Prevalence and associated factors of early sexual initiation among female youth in East Africa: further analysis of recent demographic and health survey.

Background: Early sexual initiation is one of the risky sexual practices. Early sexual beginning is associated with an increased risk of HIV/AIDS, sexually transmitted infections (STIs), unexpected pregnancies, unsafe abortion, premature deliveries, and psychosocial issues. However, there is still a...

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Publicado en:BMC Women's Health Vol. 22; no. 1; pp. 1 - 10
Autores principales: Hailegebreal, Samuel, Gilano, Girma, Seboka, Binyam Tariku, Sidelil, Habile, Awol, Shekur Mohammed, Haile, Yosef, Simegn, Atsedu Endale, Haile, Firehiwot
Formato: Journal Article
Publicado: BioMed Central 7/22/2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: BioMed Central
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        10.1186/s12905-022-01895-8
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        atl: Prevalence and associated factors of early sexual initiation among female youth in East Africa: further analysis of recent demographic and health survey.
      aug:
        au:
          Hailegebreal, Samuel
          Gilano, Girma
          Seboka, Binyam Tariku
          Sidelil, Habile
          Awol, Shekur Mohammed
          Haile, Yosef
          Simegn, Atsedu Endale
          Haile, Firehiwot
        affil: Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia
      sug:
        subj:
          Sexuality
          Africa, East
          Adolescence
          Young Adult
          Pregnancy
          Surveys
          Adult
          Female
          Marital Status
          Prevalence
          Psychosocial Adjustment to Illness Scale
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
      ab: Background: Early sexual initiation is one of the risky sexual practices. Early sexual beginning is associated with an increased risk of HIV/AIDS, sexually transmitted infections (STIs), unexpected pregnancies, unsafe abortion, premature deliveries, and psychosocial issues. However, there is still a lack of evidence, particularly in East Africa, where community-level factors are not investigated. Therefore, this study aimed to estimate the pooled prevalence and to identify associated factors of early sexual initiation among female youth in Eastern Africa.Methods: A total weighted sample of 49,716 female youth was included in this analysis. STATA version 14 software was used for data extraction, recoding, and analysis. A multilevel binary logistic regression model was fitted to identify determinants of early sexual initiation in the region. Finally, Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) was reported to declare the factors that are significantly associated with early sexual initiation.Result: The prevalence of early sexual initiation in East Africa was 21.14% [95% CI: 20.00%, 21.50%]. In the multivariable multilevel analysis; being age 20-24 years [AOR = 0.65: 95% CI; 0.61, 0.69], primary [AOR = 0.73: 95% CI; 0.67, 0.78], secondary &above education [AOR = 0.30: 95% CI; 0.27,0.33], married [AOR = 1.85: 95% CI; 1.73,1.97], middle wealth [AOR = 0.78: 95% CI; 0.72,0.84], richest [AOR = 0.74: 95% CI; 0.68,0.80], and reading newspaper [AOR 0.77: 95% CI;0.71,0.83] were significantly associated with early sexual initiation.Conclusion: The study revealed that early sexual initiation among female youth was high in East Africa. Educational status, respondent age, marital status, wealth index, age at first cohabitation, contraceptive use, reading newspaper, and place of residence were associated with early sexual initiation. Therefore, the survey findings will help policymakers, as well as governmental and non-governmental organizations, design the most effective interventions. Moreover, strengthening information, education, and wealth status are important intervention areas to delay the age of early sexual debut.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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