在坦桑尼亚开展艾滋病毒干预措施三十年后，青少年早期性初体验的发生率和预测因素：初体验时间分析。
Incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis.
机构信息
Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
出版信息
PLoS One. 2012;7(7):e41700. doi: 10.1371/journal.pone.0041700. Epub 2012 Jul 27.
Abstract
PURPOSE
To determine the incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania.
METHODS
In a cross-section study of adolescents aged 16-19 residing in Morogoro Municipality, information on socio-demographic, parental-and-peer communication, and sexual behaviors were collected. Cox-regression analysis was used to examine predictors of time to sexual debut.
RESULTS
A total of 316 adolescents with mean age of 17.5±0.9 were recruited. Half (48.7%) of adolescent were sexually active with mean age at sexual debut of 14.6±2.3. Of these, 57.8% had sex before their 15(th) birthday with incidence of early sexual debut of 17.4/1000 person-years at risk. Adolescent family characteristics, peer pressure, alcohol use, parental and peer communication were key predictors of early sexual debut.
CONCLUSION
Parental and peer communication strategies works calling for efforts to increase its scope to reach all adolescents alongside promoting family stability and reducing adolescent alcohol consumption.
摘要
目的
在坦桑尼亚开展 HIV 干预措施三十年后，确定青少年早期性初体验的发生率及其预测因素。
方法
在对莫罗戈罗市 16-19 岁青少年进行的横断面研究中，收集了社会人口统计学、父母和同伴沟通以及性行为方面的信息。使用 Cox 回归分析来检验性初体验时间的预测因素。
结果
共招募了 316 名平均年龄为 17.5±0.9 的青少年。一半（48.7%）的青少年有过性行为，性初体验的平均年龄为 14.6±2.3。其中，57.8%的人在 15 岁生日前发生过性行为，性初体验的发生率为 17.4/1000 人年。青少年的家庭特征、同伴压力、饮酒、父母和同伴沟通是性初体验的主要预测因素。
结论
父母和同伴沟通策略有效，需要努力扩大其范围，覆盖所有青少年，同时促进家庭稳定和减少青少年饮酒。
相似文献
1
Incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis.
PLoS One. 2012;7(7):e41700. doi: 10.1371/journal.pone.0041700. Epub 2012 Jul 27.
2
Sexual debut and predictors of condom use among secondary school students in Arusha, Tanzania.
AIDS Care. 1996 Aug;8(4):443-52. doi: 10.1080/09540129650125632.
3
Attitude and prevalence of early sexual debut and associated risk sexual behavior among adolescents in Tanzania; Evidence from baseline data in a Randomized Controlled Trial.
BMC Public Health. 2023 Sep 9;23(1):1758. doi: 10.1186/s12889-023-16623-6.
4
Parents' and teachers' communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania.
Scand J Public Health. 2008 Nov;36(8):879-88. doi: 10.1177/1403494808094243.
5
Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania.
Int J STD AIDS. 1997 Mar;8(3):176-83. doi: 10.1258/0956462971919840.
6
An update on knowledge and sexual behaviour among students in Greenland. Monitoring of the stop-AIDS campaign.
Scand J Soc Med. 1992 Sep;20(3):158-64. doi: 10.1177/140349489202000305.
7
Association Between Early Sexual Debut and New HIV Infections Among Adolescents and Young Adults in 11 African Countries.
AIDS Behav. 2024 Jul;28(7):2444-2453. doi: 10.1007/s10461-024-04343-w. Epub 2024 Jun 15.
8
Brief Report: Sexual Debut Among 14- to 17-year-old Sexual Minority Males: A Preliminary Investigation of Early HIV Risk and Sexual Health Needs.
J Acquir Immune Defic Syndr. 2020 Jul 1;84(3):280-284. doi: 10.1097/QAI.0000000000002342.
9
What predicts the early sexual debut among unmarried adolescents (10-19 years)? Evidence from UDAYA survey, 2015-16.
PLoS One. 2021 Jun 10;16(6):e0252940. doi: 10.1371/journal.pone.0252940. eCollection 2021.
10
Early coital debut and associated HIV risk factors among young women and men in South Africa.
Int Perspect Sex Reprod Health. 2009 Jun;35(2):82-90. doi: 10.1363/ifpp.35.082.09.
引用本文的文献
1
Prevalence and associated factors of early sexual initiation among female youth in Tanzania: a nationwide survey.
BMC Public Health. 2025 Feb 28;25(1):812. doi: 10.1186/s12889-025-21533-w.
