Shoko Mercy, Ibisomi Latifat, Levin Jonathan, Ginsburg Carren
*School of Public Health, Faculty of Health Sciences,University of the Witwatersrand,Johannesburg,South Africa.
‡Medical Research Council/Wits Rural Public Health and Health Transitions Research Unit (Agincourt),School of Public Health, Faculty of Health Sciences,University of the Witwatersrand,Johannesburg,South Africa.
J Biosoc Sci. 2018 May;50(3):380-396. doi: 10.1017/S0021932017000475. Epub 2017 Oct 11.
This study examined the relationship between orphanhood status, living arrangements and sexual debut. The study is important in the context of southern Africa, where a substantial number of children live apart from their parents because the parent is dead or living elsewhere, and where female adolescents face disproportionate sexual and reproductive health risks. Data for female adolescents were taken from Demographic and Health Surveys conducted in seven southern African countries. Unadjusted and adjusted hazard ratios of sexual debut were estimated using Cox Proportional Hazard models. The results from multivariate analyses showed that non-co-residence with biological parents was significantly associated with higher risk of sexual debut in five of the seven countries. Using pooled data, the results showed that father absence was associated with higher risk of sexual debut - whether the father was deceased or living elsewhere. Interventions to delay sexual debut among female adolescents should seek to promote father-adolescent co-residence and improve access to education.
本研究调查了孤儿身份、居住安排与首次性行为之间的关系。在南部非洲的背景下，这项研究具有重要意义，因为在该地区，相当数量的儿童因父母一方死亡或居住在其他地方而与父母分开生活，而且女性青少年面临着不成比例的性健康和生殖健康风险。女性青少年的数据取自南部非洲七个国家进行的人口与健康调查。使用Cox比例风险模型估计首次性行为的未调整和调整风险比。多变量分析结果表明，在七个国家中的五个国家，与亲生父母不住在一起与首次性行为的较高风险显著相关。使用汇总数据，结果表明，无论父亲是已故还是居住在其他地方，父亲不在身边都与首次性行为的较高风险相关。旨在推迟女性青少年首次性行为的干预措施应致力于促进父亲与青少年同住，并改善教育机会。
