Risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities

The objective of this study was to determine the temporal trends and factors associated with HIV and syphilis infection among men who have sex with men (MSM) in southern Vietnam. Data from the 2014–2018 national HIV sentinel surveillance of MSM aged 16 years or older were collected from three provinces, including An Giang ( N = 761), Can Tho ( N = 900), and Ho Chi Minh City ( N = 1426), and examined for changes in prevalence rates of HIV and syphilis and risk behaviors over time. Multivariate logistic regression was performed to assess the trends and correlates of HIV and syphilis infections among MSM. There were upward trends for HIV (9.5% in 2014 to 14.2% in 2018, p-trend<0.01), syphilis (4.9% in 2014 to 8.0% 2018, p-trend<0.01), and HIV/syphilis co-infection (1.9% in 2014 to 3.1% in 2018, p-trend=0.01). Factors associated with HIV infection included place of residence, early sexual debut, consistent condom use and not engaging in anal sex during the past month, not knowing one’s HIV test results, having ever injected drugs, and having active syphilis. Additionally, early sexual debut and being HIV positive were associated with syphilis infection. Rising prevalences of these infections among MSM suggests an urgent need for comprehensive intervention packages for HIV/STI prevention.

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Early and non-consensual sexual debut among Chinese men who have sex with men: a cross-sectional study

10.21203/rs.3.rs-25389/v1 ◽

2020 ◽

Author(s):

Weiming Tang ◽

Yehua Wang ◽

Wenting Huang ◽

Dan Wu ◽

Fan Yang ◽

...

Keyword(s):

Sexual Debut ◽

Cross Sectional Study ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Early Sexual Debut ◽

Chinese Men ◽

Factors Associated ◽

Consensual Sex ◽

Sex With Men

Abstract Background Early sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection among men who have sex with men (MSM) in high-income countries. This study aimed to examine early and non-consensual sexual debut among Chinese MSM and to evaluate factors associated with early sexual debut and non-consensual sex. Methods A cross-sectional study was conducted in 2016 among Chinese men born biologically male, ≥ 18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual sex. Factors associated with an early sexual debut (< 18 years old) and non-consensual sex at sexual debut were evaluated. Results Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported early sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. Early sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in last three months (AOR = 1.71, 95% CI 1.34–2.18) in last three months. MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17–2.66), and to have reported an early sexual debut (AOR = 2.72, 95% CI 1.75–4.21). Conclusions Many Chinese MSM reported early sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for improving sexual health education among young people.

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Risk factors of early sexual debut among men and women - a strong predictor of HIV and sexual risk in Malawi

Research ◽

10.13070/rs.en.1.625 ◽

2014 ◽

Vol 1 ◽

Author(s):

Humphrey Misiri

Keyword(s):

Risk Factors ◽

Sexual Risk ◽

Sexual Debut ◽

Strong Predictor ◽

Early Sexual Debut ◽

Men And Women

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Quadrivalent human papillomavirus vaccination successfully reduces the prevalence of vaccine-targeted genotypes in a young, vaccine-eligible-age sample of Australian females

Sexual Health ◽

10.1071/sh20033 ◽

2020 ◽

Vol 17 (6) ◽

pp. 510

Author(s):

Asvini K. Subasinghe ◽

John D. Wark ◽

Samuel Phillips ◽

Alyssa Cornall ◽

Julia M. L. Brotherton ◽

...

Keyword(s):

