The Effects of Early first Sexual Intercourse amongst Lesotho Women: Evidence from
            the 2009 Lesotho Demographic and Health Survey

Motsima, Tshaudi; Malela‐Majika, Jean‐Claude

doi:10.29063/ajrh2016/v20i2.4

Cited by 10 publications

(10 citation statements)

References 4 publications

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“…Men who had their first sex after adolescence stage had lower risk of STI compared to those who had their first sex during the adolescence stage. This finding supports findings from previous studies in China [16], Tanzania [17], Lesotho [18], Malawi [19], and in Republic of Korea [20]. Evidence in other parts of sub-Saharan Africa and Ghana suggest that adolescence period is one that is associated with several risky sexual behaviours including multiple sexual partners, experimenting with sex, sex without condom and alcohol use during sexual intercourse [15,21].…”

Section: Discussionsupporting

confidence: 88%

Self-reported sexually transmitted infections among sexually active men in Ghana

et al. 2021

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Background In sub-Saharan Africa, sexually transmitted infections (STIs) other than HIV are major public health problems. This study, therefore, sought to assess the prevalence and factors associated with self-reported STIsamong sexually active men in Ghana. Methods Data from the 2014 Ghana demographic and health survey wereused to conduct the study. This research included a total of 3051 sexually active men aged 15–59 years. Self-reported STI was the outcome variable. The data were analyzed using both descriptive (frequencies and percentages) and inferential (binary logistic regression) analysis. Results The prevalence of self-reported STIs in the past 12 months preceding the survey was 6.0% (CI:4.7–6.8). Compared to men aged 45-59 years, those aged 25–34 (aOR = 2.96, CI: 1.64–5.35), 15–24 (aOR = 2.19, CI: 1.13–4.26), and 35–44 (aOR = 2.29, CI: 1.23–4.24) were more likely to report an STI. Men who had 2 or more sexual partners apart from their spouse were more likely to report an STI compared to those with no other partner apart from spouse (aOR = 4.24, CI: 2.52–7.14). However, those who had their first sex when they were 20 years and above (AOR = 0.66, CI: 0.47–0.93) and men who read newspaper/magazine had lower odds (aOR = 0.53, CI: 0.37–0.77) of reporting STIs compared to those who had sex below 20 and those who did not read newspaper/magazine respectively. Conclusion The study has revealed a relatively low prevalence of self-reported STI among sexually active men in Ghana. Sexually active men aged 25–34 years, those whose age at first sex is below 20 years and those with two or more sexual partners apart from their spouse had higher odds of reporting STIs. However, reading a newspaper was found to be positive in reducing the odds of reporting STIs. To reduce STIs among sexually active men in Ghana, it is important for health systems and stakeholders to consider these factors and put in place measures to mitigate those that put men at risk of STIs and encourage the adoption of the protective factors. Mass media can be used as a useful avenue for encouraging men to report STIs in order to avoid transmitting them to their partners.

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Section: Discussionsupporting

confidence: 88%

Self-reported sexually transmitted infections among sexually active men in Ghana

et al. 2021

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“…SAM in SSA who had their first sex below age 20 had higher odds of STIs than their counterparts who had their first sex after they were 20 years old. Several studies have reported similar findings in other countries: China [20,21], Lesotho [22], and Republic of Korea [23]. The plausible reason could be the risky sexual behaviors through experimentation often noted with adolescents.…”

