Department of Surgery, Tamale Teaching Hospital, P.O. Box TL 16, Tamale, Ghana.
Department of Clinical Nutrition and Dietetics, School of Allied Health Sciences, University of Cape Coast, Ghana.
Biomed Res Int. 2021 Sep 14;2021:5838510. doi: 10.1155/2021/5838510. eCollection 2021.
Early sexual initiation is linked to an increased risk of HIV/AIDS and other STIs among teenagers, as well as having multiple partners, not using contraception, unintended pregnancy, and illegal abortions. . To identify the correlates and psychological effects of early sexual debut among not-in-union women in Ghana. A descriptive cross-sectional survey was used for this study using data from Ghana Multiple Indicator Cluster Survey (MICS) for the year 2017/2018. SPSS software was used for data analysis, bivariate analysis for association was done using chi-square, and the prediction was done using a binary logistic regression model. The national prevalence of nonmarital early sexual initiation this current study recorded was 56.9%. Predictors variables were age, 15-24/≥35 years (AOR = 1.51, 1.28-1.78), ever educated (AOR = 0.50, 0.43-0.60), urban address (AOR = 0.85, 0.74-0.98), married/single (AOR = 1.23, 1.07-1.42), cohabitation/single (AOR = 1.43, 1.19-1.72), Greater Accra Region/Upper West Region (AOR = 0.67, 0.49-0.92), and health insurance (AOR = 0.89, 0.79-0.998). As the wealth indices of the woman decrease from the richest to poorest, the likelihood of early sexual debut inversely increases: fourth/richest (AOR = 1.23, 1.04-1.45), middle/richest (AOR = 1.31, 1.09-1.58), second/richest (AOR = 1.38, 1.11-1.72), and poorest/richest (AOR = 1.44, 1.12-1.86); use of the internet (AOR = 0.58, 0.50-068); substance use and alcohol ever use (AOR = 1.32, 1.17-1.49); cigarette ever use (AOR = 2.58, 1.44-4.64); contraceptive use (AOR = 1.31, 1.16-1.49); and ever heard of HIV (AOR = 59, 0.42-0.82). In conclusion, the prevalence of early sexual debut is still high in Ghana, especially among the northern regions. Several factors predicted early sex debut, and low life satisfaction and happiness were related to early sexual debut.
早期性行为与青少年感染艾滋病毒/艾滋病和其他性传播感染的风险增加有关，还与多个性伴侣、不使用避孕措施、意外怀孕和非法堕胎有关。本研究旨在确定加纳未婚女性早期性行为的相关因素和心理影响。本研究采用描述性横断面调查方法，使用 2017/2018 年加纳多指标类集调查（MICS）的数据。使用 SPSS 软件进行数据分析，使用卡方检验进行关联的双变量分析，使用二元逻辑回归模型进行预测。本研究记录的当前未婚早期性行为的全国流行率为 56.9%。预测变量包括年龄（15-24/≥35 岁）（AOR=1.51，1.28-1.78）、受过教育（AOR=0.50，0.43-0.60）、城市地址（AOR=0.85，0.74-0.98）、已婚/单身（AOR=1.23，1.07-1.42）、同居/单身（AOR=1.43，1.19-1.72）、大阿克拉地区/上西部地区（AOR=0.67，0.49-0.92）和医疗保险（AOR=0.89，0.79-0.998）。随着女性财富指数从最富有到最贫穷的递减，早期性行为开始的可能性也会相反增加：第四/最富有（AOR=1.23，1.04-1.45）、中等/最富有（AOR=1.31，1.09-1.58）、第二/最富有（AOR=1.38，1.11-1.72）和最贫穷/最富有（AOR=1.44，1.12-1.86）；使用互联网（AOR=0.58，0.50-0.68）；物质使用和酒精使用（AOR=1.32，1.17-1.49）；吸烟（AOR=2.58，1.44-4.64）；避孕（AOR=1.31，1.16-1.49）；以及听说过艾滋病毒（AOR=59，0.42-0.82）。总之，加纳的早期性行为发生率仍然很高，尤其是在北部地区。有几个因素预测了早期性行为，而低生活满意度和幸福感与早期性行为有关。
