Factors associated with early sexual initiation and unsafe sex in adolescents: Substance use and parenting style

Abstract Background Early sexual initiation is associated with higher risk for sexually transmitted infection, teen pregnancy, domestic violence and substance use in later adolescence and early adulthood. Native American adolescents are more likely to have early sexual initiation compared to other racial/ethnic groups. Few programs designed with and for Native adolescents to delay sexual initiation and substance use have been tested through rigorous evaluations. This is the protocol for the randomized controlled trial of the Asdzáán Be’eena’ program, a teen pregnancy and substance use prevention program for young Native girls and their female caregivers. Methods N = 410 female adolescents ages 10–14 and their female caregivers will be enrolled in the study and randomized to the intervention or control arm. The intervention consists of the 11-session Asdzáán Be’eena’ program. The control arm consists of mailed non-monetary incentives. All participants will complete evaluations at baseline and 3 follow-up timepoints (immediate, 6 and 12 months post intervention). Evaluations include measures to assess protective factors associated with delayed sexual initiation and substance use. Discussion This is one of the first rigorous evaluations of a gender-specific, culturally tailored teen pregnancy and substance use primary prevention program for Native girls and their female caregivers. If proven efficacious, Native communities will have a culturally appropriate program for promoting protective factors associated with delayed substance use and sexual risk taking. Trial registration NCT04863729; April 27, 2021.

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Prevalence and correlates of early sexual initiation among Brazilian adolescents

PLoS ONE ◽

10.1371/journal.pone.0260815 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260815

Author(s):

Alejandra Andrea Roman Lay ◽

Elizabeth Fujimori ◽

Luciane Simões Duarte ◽

Ana Luiza Vilela Borges

Keyword(s):

Sex Education ◽

Early Adolescence ◽

Common Mental Disorders ◽

Cross Sectional Study ◽

Sexual Initiation ◽

Sexual Life ◽

Age At Menarche ◽

Cross Sectional ◽

Factors Associated ◽

Early Sexual Initiation

Background Early adolescence is a critical stage in adolescents. This is the phase at which many young people start their sexual life early, increasing the risk of sexually transmitted infections and unintended pregnancy. Few studies have analyzed the factors associated with early sexual initiation in very young adolescents in low- and middle-income countries. Therefore, this study assessed the early sexual initiation stratified by sex and its correlates in a sample of Brazilian adolescents. Methods The study sample included Brazilian adolescents aged 12–14 who participated in The Study of Cardiovascular Risk in Adolescents (ERICA), a multicenter, school-based, country-wide, cross-sectional study. Early sexual initiation was defined as the first sexual intercourse at or before 14 years old. Multivariate logistic regression was used to identify independent factors associated with early sexual initiation. Results The prevalence of early sexual initiation was 7% among girls and 18% in boys. In a multivariate analysis, the adolescent’s age, mother’s schooling, smoking, alcohol consumption, and Tanner Stages were associated with early sexual initiation for both boys and girls. For girls, living with both parents, common mental disorders, and age at menarche were predictors of early sexual initiation, while race and type of school were correlated to early sexual initiation only for boys. Conclusions The early sexual initiation was associated with sociodemographic, lifestyle risk factors and secondary sexual characteristics in both sexes, while there were differences between the predictors of early sexual initiation among girls and boys. It emphasizes the importance of sex education and promotes healthy lifestyles in environments through families and schools in early adolescence.

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Age of sexual initiation and HIV-related behaviours: application of survival analysis

Sexual Health ◽

10.1071/sh05049 ◽

2006 ◽

Vol 3 (1) ◽

pp. 57 ◽

Cited By ~ 2

Author(s):

Hongmei Yang ◽

Xiaoming Li ◽

Daniel C. Barth-Jones

Keyword(s):

Substance Use ◽

Survival Analysis ◽

Adolescent Pregnancy ◽

Sexual Initiation ◽

Survival Curves ◽

Sexual Behaviours ◽

Urban Migrants ◽

Early Sexual Initiation ◽

Risky Sexual Behaviours

Previous studies have consistently suggested positive associations between early sexual initiation and subsequent risky sexual behaviours, HIV/STD infection, adolescent pregnancy and substance use. In the present study, survival curves for rural-to-urban migrants in China with and without HIV-related behaviours were analysed to determine (1) the risk of initiating sex at each age and (2) the association between sexual initiation and HIV-related behaviours.

