Community Factors Shaping Early Age at First Sex among Adolescents in Burkina Faso, Ghana, Malawi, and Uganda

Using data from the National Survey of Adolescents (2004), we examine the community-level factors associated with early age at first sex among adolescents 14-19 years old in four African countries. Regression models are fitted separately by sex for each country for an outcome measuring early age at...

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Veröffentlicht in:Journal of health, population and nutrition population and nutrition, 2014-06, Vol.32 (2), p.161-175
Hauptverfasser: Stephenson, Rob, Simon, Calleen, Finneran, Catherine
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Simon, Calleen
Finneran, Catherine
description Using data from the National Survey of Adolescents (2004), we examine the community-level factors associated with early age at first sex among adolescents 14-19 years old in four African countries. Regression models are fitted separately by sex for each country for an outcome measuring early age at first sex, with a focus on community-level factors as potential influences of age on sexual debut. The community-level factors associated with adolescents' sexual debut vary widely by both country and gender. Community influences that emerge as risk or protective factors of early sexual debut include community levels of adolescent marriage, wealth, religious group affiliation, sex education, parental monitoring, reproductive health knowledge, media exposure, membership in adolescent social group, and use of alcohol. Results indicate the importance of context-specific understanding of adolescents' sexual behaviour and suggest how elements of place should be harnessed in the development of effective HIV and sexual health interventions.
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subjects Adolescent
Adolescent Behavior - psychology
Adolescents
Adult
Africa
Age Distribution
Alcohol Drinking - psychology
Burkina Faso
Community
Female
Ghana
Health Knowledge, Attitudes, Practice
HIV
Human immunodeficiency virus
Humans
Influence
Intervention
Malawi
Male
Marriage - psychology
Marriage - statistics & numerical data
Mass Media - statistics & numerical data
Multiple partnerships
Original Papers
Parenting - psychology
Religion
Residence Characteristics
Sex Distribution
Sex Education - methods
Sex Education - statistics & numerical data
Sex research
Sexual behavior
Sexual Behavior - psychology
Sexual Behavior - statistics & numerical data
Sexual behaviour
Sexual debut
Social Support
Socioeconomic Factors
Teenagers
Uganda
Young Adult
Youth
title Community Factors Shaping Early Age at First Sex among Adolescents in Burkina Faso, Ghana, Malawi, and Uganda
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