gender differences emerged in associated risk and protective factors, including: sexual sex-efficacy, controlling relationship behaviors, parent-adolescent communication about sex and ACEs. Conclusions: Sexual coercion is common among adolescents in rural communities. Prevention interventions should target modifiable risk and protective factors.

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A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities

Abstract: The results of this study could provide guidance on the planning of effective interventions for delaying of early CSD/FSD in the communities.

Cited by 70 publications

References 53 publications

Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

Determinants of early sexual initiation among female youth in Ethiopia: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey

Sexual Coercion at sexual debut and associated factors among Young Females in rural areas of Boset District, Eastern Ethiopia: A Mixed Method Study

Only Yes Means Yes: Sexual Coercion in Rural Adolescent Relationships

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