Early sexual debut: A multi-country, sex-stratified analysis in sub-Saharan Africa
This study examined outcomes associated with early sexual debut in five sub-Saharan African countries for males and females, separately. We employed Violence Against Children Surveys (VACS) from Kenya, Malawi, Nigeria, Tanzania, and Uganda, restricting samples to males and females age 18-24 years. E...
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| Veröffentlicht in: | Global public health 2021-07, Vol.16 (7), p.1046-1056 |
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| creator | Seff, Ilana Steiner, Jordan J. Stark, Lindsay |
| description | This study examined outcomes associated with early sexual debut in five sub-Saharan African countries for males and females, separately. We employed Violence Against Children Surveys (VACS) from Kenya, Malawi, Nigeria, Tanzania, and Uganda, restricting samples to males and females age 18-24 years. Early sexual debut was defined as having one's first sexual intercourse before 15. Logistic, Ordinary Least Squares, and Poisson regressions were utilised to estimate associations between early sexual debut and outcomes across four ecological domains: individual, family, peer/partner, and community. Regressions were stratified by sex. The prevalence of early sexual debut ranged from 8.6% in Tanzania to 17.7% in Malawi. Males were more likely to report early sexual debut in Kenya (16.3%, compared to 6.7% for females; P |
| doi_str_mv | 10.1080/17441692.2020.1814833 |
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We employed Violence Against Children Surveys (VACS) from Kenya, Malawi, Nigeria, Tanzania, and Uganda, restricting samples to males and females age 18-24 years. Early sexual debut was defined as having one's first sexual intercourse before 15. Logistic, Ordinary Least Squares, and Poisson regressions were utilised to estimate associations between early sexual debut and outcomes across four ecological domains: individual, family, peer/partner, and community. Regressions were stratified by sex. The prevalence of early sexual debut ranged from 8.6% in Tanzania to 17.7% in Malawi. Males were more likely to report early sexual debut in Kenya (16.3%, compared to 6.7% for females; P < 0.001) and Uganda (15%, compared to 10.4% for females; P = 0.037). In Nigeria, 14.5% of females reported early sexual debut, compared to 5.4% of males (P < 0.001). Early sexual debut was associated with only one outcome in the individual and family domains, and was most consistently associated with outcomes in the peer/partner domain. Differences in these relationships for males and females suggest programs and policies working to reduce early sexual debut and promote healthy sexual relationships among young adolescents should thoughtfully consider framing messaging through a gendered lens.</description><identifier>ISSN: 1744-1692</identifier><identifier>EISSN: 1744-1706</identifier><identifier>DOI: 10.1080/17441692.2020.1814833</identifier><identifier>PMID: 32893738</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Adolescents ; Age of onset ; Children ; Domains ; early sexual debut ; Families & family life ; Females ; Frame analysis ; LMICs ; Males ; Sex ; Sexual behavior ; Sexual intercourse ; Sexual relationships</subject><ispartof>Global public health, 2021-07, Vol.16 (7), p.1046-1056</ispartof><rights>2020 Informa UK Limited, trading as Taylor & Francis Group 2020</rights><rights>2020 Informa UK Limited, trading as Taylor & Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-7250e99d230c01002cadba08b854c3dd76c386d1dd1519e09df4e33e440a78eb3</citedby><cites>FETCH-LOGICAL-c394t-7250e99d230c01002cadba08b854c3dd76c386d1dd1519e09df4e33e440a78eb3</cites><orcidid>0000-0002-8775-9735</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/17441692.2020.1814833$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/17441692.2020.1814833$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,778,782,27853,27911,27912,30986,59632,60421</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32893738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seff, Ilana</creatorcontrib><creatorcontrib>Steiner, Jordan J.</creatorcontrib><creatorcontrib>Stark, Lindsay</creatorcontrib><title>Early sexual debut: A multi-country, sex-stratified analysis in sub-Saharan Africa</title><title>Global public health</title><addtitle>Glob Public Health</addtitle><description>This study examined outcomes associated with early sexual debut in five sub-Saharan African countries for males and females, separately. We employed Violence Against Children Surveys (VACS) from Kenya, Malawi, Nigeria, Tanzania, and Uganda, restricting samples to males and females age 18-24 years. Early sexual debut was defined as having one's first sexual intercourse before 15. Logistic, Ordinary Least Squares, and Poisson regressions were utilised to estimate associations between early sexual debut