Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Master of Public Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Sci Rep. 2022 Jun 10;12(1):9572. doi: 10.1038/s41598-022-13448-y.
There is no national representative estimate on pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. So, this study aimed to estimate the pooled prevalence of pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. A comprehensive search of international databases including CINAHL, Google Scholar, Cochrane Library, PubMed, HINARI, and Global Health was carried out to estimate the pooled prevalence of pre-marital sex and its association with peer pressure and watching pornography among young individuals in Ethiopia. The data were analyzed using STATA/SE version-14. The random-effect model was used to estimate the effect size and I-squared statistics and Egger's test were used to assess the heterogeneity publication bias respectively. A total of thirty-two studies with 18,354 study subjects were included in this meta-analysis. The pooled prevalence of premarital sex among young in Ethiopia was 33.59% [95% CI (29.09, 38.09)]. There was significant heterogeneity among the included articles (I = 97.9, p = 0.000). Young individuals who experienced peer pressure were three times more likely to practice premarital sex compared to their counterparts [OR = 2.90, 95%, CI (1.01, 8.31)]. As the crude analysis result indicated, there was a significant association between watching pornography (sex movies) and premarital sexual practice [OR = 3.41, 95% CI (1.99, 5.84)]. However, after doing trim-and-fill analysis, the publication-bias adjusted OR indicates the absence of significant association between watching pornography and premarital sex [OR = 1.23, 95% CI (0.69, 1.76)]. The proportion of premarital sex among young individuals in Ethiopia remains high. Peer pressure had a statistically significant association with premarital sexual practice. However, the publication-bias adjusted OR indicates the absence of a significant association between watching pornography and premarital sex. Peer counseling services, sex education, and behavioral change communications should be strengthened to address factors associated with pre-marital sexual practices.
在埃塞俄比亚，没有关于婚前性行为及其与同伴压力和观看色情制品之间关系的全国代表性估计。因此，本研究旨在估计埃塞俄比亚年轻人婚前性行为及其与同伴压力和观看色情制品之间关系的综合流行率。通过综合搜索国际数据库，包括 CINAHL、Google Scholar、Cochrane 图书馆、PubMed、HINARI 和全球卫生，估计了埃塞俄比亚年轻人婚前性行为及其与同伴压力和观看色情制品之间关系的综合流行率。使用 STATA/SE 版本 14 对数据进行分析。使用随机效应模型估计效应大小，使用 I 平方统计量和 Egger 检验分别评估异质性和发表偏倚。这项荟萃分析共纳入了 32 项研究，涉及 18354 名研究对象。埃塞俄比亚年轻人婚前性行为的综合流行率为 33.59%[95%CI（29.09，38.09）]。纳入的文章存在显著的异质性（I=97.9，p=0.000）。与同龄人相比，经历过同伴压力的年轻人更有可能发生婚前性行为[OR=2.90，95%CI（1.01，8.31）]。正如原始分析结果所示，观看色情制品（色情电影）与婚前性行为之间存在显著关联[OR=3.41，95%CI（1.99，5.84）]。然而，在进行修剪和填充分析后，经出版偏倚调整后的 OR 表明，观看色情制品与婚前性行为之间不存在显著关联[OR=1.23，95%CI（0.69，1.76）]。埃塞俄比亚年轻人的婚前性行为比例仍然很高。同伴压力与婚前性行为实践有统计学上的显著关联。然而，经出版偏倚调整后的 OR 表明，观看色情制品与婚前性行为之间不存在显著关联。应加强同伴咨询服务、性教育和行为改变沟通，以解决与婚前性行为相关的因素。
