Department of Public Health, Adama Hospital Medical College, Adama, Ethiopia.
Afr Health Sci. 2022 Sep;22(3):13-23. doi: 10.4314/ahs.v22i3.4.
Assess the prevalence and associated factors of sexual coercion at sexual debut among young females in rural areas of Boset district, Oromia Region, Eastern Ethiopia.
Cross-sectional community based study design was conducted using both qualitative and quantitative data collection methods. A sample of 632 young females aged 10-24 years was taken from six rural Kebeles by systematic random sampling for quantitative and data were collected using a pre-tested structured questionnaire. The collected data was analyzed using SPSS version 23. Principally Binary Logistic regression model was fitted. Moreover, eight focus group discussions targeting different groups were held andanalyzed thematically.
The prevalence of sexual coercion at sexual debut was 36.5% (95%CI: 34.6%-38.4%) among sexually active respondents. Married young female (AOR, 0.71; 95%CI: 0.42, 0.81), living away from their parents (AOR, 5.07; 95%CI: 1.07,24.01), age group of 15- 19 years (AOR, 0.19; 95%CI: 0. 06, 0.54), alcohol consumption (AOR, 2.44; 95%CI: 1.17, 5.08) and Khat chewing (AOR, 8.30; 95%CI: 1.89, 36.38) were factors predicting the likelihood of having sexual coercion at sexual debut.
Sexual coercion at sexual debut is a major public health problem among young females in the study community. The emerging program interventions need to take this problem into consideration.
评估埃塞俄比亚东部奥罗米亚地区博塞特区农村地区年轻女性初次性行为中性胁迫的流行情况及其相关因素。
采用定性和定量数据收集方法进行横断面社区基础研究设计。从六个农村基贝拉采用系统随机抽样方法抽取了 632 名年龄在 10-24 岁之间的年轻女性作为定量样本，并使用经过预测试的结构化问卷收集数据。使用 SPSS 版本 23 分析收集的数据。主要采用二元逻辑回归模型进行拟合。此外，还进行了 8 次针对不同群体的焦点小组讨论，并进行了主题分析。
在有性行为的受访者中，初次性行为中性胁迫的流行率为 36.5%（95%CI：34.6%-38.4%）。已婚年轻女性（AOR，0.71；95%CI：0.42，0.81）、与父母分开居住（AOR，5.07；95%CI：1.07，24.01）、15-19 岁年龄组（AOR，0.19；95%CI：0.06，0.54）、饮酒（AOR，2.44；95%CI：1.17，5.08）和咀嚼恰特草（AOR，8.30；95%CI：1.89，36.38）是初次性行为中发生性胁迫的预测因素。
初次性行为中的性胁迫是研究社区年轻女性中的一个主要公共卫生问题。新兴的项目干预措施需要考虑到这个问题。
