加纳女青年受教育程度与危险性行为之间的关联。

Association between educational attainment and risky sexual behaviour among Ghanaian female youth.

机构信息

Department of Social and Public Health, College of Health Sciences and Professions, Ohio University, Grover Center W347, Athens, OH 45701, USA.

Department of Social Medicine, Ohio University Heritage College of Osteopathic Medicine, 6775 Bobcat Way, Room 450, Dublin, OH 43016, USA.

出版信息

Afr Health Sci. 2023 Mar;23(1):301-308. doi: 10.4314/ahs.v23i1.32.

DOI:10.4314/ahs.v23i1.32

PMID:37545967

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10398499/

Abstract

BACKGROUND

Ghanaian female youth aged 15-24 years are especially vulnerable to sexually transmitted infections (STIs) compared to their male counterparts.

OBJECTIVES

This study examined the association between educational attainment and risky sexual behavior among Ghanaian female youth.

METHOD

A cross-sectional study was conducted using a nationally representative sample of youth from the 2014 Ghana Demographic and Health Survey (n=1702). The outcome of interest was risky sexual behavior, defined as having last intercourse with a non-marital partner without condoms. Descriptive and inferential statistical tests were utilized.

RESULTS

Overall, the prevalence of risky sexual behavior was 66.9%. In the bivariate analysis, risky sexual behavior differed by level of education. Compared to women with a college-level education, a significantly higher proportion of women with secondary education reported risky sexual behavior (72.9%), followed by those with primary education (65.7%) (p<0.001). In the multivariable-adjusted model, there was a significant interaction between education and household wealth index (P =0.030) and between education and the type of place of residence (P =0.045) on risky sexual behavior.

CONCLUSION

Culturally appropriate and targeted interventions are warranted to increase condom use among these subgroups and curb the rising rates of STIs among Ghanaian female youth.

摘要

背景

与男性相比，加纳 15-24 岁的青年女性特别容易受到性传播感染（STIs）的影响。

目的

本研究调查了加纳青年女性的教育程度与危险性行为之间的关联。

方法

使用 2014 年加纳人口与健康调查（n=1702）的全国代表性青年样本进行了横断面研究。感兴趣的结果是危险性行为，定义为与非婚姻伴侣发生性行为而不使用避孕套。使用描述性和推断性统计检验。

结果

总体而言，危险性行为的流行率为 66.9%。在单变量分析中，危险性行为因教育程度而异。与具有大学学历的女性相比，具有中学学历的女性报告危险性行为的比例明显更高（72.9%），其次是具有小学学历的女性（65.7%）（p<0.001）。在多变量调整模型中，教育与家庭财富指数之间存在显著的交互作用（P=0.030），以及教育与居住地类型之间存在显著的交互作用（P=0.045）与危险性行为有关。