Amo-Adjei Joshua
Department of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Ghana.
Afr J Reprod Health. 2012 Dec;16(4):58-67.
Age differences between partners, where females are relatively younger than their male partners, can negatively affect power dynamics and subsequent negotiations for safe sex practices with implications on unplanned pregnancies and STIs transmission. This paper examines the effects of age differentials on condom use at first sex. Using a weighted sample of 925 women drawn from the fifth round of Ghana Demographic and Health Survey and applying complementary log-log model, the probability of first sex being protected vis-a-vis partner age differences are estimated. The results suggest that females' being ten or more years younger than their male partners at first sex was a significant indicator of non-protection while at age intervals 1-4 and 5-9 years, the probability of protected sex inflates significantly. The results demonstrate that large age disparities between partners pose a significant barrier to protection during first sex and strategies have to be developed to altering wrong perceptions associated with intergenerational sex, particularly, in settings such as Africa where gerontocratic tendencies pervade not only social relationships but sexual as well.
伴侣之间的年龄差异,即女性相对比其男性伴侣年轻,可能会对权力动态以及随后关于安全性行为的协商产生负面影响,进而影响意外怀孕和性传播感染的传播。本文研究了年龄差异对首次性行为时使用避孕套的影响。利用从加纳人口与健康调查第五轮中抽取的925名女性的加权样本,并应用互补对数-对数模型,估计了首次性行为受到保护相对于伴侣年龄差异的概率。结果表明,女性在首次性行为时比男性伴侣小十岁或更多岁是未采取保护措施的一个重要指标,而在1至4岁和5至9岁的年龄间隔内,采取保护措施性行为的概率显著增加。结果表明,伴侣之间的巨大年龄差距对首次性行为时的保护构成了重大障碍,必须制定策略来改变与代际性行为相关的错误观念,特别是在非洲这样不仅社会关系而且性行为中都存在老年统治倾向的环境中。