Nimani Teshome Demis, Tadese Eyob Eshete, Butta Fikadu Wake, Tadese Zinabu Bekele
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Science, Haramaya University, Harar, Ethiopia.
Department of Nursing, College of Health Science, Mettu University, Mettu, Ethiopia.
Front Glob Womens Health. 2024 Oct 3;5:1327219. doi: 10.3389/fgwh.2024.1327219. eCollection 2024.
Most new HIV infections occur in sub-Saharan Africa due to premarital, likely experiences of abuse, exploitation, intimate partner violence, murder, and suicide. Transient nature of the relationship, cohabiting young females are frequently at risk for poor mental health following disagreements. This study's aim was to predictors of premarital cohabitation timing among young women in Ethiopia.
Secondary data from the 2016 Ethiopian Health and Demographic Survey was analyzed. The study comprised a weighted sample of 6,142 young women. A weighted descriptive analysis of graphs, frequency tables, medians, and percentiles was performed to describe the study participants. The Akaike information criteria were used to choose the best-shared frailty model for the data. Final measures of effect size included the adjusted hazard ratio, both of which had a -value of less than 0.05.
Premarital cohabitation was reported to have a median age of 16 years (IQR, 15-18 years). Woman's age (AHR = 0.795; 95% CI: 0.761-0.868) was one of the independent predictors of time to premarital cohabitation. For primary, secondary, and higher education, respectively, 0.733 (95% CI: 0.607, 0.959) and 0.610 (95% CI: 0.589, 0.632) were seen among women who can read and write (AHR = 0.896; 95% CI: 0.872, 0.920). Women with access to the media (AHR = 0.722, 95% CI: 0.510, 0.963).
The most important idea is that educational level, access to media, age, and literacy are the most significant factors for the time-to-premarital cohabitation rate.
由于婚前可能遭受虐待、剥削、亲密伴侣暴力、谋杀和自杀等情况，撒哈拉以南非洲地区发生了大多数新的艾滋病毒感染病例。关系的短暂性使得同居的年轻女性在出现分歧后经常面临心理健康不佳的风险。本研究的目的是确定埃塞俄比亚年轻女性婚前同居时间的预测因素。
对2016年埃塞俄比亚健康与人口调查的二手数据进行了分析。该研究包括6142名年轻女性的加权样本。对图表、频率表、中位数和百分位数进行加权描述性分析，以描述研究参与者。使用赤池信息准则为数据选择最佳共享脆弱模型。效应大小的最终测量包括调整后的风险比，两者的p值均小于0.05。
据报告，婚前同居的中位年龄为16岁（四分位距，15 - 18岁）。女性年龄（调整后风险比 = 0.795；95%置信区间：0.761 - 0.868）是婚前同居时间的独立预测因素之一。对于小学、中学和高等教育，在识字的女性中分别观察到0.733（95%置信区间：0.607，0.959）和0.610（95%置信区间：0.589，0.632）（调整后风险比 = 0.896；95%置信区间：0.872，0.920）。能够接触媒体的女性（调整后风险比 = 0.722，95%置信区间：0.510，0.963）。
最重要的是，教育水平、接触媒体的机会、年龄和识字率是婚前同居率的最重要因素。
