Age at first sex and other determinants of multiple sexual partnerships among sexually active adolescent girls in Ghana: a regression analysis of the 2022 Ghana demographic and health survey.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-10-22 DOI:10.1186/s41182-024-00644-x
Desmond Klu, Micheal Larbi Odame, Evelyn Acquah, Charity Akpene Dansu
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Abstract

Background: Early sexual debut is a widely recognized public health issue due to its influence on lifetime multiple sexual partners which can lead to complications such as teenage pregnancy, abortion, HIV/AIDS and other sexually transmitted infections. However, there is paucity of research evidence on sexual behaviour such as age at first sexual intercourse and the number of sexual partnerships among adolescent girls in Ghana. This study aims to examine the influence of age at first sexual intercourse and other determinants on multiple sexual partnerships among adolescent girls aged 15-19 years in Ghana.

Methods: Data for this study were obtained from the 2022 Ghana Demographic and Health Survey (GDHS) conducted between October 17, 2022 and January 14, 2023. A total weighted sample of 719 sexually active adolescent girls who reported having sexual partners was extracted from the women's data file. Data were analyzed with SPSS version 27, employing multilevel logistics regression modelling. Statistical significance was set at p < 0.05.

Results: The average age at sexual debut for adolescent girls aged 15-19 years in Ghana is 15.5 years. A little over half (51.6%) of adolescent girls reported having two or more lifetime sexual partners. Adolescent girls who initiated sex before reaching age 15 were more likely (aOR = 2.00; C.I 1.39-2.87) to have multiple partners compared to those who had their first sex before attaining age 20. After controlling for other factors, girls who had their sexual debut before age 15 had higher odds (aOR = 1.85; C.I:1.30-3.31) of engaging in multiple sexual partnerships. Girls living female headed households (aOR = 2.25; C.I:1.18-4.29] and consuming alcohol (aOR = 2.38; C.I 2.38-1.09-5.17) had higher odds of having multiple sexual partners.

Conclusion: The study findings show that early sexual debut, living in female headed household, and consuming alcohol are strong predictors of multiple sexual partnerships among adolescent girls in Ghana. It suggests the need for policies promoting delayed sexual debut and empowering adolescents to make informed decisions to improve sexual health outcomes.

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加纳性行为活跃少女的初次性行为年龄及其他多重性伴侣关系的决定因素:对 2022 年加纳人口与健康调查的回归分析。
背景:初次性行为过早是一个公认的公共卫生问题,因为它影响到终生多个性伴侣,可能导致少女怀孕、流产、艾滋病毒/艾滋病和其他性传播感染等并发症。然而,有关性行为(如初次性交年龄和加纳少女的性伴侣数量)的研究证据却很少。本研究旨在探讨初次性交年龄和其他决定因素对加纳 15-19 岁少女多重性伴侣关系的影响:本研究的数据来自 2022 年 10 月 17 日至 2023 年 1 月 14 日进行的 2022 年加纳人口与健康调查(GDHS)。从妇女数据文件中抽取了 719 名报告有性伴侣的性活跃少女作为加权样本。数据使用 SPSS 27 版进行分析,采用多层次物流回归模型。统计显著性以 p 为标准:加纳 15-19 岁少女初次性行为的平均年龄为 15.5 岁。略高于半数(51.6%)的少女表示一生中有过两个或两个以上的性伴侣。与那些在 20 岁之前发生首次性行为的少女相比,在 15 岁之前开始性行为的少女更有可能拥有多个性伴侣(aOR = 2.00;C.I 1.39-2.87)。在控制了其他因素后,15 岁前初次性行为的女孩有更高几率(aOR = 1.85;C.I:1.30-3.31)有多个性伴侣。生活在女户主家庭(aOR = 2.25;C.I:1.18-4.29)和饮酒(aOR = 2.38;C.I 2.38-1.09-5.17)的女孩有多个性伴侣的几率更高:研究结果表明,初次性行为过早、生活在女户主家庭和饮酒是预测加纳少女有多个性伴侣的重要因素。这表明有必要制定政策,促进推迟初次性行为,并增强青少年做出知情决定的能力,以改善性健康成果。
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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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