埃塞俄比亚青少年婚前性行为的患病率及相关因素：系统评价与荟萃分析
Prevalence and Associated Factors of Premarital Sexual Practice Among Adolescent in Ethiopia: Systematic Review and Meta-Analysis.
作者信息
Ferede Yeshiwas Ayale, Zeleke Agerie Mengistie, Tassew Worku Chekol
机构信息
Department of Reproductive Health, Teda Health Science College, Gondar, Ethiopia.
Department of Midwifery, Teda Health Science College, Gondar, Ethiopia.
出版信息
Sage Open Pediatr. 2025 Aug 9;12:30502225251363690. doi: 10.1177/30502225251363690. eCollection 2025 Jan-Dec.
BACKGROUND
Premarital sexual practices are increasing among adolescents worldwide, particularly in developing countries like Ethiopia. This study aimed to estimate the pooled prevalence and identify factors associated with such practices among Ethiopian adolescents.
METHODS
A meta-analysis was conducted using the Cochrane and statistics to assess study heterogeneity. A random-effects model was applied to estimate the pooled prevalence.
RESULTS
The pooled prevalence of premarital sexual practices among adolescents in Ethiopia was 35.04% (95% CI: 22.80-47.29). Significant associated factors included being male (POR = 2.57), having pocket money (POR = 2.87), alcohol consumption (POR = 3.73), and peer pressure (POR = 13.62).
CONCLUSION
Over one-third of Ethiopian adolescents engage in premarital sex. Key contributing factors are male gender, access to money, alcohol use, and peer pressure. These findings highlight the need for targeted interventions to address risky sexual behaviors among adolescents.
背景
全球青少年的婚前性行为正在增加，尤其是在像埃塞俄比亚这样的发展中国家。本研究旨在估计埃塞俄比亚青少年婚前性行为的合并患病率，并确定与此类行为相关的因素。
方法
采用Cochrane和统计学方法进行荟萃分析，以评估研究的异质性。应用随机效应模型来估计合并患病率。
结果
埃塞俄比亚青少年婚前性行为的合并患病率为35.04%（95%置信区间：22.80 - 47.29）。显著的相关因素包括男性（比值比 = 2.57）、有零花钱（比值比 = 2.87）、饮酒（比值比 = 3.73）和同伴压力（比值比 = 13.62）。
结论
超过三分之一的埃塞俄比亚青少年有婚前性行为。关键的促成因素是男性性别、获得金钱、饮酒和同伴压力。这些发现凸显了针对青少年危险性行为进行有针对性干预的必要性。
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