埃塞俄比亚青年婚前性行为的流行率及其决定因素：基于埃塞俄比亚人口与健康调查数据

Prevalence and Determinants of Premarital Sexual Practice among Youths in Ethiopia: Based on the Ethiopian Demographic and Health Survey Data.

作者信息

Shitu Kegnie, Kassie Ayenew, Wolde Maereg

机构信息

Department of Health Promotion and Health Behaviour, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

出版信息

Int J Reprod Med. 2023 Jun 24;2023:6643797. doi: 10.1155/2023/6643797. eCollection 2023.

DOI:10.1155/2023/6643797

PMID:37396458

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10314814/

Abstract

BACKGROUND

Premarital sexual practice becomes a common phenomenon among youths in Ethiopia. It is usually associated with unwanted pregnancies, abortions, and sexually transmitted diseases including HIV/AIDS.

OBJECTIVE

This study is aimed at assessing the magnitude and determinants of premarital sexual practice among Ethiopian youths.

METHODS

A community-based cross-sectional study was conducted in all regions of Ethiopia from January 18 to June 27, 2016. A total of 7389 youths with the age range from 19 to 24 were included in the present study. Bivariable and multivariable binary logistic regression analyses were employed to identify factors associated with premarital sex. A 95% CI and value < 0.05 were used to declare statistical significance.

RESULT

The prevalence of premarital sexual practice was 10.8% (95% CI, 10%-11.5%). Being in the age group of 20-24 (AOR = 3.6, 95% CI (2.8, 4.6)), male sex (AOR = 1.7, 95% CI (1.3, 2.2)), employed (AOR = 1.4, 95% CI (1.03, 1.8)), from pastoral region (AOR = 1.4, 95% CI (1.3,2.4)), having mobile phone (AOR = 1.7, 95% CI, (1.3, 2.3)), ever use of internet (AOR = 1.8, 95% CI (1.3, 2.5)), ever drinking alcohol (AOR = 2.4, 95% CI (1.7, 2.5)), ever chewed khat (AOR = 2.4, 95% CI (1.6, 3.5), and ever tested for HIV (AOR = 1.3, 95% CI (1.1,1.6)) were statistically significant factors associated with premarital sex.

CONCLUSION

For every 10 youths, at least one of them had sexual intercourse before they got married. Being in the age group of 20-24, male sex, employed, from a pastoral region, having a mobile phone, ever use of the internet, alcohol drinking, khat chewing, and ever tested for HIV were important factors affecting premarital sex. Thus, national sexual education and reproductive health behavior change interventions should give due attention to those groups. Furthermore, adequate education should be given about premarital sexual intercourse when youths come for HIV tests.

摘要

背景

婚前性行为在埃塞俄比亚青年中已成为一种普遍现象。它通常与意外怀孕、堕胎以及包括艾滋病毒/艾滋病在内的性传播疾病相关。

目的

本研究旨在评估埃塞俄比亚青年婚前性行为的程度及其决定因素。

方法

2016年1月18日至6月27日在埃塞俄比亚所有地区开展了一项基于社区的横断面研究。本研究共纳入7389名年龄在19至24岁之间的青年。采用双变量和多变量二元逻辑回归分析来确定与婚前性行为相关的因素。使用95%置信区间和P值<0.05来判定统计学显著性。

结果

婚前性行为的患病率为10.8%（95%置信区间，10% - 11.5%）。年龄在20 - 24岁组（比值比 = 3.6，95%置信区间(2.8, 4.6)）、男性（比值比 = 1.7，95%置信区间(1.3, 2.2)）、就业（比值比 = 1.4，95%置信区间(1.03, 1.8)）、来自牧区（比值比 = 1.4，95%置信区间(1.3, 2.4)）、拥有手机（比值比 = 1.7，95%置信区间(1.3, 2.3)）、曾使用互联网（比值比 = 1.8，95%置信区间(1.3, 2.5)）、曾饮酒（比值比 = 2.4，95%置信区间(1.7, 2.5)）、曾嚼恰特草（比值比 = 2.4，95%置信区间(1.6, 3.5)）以及曾接受艾滋病毒检测（比值比 = 1.3，95%置信区间(1.1, 1.6)）是与婚前性行为相关的具有统计学显著性的因素。

结论

每10名青年中，至少有一人在结婚前有过性行为。年龄在20 - 24岁组、男性、就业、来自牧区、拥有手机、曾使用互联网、饮酒、嚼恰特草以及曾接受艾滋病毒检测是影响婚前性行为的重要因素。因此，国家性教育和生殖健康行为改变干预措施应给予这些群体应有的关注。此外，当青年前来接受艾滋病毒检测时，应提供关于婚前性行为的充分教育。