AIM Adolescents in Vietnam have a low level of sexual activity, but this may increase with urbanisation and economic development. The aim of this analysis is to understand trends in correlates of permissive attitudes towards premarital sex among Vietnamese adolescents using an ecological framework. METHODS Data from the Survey Assessment of Vietnamese Youth from 2003 (n = 7584) and 2009 (n = ...

OBJECTIVE To explore the predictors of condom-use self-efficacy in Chinese college students according to the extended parallel process model (EPPM)-based integrated model. METHODS A total of 3,081 college students were anonymously surveyed through self-administered questionnaires in Guangzhou and Harbin, China. A structural equation model was applied to assess the integrated model. RESULTS ...

OBJECTIVE This study examined trends in premarital sex, multiple partnership and condom use among young people (15-24 years) in Zambia from 2000 to 2009, and assessed the effects of individual and neighbourhood variables on these sexual behaviour indicators in 2000 and 2009. METHODOLOGY We analysed data from the Zambia Sexual Behaviour Survey, conducted in 2000, 2003, 2005 and 2009. Multi-sta...

BACKGROUND This study was a qualitative investigation into sexual attitudes and behaviours, and contraceptive use among Malaysian youth, based on constructs from the health belief model, theory of reasoned action, and problem behaviour theory. METHODS A total of 34 focus group discussions with 185 participants were conducted among the Malay (35%), Chinese (34%), and Indian (31%) young females...

Migration during the formative adolescent years can affect important life-course transitions, including the initiation of sexual activity. In this study, we use life history calendar data to investigate the relationship between changes in residence and timing of premarital sexual debut among young people in urban Kenya. By age 18, 64 percent of respondents had initiated premarital sex, and 45 p...

We compared sexual and reproductive health (SRH)-related knowledge, attitude and behavior among unmarried rural-urban female migrants in Shanghai coming from different regions of China. A total of 944 unmarried rural-urban female migrants were recruited from three districts of Shanghai. We used an interviewer-administered structured questionnaire to collect information from each participant and...

PURPOSE Sexual abstinence has become the primary response to adolescent pregnancy and sexually transmitted infection (STI) prevention. However, most abstinence programs are based on adult ideas of abstinence, and little is known about how adolescents themselves conceptualize sexual abstinence. METHODS In this qualitative study, we conducted semi-structured exploratory interviews with 42 adole...

CONTEXT The association between youths' sexual and reproductive attitudes and behaviors and those of their peers and parents has been documented; however, information on siblings' influence is scarce, especially for developing countries. METHODS Data on 1,395 female and 1,242 male survey respondents aged 15-24 from three cities in Côte d'Ivoire were analyzed. Life-table analysis was conducted...

Demographic decompositions of recent fertility decline in urban Ethiopia identify delayed marriage among recent cohorts of women as a major component of the decline in urban fertility (Sibanda et al., 2003; Lindstrom and Woubalem, 2003). Studies conducted in other sub-Saharan African countries find that as age at marriage increases, premarital sex becomes increasingly common, often leading to a...

OBJECTIVES To review the sexual behaviour data collected in the Demographic and Health Surveys (DHS) and other similar national surveys from the perspective of data quality. METHODS Two indicators of premarital and higher risk sexual behaviour were analysed for 31 surveys in 10 countries in sub-Saharan Africa and Latin America and the Caribbean. The analysis focused on the internal consistenc...