Transitions in Adolescent Boys and Young Men’s High-Risk Sexual Behaviour in India

Abstract Background: The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men’s high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods: A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used. Results: Overall, high-risk sexual behaviour has increased among adolescent boys (64% to 70%) and young men (18% to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6% to 6.0%) as well as in urban areas (3.1% to 10.9%) over the last ten years. Adolescent boys having 10th and above years of schooling (AOR=1.98; p<0.01), residing in urban areas (AOR=2.23; p<0.01), and belonging to the affluent class of households (AOR=1.41; p<0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR= 1.82; p<0.01) and young men (AOR=2.38; p<0.01) in 2015-16.Conclusions: The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which put them at higher-risky sexual behaviour as compared to young men. Adolescent’ sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.

Transitions in Adolescent Boys and Young Men’s High-Risk Sexual Behaviour in India

10.21203/rs.3.rs-15663/v3 ◽

2020 ◽

Author(s):

Santosh Kumar Sharma ◽

Deepanjali Vishwakarma

Keyword(s):

High Risk ◽

Sexual Activity ◽

Sexual Behaviour ◽

Urban Areas ◽

Sexual Debut ◽

Sexual Experience ◽

Young Men ◽

Adolescent Boys ◽

Abstract Background: The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men’s high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods: A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used. Results: Overall, high-risk sexual behaviour has increased among adolescent boys (64% to 70%) and young men (18% to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6% to 6.0%) as well as in urban areas (3.1% to 10.9%) over the last ten years. Adolescent boys having 10 th and above years of schooling (AOR=1.98; p<0.01), residing in urban areas (AOR=2.23; p<0.01), and belonging to the affluent class of households (AOR=1.41; p<0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR= 1.82; p<0.01) and young men (AOR=2.38; p<0.01) in 2015-16. Conclusions: The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which put them at higher-risky sexual behaviour as compared to young men. Adolescent’ sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.

Transitions in Adolescent Boys and Young Men’s High-Risk Sexual Behaviour in India

10.21203/rs.3.rs-15663/v1 ◽

2020 ◽

Author(s):

Santosh Kumar Sharma ◽

Deepanjali Vishwakarma

Keyword(s):

High Risk ◽

Sexual Behaviour ◽

Rural Areas ◽

Urban Areas ◽

Sexual Debut ◽

Age Groups ◽

Young Men ◽

Adolescent Boys ◽

Abstract Background: The study aims to understand the transitions in adolescent boys and young men’s high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods: A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used.Results: A significant decline was observed in the proportion of adolescent boys (from 11% to 8%) and young men (from 44% to 38%) among those who ever had sexual intercourse during the last decade. Adolescent boys and young men living in rural areas have also developed live-in-relationship as men belonging to urban areas over the last ten years. Adolescent boys having 10th and above years of education, residing in urban areas and belonging to the affluent class of households were more likely to engage in high-risk sexual activity than the young men in India. Conclusions: Findings conclude that early sexual debut and multi-partner sexual behaviour among adolescent boys put them at higher-risky sexual behaviour as compared to young men. Adolescent’s’ sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults.

Transitions in adolescent boys and young Men’s high-risk sexual behaviour in India

BMC Public Health ◽

10.1186/s12889-020-09191-6 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Santosh Kumar Sharma ◽

Deepanjali Vishwakarma

Keyword(s):

High Risk ◽

Sexual Behaviour ◽

Adolescent Boys ◽

Analysis of herpes simplex virus 1 and 2 infection in women with high risk sexual behaviour in Mexico

International Journal of Epidemiology ◽

10.1093/ije/28.3.571 ◽

1999 ◽

Vol 28 (3) ◽

pp. 571-576 ◽

Cited By ~ 21

Author(s):

C. J. Conde-Glez ◽

L. Juarez-Figueroa ◽

F. Uribe-Salas ◽

P. Hernandez-Nevarez ◽

D. S. Schmid ◽

...

Keyword(s):

Herpes Simplex Virus ◽

Herpes Simplex ◽

High Risk ◽

Sexual Behaviour ◽

Herpes Simplex Virus 1 ◽

Risk Sexual Behaviour ◽

Simplex Virus

Double trouble: modelling the impact of low risk perception and high-risk sexual behaviour on chlamydia transmission

Journal of The Royal Society Interface ◽

10.1098/rsif.2017.0847 ◽

2018 ◽

Vol 15 (141) ◽

pp. 20170847 ◽

Cited By ~ 5

Author(s):

Daphne A. van Wees ◽

Chantal den Daas ◽

Mirjam E. E. Kretzschmar ◽

Janneke C. M. Heijne

Keyword(s):

Risk Perception ◽

High Risk ◽

Mathematical Models ◽

Sexual Behaviour ◽

Sexually Transmitted ◽

Pair Model ◽

Testing Uptake ◽

Risk Sexual Behaviour ◽

The Impact

Risk perception plays an important role in testing behaviour for sexually transmitted infections, but is rarely included in mathematical models exploring the impact of testing. We explored the impact of incorporating sexual behaviour (SB), risk perception (RP) and differential testing uptake in SB–RP groups on prevalence, using chlamydia as an example. We developed a pair model with a susceptible–infected–susceptible structure representing heterosexuals aged 16–26 years. The effect of testing on chlamydia prevalence was compared between a model with only SB (SB model) and a model with SB and RP (SB–RP model). In the SB–RP model, a scenario without differential testing uptake in SB–RP groups was compared to scenarios with differential testing uptake in SB–RP groups. Introducing testing into the SB–RP model resulted in a slightly smaller reduction in chlamydia prevalence (−38.0%) as compared to the SB model (−40.4%). In the SB–RP model, the scenario without differential testing uptake in SB–RP groups overestimated the reduction in chlamydia prevalence (with 4.8%), especially in the group with high SB and low RP (19.8%). We conclude that mathematical models incorporating RP and differential testing uptake in SB–RP groups improve the impact assessment of testing and treatment on chlamydia prevalence.