Impact of digital exposure on premarital sex and contraception use among unmarried Indian youth.

IF 1.9 Q2 OBSTETRICS & GYNECOLOGY Contraception and reproductive medicine Pub Date : 2025-01-08 DOI:10.1186/s40834-024-00334-3
Pragati Dattatraya Ubale, Punit Mishra, Aditi, Rajib Acharya, T V Sekher
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Abstract

Background: Premarital sex in India is hugely stigmatized. With the widespread use of mobile phones and the internet, attitudes and behaviors towards premarital sexual activities are inevitably shifting. This study investigates the impact of digital exposure, specifically mobile phones and the internet on premarital sex and contraception use among unmarried Indian youths.

Methodology: Utilizing data from the 5th National Family Health Survey, the analysis includes 172,568 women and 33,397 men aged 15-29 years. The study applies univariate, bivariate, and multivariate statistical methods, such as Chi-square tests and Multiple Logistic Regression. Propensity Score matching addresses selection bias, estimating the impact of digital exposure on premarital sexual activities and condom use.

Results: The findings show that youth exposed to mobile phones and the internet are more likely to engage in premarital sex and use condoms during their first sexual encounter. Specifically, 13.46% of men and 2.83% of women reported premarital sex, with 60.84% of men using condoms at first sex. These behaviors are significantly associated with age, education, urban residence, and mass media exposure.

Conclusion: Digital exposure significantly influences premarital sexual behaviors and contraception use among unmarried Indian youth. Adoption of mobile devices and internet usage in India should be accompanied by the implementation of holistic and culturally appropriate technology-driven interventions to provide sex education in India.

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数字曝光对未婚印度青年婚前性行为和避孕措施使用的影响。
背景:婚前性行为在印度是非常可耻的。随着手机和互联网的广泛使用,人们对婚前性行为的态度和行为也不可避免地发生了变化。本研究调查了数字暴露,特别是手机和互联网对未婚印度青年婚前性行为和避孕措施使用的影响。方法:利用第五次全国家庭健康调查的数据,分析了年龄在15-29岁之间的172,568名妇女和33,397名男子。本研究采用单变量、双变量和多变量统计方法,如卡方检验和多元逻辑回归。倾向评分匹配解决了选择偏差,估计了数字暴露对婚前性活动和避孕套使用的影响。结果:研究结果表明,接触手机和互联网的青少年更有可能发生婚前性行为,并在第一次性接触时使用避孕套。具体而言,13.46%的男性和2.83%的女性报告有婚前性行为,其中60.84%的男性在第一次性行为中使用避孕套。这些行为与年龄、受教育程度、城市居住和大众媒体接触密切相关。结论:数字暴露显著影响印度未婚青年婚前性行为和避孕措施的使用。在印度采用移动设备和互联网的同时,应该实施全面的、文化上合适的技术驱动的干预措施,在印度提供性教育。
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