2
Time to First Sexual Experience and Its Determinants Among Female Youths: A Survival Analysis of Rwanda Demographic Health Survey (2019-2020).
Int J Womens Health. 2024 Nov 28;16:2011-2023. doi: 10.2147/IJWH.S482932. eCollection 2024.
3
Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data.
SAHARA J. 2024 Dec;21(1):2320188. doi: 10.1080/17290376.2024.2320188. Epub 2024 Feb 22.
4
"If your mother does not teach you, the world will…": a qualitative study of parent-adolescent communication on sexual and reproductive health issues in Border districts of eastern Uganda.
BMC Public Health. 2023 Apr 11;23(1):678. doi: 10.1186/s12889-023-15562-6.
5
Associated factors for multidimensional attitudes and behaviors of reproductive health toward pregnancy among early and late adolescents in Tanzania: a cross-sectional study.
Reprod Health. 2023 Mar 14;20(1):44. doi: 10.1186/s12978-023-01583-2.
6
"Our parents kiss in front of us": Reasons for early sexual debut among in-school youth in the Manzini Region in Eswatini.
PLoS One. 2023 Mar 10;18(3):e0282828. doi: 10.1371/journal.pone.0282828. eCollection 2023.
7
Community structure and timing of sexual activity among adolescent girls in Nigeria.
PLoS One. 2022 Jul 27;17(7):e0269168. doi: 10.1371/journal.pone.0269168. eCollection 2022.
8
Factors Affecting Condom-Use Behaviors Among Female Emerging Adults in South Korea.
Psychol Res Behav Manag. 2022 Jul 14;15:1771-1781. doi: 10.2147/PRBM.S374392. eCollection 2022.
9
"I prefer to take pills when I plan to have sex": Perceptions of on-demand versus daily oral pre-exposure prophylaxis among adolescents in Kampala, Uganda.
Afr J AIDS Res. 2022 Mar;21(1):8-14. doi: 10.2989/16085906.2022.2039727.
10
An integrative review of studies of condom use among Korean college students.
Child Health Nurs Res. 2021 Jan;27(1):43-55. doi: 10.4094/chnr.2021.27.1.43. Epub 2021 Jan 31.
本文引用的文献
1
Effects of the SATZ teacher-led school HIV prevention programmes on adolescent sexual behaviour: cluster randomised controlled trials in three sub-Saharan African sites.
Int Health. 2012 Jun;4(2):111-22. doi: 10.1016/j.inhe.2012.02.001.
2
Family support as a mediator of change in sexual risk-taking attitudes among orphaned adolescents in rural Uganda.
J Adolesc Health. 2012 Mar;50(3):228-35. doi: 10.1016/j.jadohealth.2011.06.008. Epub 2011 Aug 27.
3
HIV prevention in young people in sub-Saharan Africa: a systematic review.
J Adolesc Health. 2011 Dec;49(6):568-86. doi: 10.1016/j.jadohealth.2011.02.007. Epub 2011 Jun 12.
4
Sexual behavior and condom use in female students in Dar-es-Salaam, Tanzania: differences by steady and casual partners.
East Afr J Public Health. 2011 Jun;8(2):69-76.
5
A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa.
Reprod Health. 2011 Sep 24;8:25. doi: 10.1186/1742-4755-8-25.
6
The long-term impact of the MEMA kwa Vijana adolescent sexual and reproductive health intervention: effect of dose and time since intervention exposure.
PLoS One. 2011;6(9):e24866. doi: 10.1371/journal.pone.0024866. Epub 2011 Sep 13.
7
Scaling up a school-based sexual and reproductive health intervention in rural Tanzania: a process evaluation describing the implementation realities for the teachers.
Health Educ Res. 2010 Dec;25(6):903-16. doi: 10.1093/her/cyq041. Epub 2010 Jul 29.
8
Early sexual debut and associated factors among in-school adolescents in eight African countries.
Acta Paediatr. 2010 Aug;99(8):1242-7. doi: 10.1111/j.1651-2227.2010.01874.x. Epub 2010 May 19.
9
Early coital debut and associated HIV risk factors among young women and men in South Africa.
Int Perspect Sex Reprod Health. 2009 Jun;35(2):82-90. doi: 10.1363/ifpp.35.082.09.
10
Alcohol as a correlate of unprotected sexual behavior among people living with HIV/AIDS: review and meta-analysis.
AIDS Behav. 2009 Dec;13(6):1021-36. doi: 10.1007/s10461-009-9589-z. Epub 2009 Jul 18.
Zotero 插件