Human Papillomavirus ◽

Sexual Debut ◽

Hpv Vaccination ◽

Sexual Partners ◽

Vaccination Status ◽

Vaccine Uptake ◽

Early Sexual Debut ◽

Multiple Sexual Partners ◽

Hpv Dna ◽

Factors Associated

Background The prevalence of genital tract vaccine-type human papillomavirus (HPV) is on the decline due to high vaccine uptake through the national HPV immunisation program in Australia. The aim of this study was to investigate HPV vaccine coverage and factors associated with HPV in a vaccine-eligible sample of young Australian females. Methods: Females aged 16–25 years were recruited into the Young Female Health Initiative study, a young women’s health study, via Facebook advertising from 2012 to 2017. Sexually active participants were asked to provide a self-collected vaginal swab for the detection of HPV DNA; positive samples were genotyped. Self-reported HPV vaccination status was confirmed by the National HPV Vaccination Program Register. Outcomes of the study were HPV acquisition and genotype, HPV vaccination status and factors associated with HPV. Results: Overall, 22.8% of samples (95% confidence interval (CI) 17.8–27.8%; n = 62/272) were positive for any HPV DNA, of which 19.1% (95% CI 14.4–23.8%; n = 52/272) were oncogenic types. HPV 16 was detected in three samples (1.1%; 95% CI –0.1%, 2.3%; two not HPV vaccinated and one vaccinated after sexual debut). Early sexual debut (<16 years) and multiple sexual partners were independently associated with an increased risk of any HPV. Conclusions: In a community sample of vaccine-eligible-age females with a high vaccine uptake, the prevalence of vaccine-related HPV genotypes is extremely low. Early sexual debut and multiple sexual partners are positively associated with HPV, underscoring the importance of vaccination at the routinely recommended age of 12–13 years for best vaccine impact.

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Risk factors associated with knife-crime in United Kingdom among young people aged 10–24 years: a systematic review

BMC Public Health ◽

10.1186/s12889-020-09498-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Sara Haylock ◽

Talia Boshari ◽

Emma C. Alexander ◽

Ameeta Kumar ◽

Logan Manikam ◽

...

Keyword(s):

Mental Health ◽

Risk Factors ◽

Systematic Review ◽

Young People ◽

Youth Violence ◽

Grey Literature ◽

Poor Mental Health ◽

Mitigation Strategies ◽

Weight Of Evidence ◽

Factors Associated

Abstract Background Since 2013, the number of violent crimes and offences by sharp instruments have increased continually, following a previous decrease, with majority of cases occurring among young people and in London. There is limited understanding surrounding the drivers influencing this change in trends, with mostly American-based research identifying risk factors. Methods The aim of this review is to identify and synthesise evidence from a range of literature to identify risk factors associated with weapon-related crime, for young people (aged 10–24 years) within the UK. A search strategy was generated to conduct a systematic search of published and grey literature within four databases (EMBASE, Medline, PsycINFO, and OpenGrey), identifying papers within a UK-context. Abstracts and full texts were screened by two independent reviewers to assess eligibility for inclusion, namely study focus in line with the objectives of the review. Weight of Evidence approach was utilised to assess paper quality, resulting in inclusion of 16 papers. Thematic analysis was conducted for studies to identity and categorise risk factors according to the WHO ecological model. Results No association was found between gender or ethnicity and youth violence, contrasting current understanding shown within media. Multiple research papers identified adverse childhood experiences and poor mental health as positively associated with youth and gang violence. It was suggested that community and societal risk factors, such as discrimination and economic inequality, were frequently linked to youth violence. A small number of studies were included within the review as this is a growing field of research, which may have led to a constrained number of risk factors identified. Due to heterogeneity of studies, a meta-analysis could not be conducted. As many studies displayed positive results, publication bias may be present. Conclusions Several risk factors were identified, with evidence currently heterogeneous with minimal high-quality studies. However, findings highlight key areas for future research, including the link between poor mental health and knife-crime, and the trajectory into gangs. Risk factors should help identify high-risk individuals, targeting them within mitigation strategies to prevent involvement within crime. This should contribute to efforts aimed at reducing the rising crime rates within UK. Systematic review registration number CRD42019138545. Registered at PROSPSERO: 16/08/2019.

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SEROPREVALENCE AND RISK FACTORS ASSOCIATED WITH HPV INFECTIONS AMONG PATIENTS IN KOGI EAST SENATORIAL ZONE

FUDMA Journal of Sciences ◽

10.33003/fjs-2020-0403-319 ◽

2020 ◽

Vol 4 (3) ◽

pp. 645-655

Author(s):

OLOBO F. AWULU ◽

Mariam Aminu ◽

A. B. SULEIMAN ◽

DANIEL MAKOLO

Keyword(s):