and outcomes across four ecological domains: individual, family, peer/partner, and community. Regressions were stratified by sex. The prevalence of early sexual debut ranged from 8.6% in Tanzania to 17.7% in Malawi. Males were more likely to report early sexual debut in Kenya (16.3%, compared to 6.7% for females; P < 0.001) and Uganda (15%, compared to 10.4% for females; P = 0.037). In Nigeria, 14.5% of females reported early sexual debut, compared to 5.4% of males (P < 0.001). Early sexual debut was associated with only one outcome in the individual and family domains, and was most consistently associated with outcomes in the peer/partner domain. Differences in these relationships for males and females suggest programs and policies working to reduce early sexual debut and promote healthy sexual relationships among young adolescents should thoughtfully consider framing messaging through a gendered lens.</description><subject>Adolescents</subject><subject>Age of onset</subject><subject>Children</subject><subject>Domains</subject><subject>early sexual debut</subject><subject>Families & family life</subject><subject>Females</subject><subject>Frame analysis</subject><subject>LMICs</subject><subject>Males</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexual intercourse</subject><subject>Sexual relationships</subject><issn>1744-1692</issn><issn>1744-1706</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kEtr3TAQRkVoyfsnJBi66SJORw_bcle9hCQtBAp5rMVYkomCbCeSRep_X13uvVl0UW0kRme-YQ4hZxQuKUj4RhshaN2ySwYslyQVkvM9criul7SB-tPunaEDchTjC4DIp94nB5zJljdcHpL7awx-KaL9k9AXxnZp_l6siiH52ZV6SuMclov1dxnngLPrnTUFjuiX6GLhxiKmrnzAZww4Fqs-OI0n5HOPPtrT7X1Mnm6uH69-lne_b39dre5KzVsxlw2rwLatYRw0UACm0XQIspOV0NyYptZc1oYaQyvaWmhNLyznVgjARtqOH5Ovm9zXML0lG2c1uKit9zjaKUXFMlnXXLYso1_-QV-mFPIWmaoyUVGomkxVG0qHKcZge_Ua3IBhURTUWrraSVdr6WorPfedb9NTN1jz0bWznIEfG8CN_RQGfJ-CN2rGxU-hz-K0i4r_f8ZfHEuPRw</recordid><startdate>20210703</startdate><enddate>20210703</enddate><creator>Seff, Ilana</creator><creator>Steiner, Jordan J.</creator><creator>Stark, Lindsay</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8775-9735</orcidid></search><sort><creationdate>20210703</creationdate><title>Early sexual debut: A multi-country, sex-stratified analysis in sub-Saharan Africa</title><author>Seff, Ilana ; Steiner, Jordan J. ; Stark, Lindsay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-7250e99d230c01002cadba08b854c3dd76c386d1dd1519e09df4e33e440a78eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescents</topic><topic>Age of onset</topic><topic>Children</topic><topic>Domains</topic><topic>early sexual debut</topic><topic>Families & family life</topic><topic>Females</topic><topic>Frame analysis</topic><topic>LMICs</topic><topic>Males</topic><topic>Sex</topic><topic>Sexual behavior</topic><topic>Sexual intercourse</topic><topic>Sexual relationships</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seff, Ilana</creatorcontrib><creatorcontrib>Steiner, Jordan J.</creatorcontrib><creatorcontrib>Stark, Lindsay</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>MEDLINE - Academic</collection><jtitle>Global public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seff, Ilana</au><au>Steiner, Jordan J.</au><au>Stark, Lindsay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early sexual debut: A multi-country, sex-stratified analysis in sub-Saharan Africa</atitle><jtitle>Global public health</jtitle><addtitle>Glob Public Health</addtitle><date>2021-07-03</date><risdate>2021</risdate><volume>16</volume><issue>7</issue><spage>1046</spage><epage>1056</epage><pages>1046-1056</pages><issn>1744-1692</issn><eissn>1744-1706</eissn><abstract>This study examined outcomes associated with early sexual debut in five sub-Saharan African countries for males and females, separately. 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Early sexual debut was associated with only one outcome in the individual and family domains, and was most consistently associated with outcomes in the peer/partner domain. Differences in these relationships for males and females suggest programs and policies working to reduce early sexual debut and promote healthy sexual relationships among young adolescents should thoughtfully consider framing messaging through a gendered lens.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>32893738</pmid><doi>10.1080/17441692.2020.1814833</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8775-9735</orcidid></addata></record> |
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| source | PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles) |
| subjects | Adolescents Age of onset Children Domains early sexual debut Families & family life Females Frame analysis LMICs Males Sex Sexual behavior Sexual intercourse Sexual relationships |
| title | Early sexual debut: A multi-country, sex-stratified analysis in sub-Saharan Africa |
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