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Prevalence and Factors Associated with Early Sexual Initiation among College Students in Southwest Ethiopia

BioMed Research International ◽

10.1155/2020/8855276 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Tewodros Yosef ◽

Tadesse Nigussie ◽

Dawit Getachew ◽

Melkamsew Tesfaye

Keyword(s):

College Students ◽

Logistic Regression ◽

Reproductive Health ◽

Sexual Intercourse ◽

Sexual And Reproductive Health ◽

Sexual Initiation ◽

Outcome Variable ◽

Southwest Ethiopia ◽

Factors Associated ◽

Early Sexual Initiation

Background. Early age at first sexual practice is a public health issue and now common around the world especially in the developing countries. The development of effective strategies to reduce the adverse consequences of early sexual initiation becomes real when sufficient data is available. Therefore, this study is aimed at assessing the prevalence and factors associated to early sexual initiation among college students in southwest Ethiopia. Methods. A cross-sectional study was conducted among 453 college students in southwest Ethiopia from April to May 2018. A two-stage stratified sampling technique was used to select the study participants. The data were collected using structured pretested self-administered questionnaire. The collected data were entered using Epi-Data version 4.2.0.0 and analyzed using SPSS version 20. Logistic regression models were fitted to assess the effect of independent variables on the outcome variable. Significance was declared at p < 0.05 in the multivariable logistic regression analysis. Results. The proportion of early sexual initiation among college students was 17.9%, 95% CI (14.4%-24.4%). The mean age of sexual intercourse was 17.6 (±2 SD) years. Nearly three-fourths (73.4%) of the respondent’s reason for early sexual intercourse was falling in love. More than half (62.2%) of the respondents used a condom for their first sexual intercourse. The factors associated with early sexual initiation were being female ( AOR = 2.09 and 95% CI [1.17-2.35]), chewing khat ( AOR = 7.05 and 95% CI [3.81-13.1]), exposed to pornographic materials at age < 18 years ( AOR = 3.57 and 95% CI [1.94-6.89]), and poor knowledge of sexually transmitted diseases ( AOR = 8.69 and 95% CI [3.52-21.5]). Conclusion. The prevalence of early sexual initiation among college students was alarmingly high. This may be associated with a huge burden of poor sexual and reproductive health. Therefore, creating awareness of the factors and related negative sexual and reproductive health effect of early sexual initiation for young peoples through the use of mass media (television and radio), school teachers, and parents plays a paramount importance.

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Individual and Community Level Factors Associated with Early Sexual Initiation Among Female Youth in Ethiopia: A Multilevel Analysis of 2016 Ethiopian Demographic and Health Survey.

10.21203/rs.3.rs-36210/v1 ◽

2020 ◽

Author(s):

Mastewal Arefaynie ◽

Melaku Yalew ◽

Yitayish Damtie ◽

Bereket Kefale

Keyword(s):

Health Survey ◽

Addis Ababa ◽

Statistical Significance ◽

Sexual Initiation ◽

Demographic And Health Survey ◽

Community Level ◽

Mixed Effect ◽

Female Youth ◽

Factors Associated ◽

Early Sexual Initiation

Abstract Background: There is limited national representative evidence on determinants of early sexual act among youth (female) especially community level factors are not investigated in Ethiopia. Thus, this study aimed to assess individual and community level factors associated with early sexual initiation among female youth in Ethiopia.Method: A secondary data analysis was done on the 2016 Ethiopian Demographic and Health Survey (EDHS) dataset was collected cross-sectional. A total of 6143 15-24 years’ old females irrespective of their sexual activity were included in the analysis. Multi-level mixed-effect logistic regression analysis was done by STATA version 14.0 to identify individual and community-level factors. Adjusted odds ratio with 95% confidence interval was used to show the strength and direction of association and statistical significance was declared at P value less than 0.05.Result: individual level factors significantly associated with early sexual initiation among female youth were; age group from 19-24 years [AOR=5.77, 95% CI= (4.58, 7.27)], not attend school [AOR=14.1, 95% CI= (8.06, 24.66)], ever chew Chat [AOR= 1.98, 95%CI= (1.32, 2.97)]. From community label variables living in Addis Ababa [AOR= 0.28, 95%CI= (0.17, 0.45)], living in Gambella [AOR=2.7, 95%CI= (1.7, 4.29)] and live in low proportion of poor communities [AOR= 0.66, 95% CI= (0.49, 0.9)] were significantly associated with early initiation of sexual intercourse of female youth. Conclusion: increased age, low educational status, ever chewing Chat, region and live in high proportion of poor community had statistical association with early sexual initiation among female youth. Improving educational coverage, improving community level wealth status are important interventions to delay the age of first sexual act among female youth.

