Ogutu Gideon Mauti, Chege Scholastica Muthoni
Department of Community Health and Development, The Catholic University of Eastern Africa, Nairobi, Kenya.
East Afr Health Res J. 2023;7(2):219-227. doi: 10.24248/eahrj.v7i2.734. Epub 2023 Nov 30.
Early sexual debut among adolescents' results in sexual and reproductive health consequences including unplanned pregnancies, pregnancy complications and sexually transmitted diseases.
This study investigated the factors influencing early sexual debut among 13-19 years old students in secondary schools in Kiambu County, Kenya.
A descriptive cross-sectional study was carried out in two secondary schools in Kiambu County. A sample of 208 was calculated using Fischer's two stage formula and proportionately distributed per school population size. Students in each school were stratified into classes and respondents were selected by simple random sampling from each stratum. Responses were sought using self-administered questionnaires.
Among the respondents 11(66.5%), 48(28.7%) and 8(4.8%) were aged 13-15, below 13 and above 15 years, respectively. Eighty-four (50.2%) respondents were male, 105(62.9%) lived with both parents while 41(24.6%) lived with mothers. Early sexual debut was (60.5%), being higher in males, 57 (67.9 %) compared to females, 44 (39.6 %). More than half of the respondents, 117(69.6%), thought sex before marriage was appropriate, among whom 75(64.1%), have had sex. Most of those who reported sexual debut, 69.9%, said that sexual encounter happened during school breaks. Reasons for refraining included fear of guardian (49.4%) and fear of HIV/AIDS 89(52.7%). However, more than two thirds, 71(70.3%) of those who feared HIV/AIDS and STI as a consequence of early sexual debut have had sex. Gender (P=.032), knowledge on sex (P=.025), use of mobile phones (P=.019), peer pressure (P=.046) and poverty (P =.037) were significantly associated with early sexual debut.
A significant proportion of secondary school adolescents were engaged in early sexual debut. Thus, public health interventions should consider the broader determinants of early sexual debut, including the ecological factors in which the behavior occurs.
青少年过早开始性行为会导致性健康和生殖健康问题，包括意外怀孕、妊娠并发症和性传播疾病。
本研究调查了肯尼亚基安布县中学13至19岁学生中影响过早开始性行为的因素。
在基安布县的两所中学开展了一项描述性横断面研究。使用费舍尔两阶段公式计算出208个样本，并按学校人口规模成比例分配。每所学校的学生按班级分层，通过简单随机抽样从每个阶层中选取受访者。使用自填式问卷收集答案。
在受访者中，11人（66.5%）年龄在13至15岁，48人（28.7%）年龄在13岁以下，8人（4.8%）年龄在15岁以上。84名（50.2%）受访者为男性，105名（62.9%）与父母双方同住，41名（24.6%）与母亲同住。过早开始性行为的比例为60.5%，男性比例更高，为57人（67.9%），而女性为44人（39.6%）。超过一半的受访者，即117人（69.6%），认为婚前性行为是合适的，其中75人（64.1%）已经有过性行为。大多数报告有过早性行为的人，即69.9%，表示性行为发生在学校课间休息期间。克制性行为的原因包括害怕监护人（49.4%）和害怕感染艾滋病毒/艾滋病89人（52.7%）。然而，超过三分之二，即71人（70.3%）因过早性行为而害怕感染艾滋病毒/艾滋病和性传播感染的人已经有过性行为。性别（P = 0.032）、性知识（P = 0.025）、使用手机（P = 0.019）、同伴压力（P = 0.046）和贫困（P = 0.037）与过早开始性行为显著相关。
相当一部分中学青少年过早开始性行为。因此，公共卫生干预措施应考虑过早开始性行为的更广泛决定因素，包括行为发生的生态因素。
