Early sexual debut and associated factors among adolescents in Kasawo Sub-county, Mukono district, Uganda

Omona, Kizito; Ssuka, Jonathan Kizito

doi:10.1080/27707571.2023.2183561

Cited by 9 publications

(7 citation statements)

References 33 publications

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“…of the study are comparable to the 17.9% reported in Ethiopia [20]. Additionally, the findings of this study are similar to those of a study in Uganda, which revealed that the prevalence of early sexual debut was 22.6% among female adolescents and 22.1% among male adolescents [1].…”

Section: Prevalence Of Early Sexual Debutsupporting

confidence: 88%

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Prevalence and Determinants of Early Sexual Debut among Teenage Students: A Study in Kiryandongo District, Uganda

Kizito

2024

IAAJAS

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Early sexual debut among teenagers is a global concern, particularly prevalent in developing countries. This study aimed to investigate the prevalence and factors associated with early sexual debut among teenage students at Kibanda Secondary School in Kiryandongo district, Uganda. A cross-sectional study was conducted, involving 150 respondents. Data were collected using self-administered questionnaires and analyzed using IBM SPSS 27.0. The prevalence of early sexual debut was found to be 20.0%, with predictors including age, sex, caregiver's education level and income, parental history of substance abuse, personal substance abuse, and first sexual partner. Female respondents were 2.17 times more likely to have an early sexual debut compared to males, and teenagers with a personal history of substance abuse were 4.03 times more likely to initiate sex early. Low caregiver education and income were also associated with early sexual debut. These findings underscore the need for targeted interventions and education programs to mitigate the risks associated with early sexual initiation among teenagers. Keywords: Early sexual debut, Sexual intercourse, Teenage, Students

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Section: Prevalence Of Early Sexual Debutsupporting

confidence: 88%

“…Early sexual intercourse refers to having had your first sexual intercourse at or before the age of 14 [1]. Globally, the rate of early sexual debut among teenagers (individuals aged between 10 and 18 years) is very high, especially in developing countries [2].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Determinants of Early Sexual Debut among Teenage Students: A Study in Kiryandongo District, Uganda

Kizito

2024

IAAJAS

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“…Early sexual debut with risky behaviours has been posited as an important risk factor for HIV infection. Studies have shown that factors such as peer pressure, lower education, coercion, substance use (tobacco and alcohol use), poor parental or guardian attachment and exposure to pornographic materials were associated with an early sexual debut 61–63. Furthermore, a lack of HIV knowledge and low-risk perception have been considered a potential barrier to HIV testing among adolescent women 64.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Maviso,

Kalembo

2024

BMJ Open

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ObjectiveThe aim of this study was to assess the prevalence of not testing for HIV and its determinants among young adult women aged 15–29 years in Papua New Guinea (PNG).Design and settingThe study used secondary data from the 2016 to 2018 PNG Demographic and Health Survey (PNGDHS), a nationally representative cross-sectional survey that used a two-stage stratified sampling.ParticipantsA total weighed sample of 5164 young adult women aged 15–29 years were included in the analysis.Primary outcome measureEver been tested for HIV was the primary outcome of the study. All analyses were adjusted using survey weights to account for unequal sampling probabilities.ResultsThe prevalence of not testing for HIV was 58.8% (95% CI: 57.4% to 60.1%). The mean age was 21.65 years (SD = 4.23). Of the women who were not tested for HIV, the majority were never married (79.4%), without formal education (63%), not working (60.2%), and from rural areas (62.9%). In the multivariable analysis, those who were never married (adjusted OR (AOR) 4.9, 95% CI 3.6 to 6.6), had poor wealth index (AOR 1.8, 95% CI 1.3 to 2.5), were from rural areas (AOR 2.0, 95% CI 1.5 to 2.6), were from the Momase region (AOR 1.3, 95% CI 1.0 to 1.7), did not read newspapers or magazines (AOR 1.7, 95% CI 1.3 to 2.1), did not listen to the radio (AOR 1.5, 95% CI 1.1 to 2.0), experienced early sexual debut (AOR 1.5, 95% CI 1.1 to 1.9), had one sexual partner (AOR 1.5, 95% CI 1.2 to 2.0) and reported no sexually transmitted infection (STI) in the past 12 months (AOR 1.8, 95% CI 1.1 to 3.1) had higher odds of not testing for HIV.ConclusionsOur study found a very high unmet need for HIV testing among young adult women in PNG. Health promotion programmes should be designed to increase HIV knowledge and access to testing services, particularly targeting young women who are disadvantaged and from rural areas.

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“…Studies have shown that factors such as peer pressure, lower education, coercion, substance use (tobacco and alcohol use), poor parental or guardian attachment, and exposure to pornographic materials were associated with an early sexual debut. [62–64] Furthermore, a lack of HIV knowledge and low-risk perception have been considered a potential barrier to HIV testing among adolescent women. [65] This could be a likely reason why young women were not tested for HIV in this study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the 2016–2018 Demographic and Health Survey

Maviso

Kalembo

2023

Preprint

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ObjectiveThe aim of this study was to investigate the determinants of not testing for HIV among young adult women aged 15-29 years in Papua New Guinea (PNG).Design and settingThe study used secondary data from the 2016-2018 PNG Demographic and Health Survey (PNGDHS), a nationally representative cross-sectional survey that utilised two-stage cluster sampling. Multivariate logistic regression with complex sample analysis was performed to assess the determinants of not testing for HIV.ParticipantsA total of 8,155 young adult women aged 15-29 years were included in the study.Outcome measureNot testing for HIV.ResultsThe prevalence of not testing for HIV was 71.8% (95% CI: 0.71-0.73). Young adult women who were never married (AOR: 4.9, 95% CI: 3.6-6.6), from rural areas (AOR: 2.0, 95% CI: 1.5-2.6), from poor wealth indices (AOR: 1.8, 95% CI: 1.3-2.5), who did not frequently read newspapers or magazines (AOR: 1.7, 95% CI: 1.3-2.1), who did not frequently listen to the radio (AOR: 1.5, 95% CI: 1.1-2.0), who had initiated sex before the age of 20 (AOR: 1.5, 95% CI: 1.1-1.9), and who had one sexual partner (AOR: 1.5, 95% CI: 1.2-2.0) had higher odds of not testing for HIV compared with their counterparts.ConclusionsOur study found that more than two-thirds of young women in PNG have never been tested for HIV. Socio-demographics, lack of exposure to media, having one sex partner, and not having had an STI in the past 12 months are associated with not testing for HIV. Multi-sectorial policy and programmatic approaches to strengthen community- and home-based testing to complement facility-based HIV services and overcome barriers associated with HIV testing among this population are necessary.

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Early sexual debut and associated factors among adolescents in Kasawo Sub-county, Mukono district, Uganda

Cited by 9 publications

References 33 publications

Prevalence and Determinants of Early Sexual Debut among Teenage Students: A Study in Kiryandongo District, Uganda

Prevalence and Determinants of Early Sexual Debut among Teenage Students: A Study in Kiryandongo District, Uganda

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the Demographic and Health Survey, 2016–2018

Prevalence and determinants of not testing for HIV among young adult women in Papua New Guinea: findings from the 2016–2018 Demographic and Health Survey

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