Incidence and Predictors of Adolescent’s Early Sexual Debut after Three Decades of HIV Interventions in Tanzania: A Time to Debut Analysis
نویسندگان
چکیده
PURPOSE To determine the incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania. METHODS In a cross-section study of adolescents aged 16-19 residing in Morogoro Municipality, information on socio-demographic, parental-and-peer communication, and sexual behaviors were collected. Cox-regression analysis was used to examine predictors of time to sexual debut. RESULTS A total of 316 adolescents with mean age of 17.5±0.9 were recruited. Half (48.7%) of adolescent were sexually active with mean age at sexual debut of 14.6±2.3. Of these, 57.8% had sex before their 15(th) birthday with incidence of early sexual debut of 17.4/1000 person-years at risk. Adolescent family characteristics, peer pressure, alcohol use, parental and peer communication were key predictors of early sexual debut. CONCLUSION Parental and peer communication strategies works calling for efforts to increase its scope to reach all adolescents alongside promoting family stability and reducing adolescent alcohol consumption.
منابع مشابه
Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV.
The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their sexual debut prior to age 13. While the research literature on sexual debut for youth addresses gender and ethnic differences (with males and African-American youth experiencing earlier sexual debut), there is limited data regarding factors associated with sexual debut fo...
متن کاملDelaying sexual debut as a strategy for reducing HIV epidemic in Kenya.
The study purpose was to determine the association between sexual debut and HIV sero-status, and factors contributing to a positive HIV sero-status. Retrospective cross-sectional data from the Kenya Demographic and Health Survey-2003 were used. Data on women aged 15-49 (n = 3,273) and men aged 15-54 (n = 2,917) accepting HIV testing were retained from three datasets. Stata version 10.1 was used...
متن کاملSexual behaviour change in countries with generalised HIV epidemics? Evidence from population-based cohort studies in sub-Saharan Africa
It has been 27 years since the beginning of the HIV epidemic in Africa and, although we understand more about the transmission and treatment of the disease, our knowledge of how new infections can be prevented remains limited. The risk of HIV acquisition is known to be closely associated with unprotected sexual intercourse, 3 and adoption of safer sexual behaviour is still the main message of m...
متن کاملEarly sexual debut: Voluntary or coerced? Evidence from longitudinal data in South Africa--the Birth to Twenty Plus study.
BACKGROUND Early sexual debut, voluntary or coerced, increases risks to sexual and reproductive health. Sexual coercion is increasingly receiving attention as an important public health issue owing to its association with adverse health and social outcomes. OBJECTIVE To describe voluntary and coerced experience at sexual debut. METHODS A longitudinal perspective among 2,216 adolescents (1,1...
متن کاملPredictors of early sexual initiation among a nationally representative sample of Nigerian adolescents
BACKGROUND Early sexual debut among adolescents is associated with considerable negative heath and development outcomes. An understanding of the determinants or predictors of the timing of sexual debut is important for effective intervention, but very few studies to date have addressed this issue in the Nigerian context. The aim of the present study is to examine predictors of adolescent sexual...
متن کامل