Risk Factors ◽

Sexual Debut ◽

Transmitted Disease ◽

Sampling Technique ◽

Simple Random Sampling ◽

Hpv Infection ◽

Sexual Partners ◽

Multiple Sexual Partners ◽

Sexually Transmitted ◽

Factors Associated

Analysis of prevalence and risk factors for Human Papilloma Virus (HPV) is the basis for prophylactic strategies against HPV infections. This study was to determine the seroprevalence of human papillomavirus, sociodemographic and risk factors associated with acquiring the virus among the study population. A total of 195 samples were collected by simple random sampling technique from three major hospitals in the zone. Serum from blood samples was used for ELISA and analyzed for IgM. Overall prevalence of 3.08% (6/195) was established for HPV infection. Patients with early sexual activity and those with multiple sexual partners were likely to be infected than their counterparts with 15.8%: 3/19 (χ 2 =16.4, df=3, p=0.001) and 50%: 2/4 (χ 2 =30.2, df=1, p=0.005) respectively. The infection was more among those who got married at age range of 26-30 years with prevalence of 5.4%: 2/37 (χ 2 =1.30, df = 5, p=0.82). On the basis of sex, female were found to have higher prevalence of 3.6%: 6/167(χ 2 =1.04, df = 1, p=0.6). Subjects with sexually transmitted disease (STD) had a higher prevalence of 8%: 2/25(χ 2 =2.45, df=2, p=0.32). The study shows that infection with HPV was strongly associated with age of sexual debut and number of sexual partners. It also reveals the occurrence of HPV infection in Kogi East, Nigeria. Hence, there is need for routine screening, public education and vaccination to prevent the spread of the virus which is a threat to public health.

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Neighbourhood Determinants of Early Sexual Debut and Multiple Sexual Partnerships: A cross-sectional Analysis of Adolescents in Rwanda, Ghana and South Africa.

10.21203/rs.3.rs-952816/v1 ◽

2021 ◽

Author(s):

Nebechukwu Henry Ugwu ◽

Clifford Obby Odimegwu

Keyword(s):

South Africa ◽

Young People ◽

Sexual Behaviour ◽

Sexual Debut ◽

Risky Sexual Behaviour ◽

Early Sexual Debut ◽

Sexual Partnerships ◽

Neighbourhood Characteristics ◽

Multiple Sexual Partnerships ◽

The Relationship

Abstract Background: The relationship between neighbourhood characteristics and youth involvement in risky sexual behaviour such as early sexual debut and multiple sexual partnerships is well established in the literature. However, there are very few empirical studies using Demographic and Health Surveys to unpack the nature of this relationship in Africa. This study aims to identify the neighbourhood characteristics influencing young people's engagement in risky sexual behaviour in sub-Saharan Africa. Methods: Univariate, bivariate, and multivariate analyses on young people aged 15 to 24 years were conducted using the most recent Demographic and Health Survey Data (DHS 2014-2016) from Ghana, Rwanda, and South Africa to investigate the relationship between neighbourhood characteristics and youth risky sexual behaviour. Results: Individual and, in particular, neighbourhood characteristics (community poverty, community occupation, community media access, and community education) were found to be substantially linked with youth risky sexual behaviour. Conclusion: To lower the incidence of risky sexual behaviour in the community, programs aimed at appropriate policy options must be intensified. Adopting the implications of these findings is critical for a developmental approach aimed at reaching Africa’s long-term development goal of eliminating STIs among young people.

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Early and non-consensual sexual debut among Chinese men who have sex with men: a cross-sectional study

10.21203/rs.3.rs-25389/v2 ◽

2020 ◽

Author(s):

Weiming Tang ◽

Yehua Wang ◽

Wenting Huang ◽

Dan Wu ◽

Fan Yang ◽

...

Keyword(s):

Sexual Debut ◽

Cross Sectional Study ◽

Sectional Study ◽

Anal Sex ◽

Cross Sectional ◽

Early Sexual Debut ◽

Chinese Men ◽

Factors Associated ◽

Consensual Sex ◽

Sex With Men

Abstract Background: Early sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine early and non-consensual sexual debut among Chinese MSM and to evaluate factors associated with early sexual debut and non-consensual sex. Methods: A cross-sectional study was conducted in 2016 among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an early sexual debut (<18 years old) and non-consensual sex at sexual debut were evaluated. We defined early sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual. Results: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD=4.3) years old. 17.6% (358/2031) of men reported early sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The early sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06–1.15) and condomless anal sex in the last three months (AOR=1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR=1.76, 95% CI 1.17-2.66), and to have reported an early sexual debut (AOR=2.72, 95% CI 1.75-4.21). Conclusions: Many Chinese MSM reported early sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced early sexual debut and non-consensual sex at debut.

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