Section: Synthesis With Previous Evidencesupporting

confidence: 54%

A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa

et al. 2020

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Background Despite the importance of self-reporting health in sexually transmitted infections (STIs) control, studies on self-reported sexually transmitted infections (SR-STIs) are scanty, especially in sub-Saharan Africa (SSA). This study assessed the prevalence and factors associated with SR-STIs among sexually active men (SAM) in SSA. Methods Analysis was done based on the current Demographic and Health Survey of 27 countries in SSA conducted between 2010 and 2018. A total of 130,916 SAM were included in the analysis. The outcome variable was SR-STI. Descriptive and inferential statistics were performed with a statistical significance set at p < 0.05. Results On the average, the prevalence of STIs among SAM in SSA was 3.8%, which ranged from 13.5% in Liberia to 0.4% in Niger. Sexually-active men aged 25–34 (AOR = 1.77, CI:1.6–1.95) were more likely to report STIs, compared to those aged 45 or more years. Respondents who were working (AOR = 1.24, CI: 1.12–1.38) and those who had their first sex at ages below 20 (AOR = 1.20, CI:1.11–1.29) were more likely to report STIs, compared to those who were not working and those who had their first sex when they were 20 years and above. Also, SAM who were not using condom had higher odds of STIs (AOR = 1.35, CI: 1.25–1.46), compared to those who were using condom. Further, SAM with no comprehensive HIV and AIDS knowledge had higher odds (AOR = 1.43, CI: 1.08–1.22) of STIs, compared to those who reported to have HIV/AIDS knowledge. Conversely, the odds of reporting STIs was lower among residents of rural areas (AOR = 0.93, CI: 0.88–0.99) compared to their counterparts in urban areas, respondents who had no other sexual partner (AOR = 0.32, CI: 0.29–0.35) compared to those who had 2 or more sexual partners excluding their spouses, those who reported not paying for sex (AOR = 0.55, CI: 0.51–0.59) compared to those who paid for sex, and those who did not read newspapers (AOR = 0.93, CI: 0.86–0.99) compared to those who read. Conclusion STIs prevalence across the selected countries in SSA showed distinct cross-country variations. Current findings suggest that STIs intervention priorities must be given across countries with high prevalence. Several socio-demographic factors predicted SR-STIs. To reduce the prevalence of STIs among SAM in SSA, it is prudent to take these factors (e.g., age, condom use, employment status, HIV/AIDS knowledge) into consideration when planning health education and STIs prevention strategies among SAM.

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“…Although, one would expect that contextual differences could result in socialization that renders youth to initiate early sexual activities than others but our findings shows no significant effect of place of residence on early sexual experience after controlling for other variables. Our finding contradicts the findings of Odimegwu and Somefun (2017) in Nigeria, and the findings of Motsima and Malela-Majika (2016) in Lesotho. The insignificant finding in the adjusted hazard regression could be result of the fact that the effect of place of residence is confounded by other socioeconomic factors that affect early sexual experience.…”

Section: Discussioncontrasting

confidence: 99%

“…On the contrary, the study of Odimegwu and Somefun (2017) in Nigeria found that being a female youth from a rural area increased the risk of early sexual activities. Another study also found that women staying in a rural area is more at risk of early sexual experience compared to those staying in urban area (Motsima & Malela-Majika, 2016).…”

Section: Literature Reviewmentioning

confidence: 89%

Socio-demographic factors associated with early sexual experience among South African female youth

2019

Preprint

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Early sexual experiences affect the sexual and reproductive health of young persons because they put them at the risk of risky sexual behaviours including multiple sexual partners and inconsistent condom use. As a consequence, early sexual experiences increase the risk of unintended pregnancies and STIs, including HIV/AIDS. There has been limited research on the prevalence and socio-demographic determinants of early sexual experience in South Africa. Thus, this study aimed to fill the void by assessing the socio-demographic factors that are associated with early sexual experience among South African female youth using the 2016 South Africa Demographic and Health Survey (SADHS). Results showed that female youth with secondary (HR: 0.69, CI: 0.61-0.77) and higher (HR: 0.47, CI: 0.41-0.54) education had lower hazard risk of early sexual experience compared to those who had no education and primary education. Female youth between the ages of 25-34 (HR: 0.70, CI: 0.65-0.74) had hazard lower risk of early sexual experience compared to those from poor wealth index. Belonging to “other” population group reduced the hazard risk of early sexual experience among female youth compared to those belonging to African population group (HR: 0.87, CI: 0.77-0.98). Programs should target high-risk groups to delay early sexual initiation.

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The Effects of Early first Sexual Intercourse amongst Lesotho Women: Evidence from the 2009 Lesotho Demographic and Health Survey

Cited by 10 publications

References 4 publications

Self-reported sexually transmitted infections among sexually active men in Ghana

Self-reported sexually transmitted infections among sexually active men in Ghana

A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa

Socio-demographic factors associated with early sexual experience among South African female youth

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