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Factors associated with early sexual initiation among preparatory and high school youths in Woldia town, northeast Ethiopia: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-019-6682-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 5

Author(s):

Eskeziaw Abebe Kassahun ◽

Abebaw Addis Gelagay ◽

Achenef Asmamaw Muche ◽

Amanuel Addisu Dessie ◽

Belayneh Ayanaw Kassie

Keyword(s):

High School ◽

Cross Sectional Study ◽

Sexual Initiation ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Northeast Ethiopia ◽

Early Sexual Initiation

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Risk factors associated with substance use

PsycEXTRA Dataset ◽

10.1037/e553882014-001 ◽

2014 ◽

Author(s):

Ariel M. Barber ◽

Alexandra Crouch ◽

Stephen Campbell

Keyword(s):

Risk Factors ◽

Substance Use ◽

Factors Associated

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Factors Associated with Substance Use Disorder Treatment Completion, Rhode Island, USA, 2018

Substance Use & Misuse ◽

10.1080/10826084.2021.1899222 ◽

2021 ◽

pp. 1-8

Author(s):

Mackenzie Daly ◽

Lisa M. Gargano

Keyword(s):

Substance Use ◽

Rhode Island ◽

Substance Use Disorder ◽

Treatment Completion ◽

Substance Use Disorder Treatment ◽

Factors Associated ◽

Disorder Treatment

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Factors Associated With Cannabis Use During the Reproductive Cycle: A Retrospective Cross-Sectional Study of Women in States With Recreational and Medical Cannabis Legalization

Maternal and Child Health Journal ◽

10.1007/s10995-021-03197-1 ◽

2021 ◽

Author(s):

Danica Loralyn Taylor ◽

Janice F. Bell ◽

Susan L. Adams ◽

Christiana Drake

Keyword(s):

Substance Use ◽

Prenatal Care ◽

Post Partum ◽

Cannabis Use ◽

Provider Education ◽

Substance Use Prevention ◽

Cross Sectional ◽

Factors Associated ◽

Adequacy Of Prenatal Care ◽

The Impact

Abstract Introduction Passage of cannabis laws may impact cannabis use and the use of other substances. The suggested association is of particular concern in pregnant women where exposure to substances can cause harm to both the pregnant woman and fetus. The present study contributes to the minimal literature on factors associated with cannabis use during the preconception, prenatal, and postpartum periods including state legalization status, concurrent use of tobacco and e-cigarettes and adequacy of prenatal care. Methods We conducted a cross-sectional analysis using combined survey data from the 2016–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) collected from 36,391 women. Logistic regression was used to estimate the impact of state-legalization, adequacy of prenatal care, and other substance use on cannabis use during the preconception, prenatal, and post-partum periods. Results In the preconception model, residence in a recreationally legal state (OR: 2.37; 95% CI, 2.04–2.75) or medically legal state (OR:3.32; 95% CI, 2.90–3.80) compared to a non-legal state was associated with higher odds of cannabis use. In the prenatal model, residence in a recreationally legal state was associated with higher odds of cannabis use (OR: 1.51; 95% CI, 1.29–1.79) whereas there was no association with residence in a medically legal state. Tobacco use including e-cigarettes and moderate prenatal alcohol use were also significantly associated with cannabis use. Conclusion Recreational cannabis legalization is associated with the use of cannabis prior to, during, and after pregnancy. Renewed clinical and policy efforts may be warranted to update prenatal substance use prevention programs, educational campaigns, and provider education as cannabis legalization evolves.

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