Early Sexual Debut and Associated Factors among Students in Ethiopia: A Systematic Review and Meta-Analysis

Mekonnen, Birye Dessalegn

doi:10.4081/jphr.2020.1795

Cited by 15 publications

(13 citation statements)

References 39 publications

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“…The finding that shows that watching pornographic video is a risk factor for an early sexual debut is also consistent with previous studies [ 36 , 37 ]. Further, the findings have also found a linkage of adolescent use of pornography that depicts violence with sexually aggressive behaviors [ 8 ].…”

Section: Discussionsupporting

confidence: 92%

What predicts the early sexual debut among unmarried adolescents (10–19 years)? Evidence from UDAYA survey, 2015–16

et al. 2021

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Introduction The societal norm in India is such that adolescents are expected to respect and follow traditional values and view early sexual debut as undesirable and deviant from the social mores. However, a dramatic shift in attitudes towards sex before marriage has been observed in India. We in this study, aim to study the factors associated with early sexual debut among unmarried adolescents. Materials and methods The study used data from the Understanding the lives of adolescents and young adults (UDAYA) survey conducted in 2016 with 15,388 adolescents aged 10–19 years from two Indian states. Bivariate and logistic regression analyses were performed to determine the associated factors. Results Adolescent boys (9%) were more prone to early sexual debut compared to girls (4%). Both boys (17.2%) and girls (6%) who were school dropouts had significantly higher chances of early sexual debut. Boys who had rare [OR: 2.28; CI: 1.12–4.64] or frequent media exposure [OR: 2.70; CI: 1.36–5.32] were significantly more likely to report early sexual debut than those who had no media exposure. Further, the likelihood of early sexual debut was significantly higher among boys [OR: 3.01; CI: 2.34–3.87] and girls [OR: 1.87; CI: 1.12–3.12] who had exposure to pornography compared to their counterparts. The odds of early sexual debut were higher among boys [OR: 1.89; CI: 1.19–3.01] and girls [OR: 1.77; CI: 1.30–2.41] who had moderately-severe/severe depressive symptoms compared to their counterparts. Conclusions The results highlight that Indian unmarried adolescents demand the appropriate knowledge to promote safer sexual behavior and lead a responsible and healthy lifestyle. The preventive efforts must be multifaceted with involvement at the individual and parental levels. Especially, interventions appear advantageous to be parents-focused emphasizing family life education that can prevent risky sexual behaviors among adolescent boys and girls. And the public programs should focus on sexual health promotion considering the physical and psychosocial changes during early ages of sex life.

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Section: Discussionsupporting

confidence: 92%

What predicts the early sexual debut among unmarried adolescents (10–19 years)? Evidence from UDAYA survey, 2015–16

et al. 2021

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“…Accordingly, those age group from 15-19 years were less likely to report sexual coercion at fi rst sexual debut compared to those aged 10-14 years. This is corroborating the results from different studies ( 27,28 ). This is attributed for young females at earlier age might lack a negotiating and convincing power to save themselves from being coerced.…”

Section: Discussionsupporting

confidence: 93%

Sexual coercion at first sexual debut and associated factors among young females in rural areas of Boset District, Eastern Ethiopia: A mixed-method study

Garoma¹

2021

Int J Sex Reprod Health Care

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Objectives: Assess the prevalence and associated factors of sexual coercion at first sexual debut among young females in rural areas of Boset district, Oromia Region, Ethiopia. Methods: Cross-sectional community-based study was conducted using 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 for quantitative and data was collected using a pre-tested structured questionnaire. The collected data was 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: Prevalence of sexual coercion at first sexual debut was 36.5% (95%CI: 34.6%-38.4%) among sexually active respondents. Married young female (AOR,0.71;95%CI: 0.42,0.81), living away from their parents (AOR,5.07;95%CI:1.07,24.01), age group of 15-19 (AOR,0.19; 95%CI:0.06,0.54), alcohol consumption (AOR,2.44;95%CI:1.17, 5.08) and Khat chewing (AOR, 8.30;95%CI:1.89, 36.38) were factors predicting the likelihood of having sexual coercion at sexual debut. Conclusion: Sexual coercion at fist 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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“…This suggests that parental supervision and control on youths affects their tendency of being involved in sex. This result is in tandem with previous studies [ 43 , 50 – 52 ] , which confirmed a significant relationship between PM with youths not having sexual intercourse till a later date. This is an important finding because it emphasizes the necessity of PM efforts in preventing early sexual intercourse in order to reduce additional reproductive consequences.…”

Section: Discussionsupporting

confidence: 91%

Influences of parental monitoring and school connectedness on age at first sexual debut among unmarried female youth in Bedele town, Ethiopia: A survival analysis of timing using accelerated failure time model

Debele

Tsegaye

Gemechu³

et al. 2022

PLoS ONE

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Background The age of first sexual debut among youth continues to attract interest as it marks the start of their exposure to a variety of sexual and reproductive health problems. Parental monitoring (PM) and school connectedness (SC) has been found to have an effect on this problem. Despite this fact, there is a dearth of literature on implications of PM and SC on age at first sexual debut in Ethiopia. Therefore, this paper examined the influences of PM and SC age at first sexual debut among female youth. Methods A retrospective follow-up study was conducted on 470 randomly selected female youth in Bedele town, Oromia regional state, southwest Ethiopia from February 1 to March 30, 2021. The age at first sexual debut was asked in full years for respondents who ever engaged in sexual debut at a time of data collection. Data were entered using Epi-Data version 4.6 and analyzed using Stata version 14. All variables at P-values less than 0.2 in bivariable analysis were exported to multivariable analysis. Multivariable Accelerated Failure Time (AFT) regression analyses using Weibull distribution were used to examine the association of age at first sexual debut with PM and SC at 5% level of significance. Results Overall, 132(28.1%) youths were begun sexual activities of which 79.54% was an early (vaginal penetrative sex before 18 years old). The incidence rate was 15.58/1000 PY with 95% CI of [13.14, 18.47]. The result shows that, female youth start first sexual debut as early as 10 year and mean age was 16.89±2.82. Only 27.97% of those who began sexual debut used contraception during first sex. Multivariable Weibull AFT regression analyses adjusted for different variables showed that high PM (Adjusted Time Ratio (ATR) 1.13: 95%CI; [1.04, 1.21]) and good SC (ATR: 1.14: 95% CI; [1.06, 1.22] significantly delays the age at first sexual debut. Conclusions Overall, four out of every five premarital sexual activities were early sexual debuts. High PM and high SC significantly decrease early sexual debut by delaying the age of sexual initiation. Therefore, family and school involvement focused on PM and SC of the youth is recommended as an important mechanism for preventing youths’ risky sexual behaviour, including early sexual debut.

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Early Sexual Debut and Associated Factors among Students in Ethiopia: A Systematic Review and Meta-Analysis

Cited by 15 publications

References 39 publications

What predicts the early sexual debut among unmarried adolescents (10–19 years)? Evidence from UDAYA survey, 2015–16

What predicts the early sexual debut among unmarried adolescents (10–19 years)? Evidence from UDAYA survey, 2015–16

Sexual coercion at first sexual debut and associated factors among young females in rural areas of Boset District, Eastern Ethiopia: A mixed-method study

Influences of parental monitoring and school connectedness on age at first sexual debut among unmarried female youth in Bedele town, Ethiopia: A survival analysis of timing using accelerated failure time model

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