Prevalence and risk factors for inter-generational Sex: a cross-sectional cluster survey of Barbadian females aged 15–19

Drakes, Nicole; Perks, Clarissa; Kumar, Alok; Quimby, Kim R; Clarke, C. M. H.; Patel, Rajul; Hambleton, Ian; Landis, R. Clive

doi:10.1186/1472-6874-13-53

Cited by 11 publications

(18 citation statements)

References 39 publications

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“…Factors associated with early sexual debut have been identified as follows: not living with both biological parents (5), lack of parental monitoring (5) and connectedness (6), having more advanced physical maturity (5), having more permissive attitudes toward sex (5,7), alcohol use (5,8), sexual risk behaviour (1,9), unintended pregnancy (10), delinquency (5), violence (8), history of physical and sexual abuse (7), school problems (5) and (for girls) depressive symptoms (5).…”

Section: Introductionmentioning

confidence: 99%

Early Sexual Debut and Associated Factors among In-school Adolescents in Six Caribbean Countries

Peltzer¹,

Pengpid²

2015

West Indian Med J

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Section: Introductionmentioning

confidence: 99%

Early Sexual Debut and Associated Factors among In-school Adolescents in Six Caribbean Countries

Peltzer¹,

Pengpid²

2015

West Indian Med J

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“…The drivers of the epidemic in this population are thought to be complex and multi-layered and include early age of irst sexual activity, gender-based violence, cultural norms such as multiple concurrent partnerships and sex for money or favors, as well as the social exclusion of certain groups based on sexuality or sexual orientation. 17,[19][20][21] Studies from the Caribbean and those from the sub-Saharan Africa have shown that risk taking behaviors among the young adults, remain at the center of continuing spread of HIV [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Stage 1 -the selection of a 10% random sample of enumeration districts (EDs) or 60 EDs Stage 2 -the selection of twenty (20) households within each of the sixty (60) EDs Stage 3 -the random selection of a prospective respondent from each pre-selected household by interviewers using the Kish method.…”

Section: Sampling Methodsmentioning

confidence: 99%

Risk taking sexual behaviors among young adults – findings from a cross sectional population based survey in Barbados

Kumar¹,

Drakes²,

Crichlow³

et al. 2020

Int J Clin Virol

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Background: The National Strategic Plan for HIV Prevention and Control 2014-2018 recognized the need for the utilization of research fi ndings to guide the development of HIV policies, programs and interventions for the general population and key population groups and to inform the allocation of government resources to the areas of greatest impact and need. To this end, a Knowledge, Attitudes, Beliefs and Sexual Practices Survey (KABP) was conducted among adults' ages 15 to 49 years. Objectives: To identify the sexual behaviors among adolescents and young adults that exposed them to the risks of HIV/STIs and to identify factors that may have to be addressed, in order to achieve further reduction in the spread of HIV in this population. Methods: This is a population based cross-sectional survey undertaken in 2016. Sample was taken from among persons' ages 15-49 years using a multistage sampling methodology. The survey questionnaire was developed from Family Health International's guidelines for repeated behavioral surveys in populations at risk of HIV. It was interviewer-administered and consisted of ninety-nine (99) closed-ended questions. The topics covered by the survey included sexual history; use of and access to condoms; and HIV testing. Participants were asked about their sexual behaviors over the last 12 months, and about their experience with their most recent partner. Results: Overall, 87.8% described themselves as heterosexual, 1.2% as bisexual and 0.5% as homosexual. By the age 16, 17 1nd 19 years 25%, 50% and 75% of respondents have had sex respectively. Among the 763 respondents reporting vaginal or anal sex over the past 12 months, 80.6 and 19.4% had a single and multiple sex partner respectively. Also, 94.4%, 13.3% and 1.6% reported to have regular, non-regular and commercial sex partners respectively. Overall, 54.6% used condom at the last sex, the corresponding fi gure for the regular and non-regular partners were 41.2% 80.8% respectively. Only 40.9% reported to have had a HIV test done over the past 12 months and of those who did not, 42.8% had never been tested for HIV. Conclusion: Inconsistent and infrequent condom use and low HIV testing especially among the adolescents and younger adults, in the setting of young ages at sexual debut and multiple sexual partners. Findings form this study strongly recommends for a much greater eff ort from the public health at promoting condom use and HIV testing especially targeting the younger persons who risk their own protection and that of their partners. Risk taking sexual behaviors among young adults-fi ndings from a cross sectional population based survey in Barbados

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“…Number of non-marital sexual partners was coded as '0', '1' and '2+'. Men who engage in CGRs often engage in multiple partnering (Drakes et al, 2013;Odimegwu & Mutanda, 2017). Therefore, it was assumed that there was a higher likelihood of engaging in a CGR among men who also engaged in multiple partnering.…”

Section: Sexual Behaviour Variablesmentioning

confidence: 99%

“…Evidence shows that cross-generational relationships are characterized by transactional sex, as well as multiple partnering, as most of the men engaged in these relationships are already married with families of their own (Drakes et al, 2013). Older men often view these relationships more as a recreational pursuit than a long-term union that may lead to marriage (Kuate-Defo, 2004;Leclerc-Madlala, 2008;Ojebode et al, 2010Ojebode et al, , 2011.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of men who engage in cross-generational sexual behaviour in Nigeria

2019

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Cross-generational sexual relationships are a major route of transmitting HIV and STI between older and younger generations. However, previous research has focused mainly on the young women in these relationships. This study examined the characteristics of men engaging in non-marital sexual relationships with girls aged 15–19 in Nigeria. The data were drawn from the 2013 Nigeria Demographic and Health Survey, and the analysis was restricted to a sub-sample of 7557 men aged 30–49 who were sexually active in the 12 months prior to the survey. Data analysis was carried out using frequency distributions, chi-squared tests of association and binary logistic regression. It was found that 9.5% of men aged 30–49 reported engaging in cross-generational sexual relationships. Also, being older (OR = 0.35), married (OR = 0.37), having secondary or higher education (OR = 0.70; 0.59) and having sexual debut between ages 18 and 30 (OR = 0.73) were associated with a lower likelihood of having cross-generational sexual relationships. However, Muslim men (OR = 2.10), men from Igbo (OR = 1.90), Hausa/Fulani (OR = 8.47) and Northern and Southern minority tribes (OR = 4.73; 2.49), men living in rural areas (OR = 1.34), men who were over the age of 30 at sexual debut (OR = 2.67) and those with 2–4 and 5 or more lifetime sexual partners (OR = 1.43; 1.58) were significantly more likely to engage in cross-generational sexual relationships. Addressing the challenges of cross-generational sexual relationships can be an effective strategy to reduce the menace of HIV and STI transmission. Men who have low education, those aged 30–34 years, those who initiated sex at an older age, rural dwellers and those who have had several lifetime sexual partners need to be targeted while designing and implementing programmes and policies to reduce cross-generational sexual relationships in Nigeria. These interventions must also take into account the religious and cultural attitudes towards cross-generational sexual relationships, and further investigations should identify men’s motives for engaging in the practice.

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Prevalence and risk factors for inter-generational Sex: a cross-sectional cluster survey of Barbadian females aged 15–19

Cited by 11 publications

References 39 publications

Early Sexual Debut and Associated Factors among In-school Adolescents in Six Caribbean Countries

Early Sexual Debut and Associated Factors among In-school Adolescents in Six Caribbean Countries

Risk taking sexual behaviors among young adults – findings from a cross sectional population based survey in Barbados

Characteristics of men who engage in cross-generational sexual behaviour in Nigeria

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