Community factors shaping early age at first sex among adolescents in Burkina Faso, Ghana, Malawi, and Uganda

Rob Stephenson, Calleen Simon, Catherine Finneran

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)161-175
Number of pages15
JournalJournal of Health, Population and Nutrition
Volume32
Issue number2
StatePublished - Jun 2014

Keywords

  • Adolescents
  • Africa
  • Community
  • Multiple partnerships
  • Sexual behaviour
  • Sexual debut
  • Youth

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