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

Muhammad, T.; Srivastava, Shobhit; Kumar, Pradeep; Patel, Sangram Kishor

doi:10.1371/journal.pone.0252940

Cited by 24 publications

(18 citation statements)

References 48 publications

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“…The government of Uganda should also make the media affordable and accessible to all youth, to positively empower them with sex and reproductive health information in the early stages of their development before their sexual debut for improved sexual health. Contrary to our findings, research conducted in other settings shows that male youth who had frequent media exposure were significantly more likely to engage in early sexual debut than those who had no media exposure [49].…”

Section: Plos Global Public Healthcontrasting

confidence: 99%

Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis

Luwedde¹,

Sserwanja²,

Katantazi

2022

PLOS Glob Public Health

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Introduction Teenage pregnancies and sexually transmitted diseases are major public health problems in Uganda. Early sexual debut is one of the main routes of these public health problems. This study aimed to identify factors that explain age at first sex inequality between men and women Ugandan youth. Methods This study used secondary data from a cross-sectional Uganda demographic health survey (2016). Participants were 10 189 sexually experienced youth. Using Stata 14, intermediary analysis was done to assess the statistical association between explanatory variables and age at first sex in a multiple logistic regression analysis. Oaxaca decomposition was used to decompose factors that explain inequalities in age at first sex between men and women youth. Results Intermediary results showed Islam, many household members, residing in the eastern region, and being divorced/widowed were predictors of early age at first sex. While secondary education, higher education, blue-collar jobs, and being 20 to 30 years old were protective factors against early age at first sex. Material, behavior/cultural, psychosocial, and demographic explanatory factors jointly explained a statistically significant portion of the observed gap in early age at first sex between women and men youth. More women were at a disadvantage at an early age at first sex compared to men youth. About 96.37% of this gap was explained by unequal distribution of material, behavior/cultural, psychosocial, and demographic factors between men and women youth. Relationship to household head (49%), education (16.87%), occupation (8,94%), number of household members (8.57%), using the internet (7.99%), and reading newspapers or magazines (4.39%) made a significant contribution to the explanation of early age at first sex inequality between men and women youth. Conclusions Results showed early age at first sex inequality between women and men youth that favored men. Programs designed to address early age at first sex and related health outcomes must combat inequities in education, employment opportunities, access to sexual reproductive information through internet, and newspapers or magazines between men and women youth. They should also foster household relationships and monitor girls.

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Section: Plos Global Public Healthcontrasting

confidence: 99%

Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis

Luwedde¹,

Sserwanja²,

Katantazi

2022

PLOS Glob Public Health

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“…Following Ghana’s Criminal Code (amendment) Act, 2003 (Act 646) [ 4 ], the outcome variable for the analysis was binary coded 1 if a woman aged between 15 and 49 years had her first sexual intercourse before attaining 16 years of age and 0 otherwise. The covariates for the analysis were selected based on evidence from the literature [ 2 , 7 , 12 , 29 , 30 ] and their availability in the GMHS data. The covariates were grouped into three categories: demographic, socioeconomic and pregnancy outcome factors to examine their associations with the spatial patterns of early sexual debut at the district level.…”

Section: Methodsmentioning

confidence: 99%

Geographical hotspots and correlates of early sexual debut among women in Ghana

Johnson

2022

Reprod Health

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Objectives Generalisation of sexual behaviour, including early sexual initiation, does not provide comprehensive knowledge of young people’s sexual attitudes, behaviours and challenges, given the high sociocultural diversity and economic inequalities within countries. This study examines geographical hotspots of early sexual initiation, at the district level in Ghana and the factors associated with the observed spatial patterns. Methods Data was derived from the 2017 Ghana Maternal Health Survey, covering 21,392 women aged 15–49 years. Early sexual debut denotes first sexual intercourse before attaining the legal age of sexual consent, which in Ghana, is 16 years. The Bayesian geoadditive semiparametric regression technique was used to examine geographical hotspots and correlates of the observed spatial patterns, classified into demographic, socioeconomic and pregnancy outcome factors. Results The results show that 26.7% (95% CI = 26.1–27.3) of women had their first sexual intercourse before attaining the age of 16 years. Hotspots of early sexual debut was observed predominantly among districts along the mainstream of the Volta Lake, which are also reported hotspots of child trafficking, labour and slavery. Demographic, socioeconomic and pregnancy related factors were identified to be correlated with the observed spatial clustering. Conclusion Policies and interventions such as sexual and reproductive health education should target at-risk population, simultaneously addressing other child abuses perpetuating the practice.

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“…A study conducted in two states in India found that 9% of the boys and 4% of the girls in adolescent age, engaged in early sexual debut. The same study also found that the prevalence of early sexual debut was more among boys than girls and among school drop outs compared to schooling adolescents (10).…”

Section: Discussionmentioning

confidence: 73%

Knowledge, and practices on sexual and reproductive health among youth trainees attached to youth training centers in Sri Lanka; Adolescent health for a better tomorrow

Mataraarachchi

Vithana

Wijemanne

et al. 2022

Preprint

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Background: Sexual and reproductive health is a major concern among adolescents and youth in Sri Lanka. The study was carried out to assess the knowledge, and practices of the youth trainees attached to youth training institutes in Sri Lanka. Methodology: A descriptive, cross-sectional study was carried out among randomly selected 425 youth trainees attached to youth training centers in Sri Lanka using a pre-tested self-administered questionnaire. Statistical analysis was conducted using SPSS-21. Categorical variables were presented as numbers and percentages. Comparison of categorical variables was conducted using Chi-Square test and Fisher’s exact test as applicable. Results: Study group consisted of 51.8% (n=220) males and 48.2% (n=205) females with mean age of 18.6 years (SD= 1.8). Only 49% (n=211) knew that nocturnal emission is normal in young men, while 8% (n=34) thought that nocturnal emission would weaken their body. Only 47.5% (n=202) had ever heard of condoms, and 13.2% (n=56) knew about the emergency contraceptive pill. While 23.3% (n=98) identified abortion could cause maternal death, 53.9% (n=227) knew that teenage pregnancy lead to complications in both mother and baby. A majority, 75.5% (n=318) expressed that HIV/AIDS can be transmitted via unprotected sexual intercourse. Only 114 (26.8%) correctly identified abstinence and limiting to one faithful sexual partner as successful ways to prevent sexually transmitted infections (STI). Nearly 8% (n=33) said that they engaged in sexual intercourse at least once in their lifetime. Of them, nearly 75% (n=23) had their first sexual contact at the age of 14-18 years and only 58% (n=19) had used condoms. Male gender (p<0.001), being a Buddhist (P=0.027), age above 20 years (P=0.002), having a education level above grade 11 (p=0.022) were positively associated with SRH knowledge. Conclusions and recommendations: Knowledge and practices on sexual and reproductive health among youth trainees were sub-standard. Study recommends strengthening sexual and reproductive health education at youth training centers.

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

Cited by 24 publications

References 48 publications

Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis

Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis

Geographical hotspots and correlates of early sexual debut among women in Ghana

Knowledge, and practices on sexual and reproductive health among youth trainees attached to youth training centers in Sri Lanka; Adolescent health for a better tomorrow

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