2004
DOI: 10.1097/01.aids.0000131338.61042.b8
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Early age of first sex

Abstract: Our results show that early coital debut is a significant predictor of prevalent HIV infection independent of other identified factors in this population. HIV prevention strategies should include delaying the age of first coitus and should address the barriers that may prevent young women from so doing.

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Cited by 255 publications
(106 citation statements)
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“…This accords with studies from Africa, the USA and Europe (Adimora et al 2002(Adimora et al , 2004Manhart et al 2002;Mnyika et al 1997;Pettifor et al 2004;Traeen and Stigum 1998;White et al 2000) and may be due to sexual socialization during adolescence, family background or problems in developing intimate relationships with others (Traeen and Stigum 1998;White et al 2000). Individuals who engage in wellknown risk behaviours early in life may not be the first to adopt safer sexual practices later.…”
Section: Discussionsupporting
confidence: 71%
“…This accords with studies from Africa, the USA and Europe (Adimora et al 2002(Adimora et al , 2004Manhart et al 2002;Mnyika et al 1997;Pettifor et al 2004;Traeen and Stigum 1998;White et al 2000) and may be due to sexual socialization during adolescence, family background or problems in developing intimate relationships with others (Traeen and Stigum 1998;White et al 2000). Individuals who engage in wellknown risk behaviours early in life may not be the first to adopt safer sexual practices later.…”
Section: Discussionsupporting
confidence: 71%
“…Early coital debut (consensual, forced, and coerced) and age difference between partners are significant predictors of HIV infection 12,[78][79][80][81][82] and studies show that adolescents in early and forced marriages face a higher risk of HIV infection, other STIs, and obstetric fistula due to early childbearing. 15,47,83,84 DHS data from 29 countries in Africa and Latin America indicate that more than 80% of married adolescent girls between the ages of 15 and 19 have unprotected sex with their partners and are pressured to become pregnant.…”
Section: Data Collection and Measurement Challenges And Opportunitiesmentioning
confidence: 99%
“…Such research demonstrates that those that initiate earlier are more likely to have multiple sex partners, more risky partners, to use condoms less, and to have higher rates of unplanned pregnancy, STDs, and HIV (Coker et al, 1994; Greenberg, Magder, & Aral, 1992; O’Donnell, O’Donnell, & Stueve, 2001; Pettifor, van der Straten, Dunbar, Shiboski, & Padian, 2004). If the age that adolescents initiate sexual intercourse at the population level can be delayed, a number of these negative consequences could potentially be delayed or even avoided altogether.…”
Section: Rationale and Theoretical Underpinningsmentioning
confidence: 99%