Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study

Abstract Background For physiological as well as behavioral reasons, sexual debut increases young individuals’ risk for infection with sexually transmitted infection including HIV. It is fundamental to recognize the factors related to sexual debut in a broader context for designing and implementing...

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Main Authors: Digafe Tsegaye Nigatu, Asefa Seme, Shewaye Fituma, Mesfin Tafa Segni
Format: Article
Language:English
Published: BMC 2018-05-01
Series:BMC Women's Health
Online Access:http://link.springer.com/article/10.1186/s12905-018-0563-7
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author Digafe Tsegaye Nigatu
Asefa Seme
Shewaye Fituma
Mesfin Tafa Segni
author_facet Digafe Tsegaye Nigatu
Asefa Seme
Shewaye Fituma
Mesfin Tafa Segni
author_sort Digafe Tsegaye Nigatu
collection DOAJ
description Abstract Background For physiological as well as behavioral reasons, sexual debut increases young individuals’ risk for infection with sexually transmitted infection including HIV. It is fundamental to recognize the factors related to sexual debut in a broader context for designing and implementing effective interventions targeting youth. Methods Community-based cross-sectional study was employed from January to May, 2013 among females of Ambo town. A multistage sampling technique was applied. The participants were selected using simple random sampling technique. Face to face interview using structured and pretested questionnaires were used to collect thedata from the study participants. Bivariate and multivariate logistic regression analysis was used to determine the predictors of sexual initiation. Results Three hundred seventeen (49.9%) of the respondents have ever had sex. The mean age at first sexual initiation was 16.6 (SD ±2.3) years. Being in age group 20-24 [Adjusted Odds Ratio (AOR) & (95% CI) = 2.75 (1.74, 4.34)], Educational level [AOR& (95% CI) = 0.20 (0.08, 0.48)], being in school [AOR& (95% CI) = 0.19 (0.11, 0.33)], having paid job [AOR& (95% CI) = 2.20 (1.19, 4.07)], peer pressure [AOR& (95% CI) = 3.20 (2.08, 4.94)], alcohol consumption [AOR& (95% CI) = 2.17 (1.43, 3.28)], and pornographic materials [AOR& (95% CI) = 2.27 (1.43, 3.61)] had significant association with sexual initiation. Conclusion Substantial numbers of females had started sexual activity that might expose them to different reproductive health problems. In general age group, peer pressure, alcohol consumption and watching pornographic materials were found to be predictors for the sexual debut. Therefore, building life skills, establishing youth friendly clubs should be intensified.
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spelling doaj.art-44d464d78fa74b44be5881cbb508e5942022-12-21T18:54:30ZengBMCBMC Women's Health1472-68742018-05-011811610.1186/s12905-018-0563-7Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional studyDigafe Tsegaye Nigatu0Asefa Seme1Shewaye Fituma2Mesfin Tafa Segni3Department of Public Health, College of Medicine & Health Sciences, Ambo UniversitySchool of Public Health Addis Ababa UniversityDepartment of Public Health, College of Medicine & Health Sciences, Ambo UniversityDepartment of Public Health, College of Health Science, Arsi UniversityAbstract Background For physiological as well as behavioral reasons, sexual debut increases young individuals’ risk for infection with sexually transmitted infection including HIV. It is fundamental to recognize the factors related to sexual debut in a broader context for designing and implementing effective interventions targeting youth. Methods Community-based cross-sectional study was employed from January to May, 2013 among females of Ambo town. A multistage sampling technique was applied. The participants were selected using simple random sampling technique. Face to face interview using structured and pretested questionnaires were used to collect thedata from the study participants. Bivariate and multivariate logistic regression analysis was used to determine the predictors of sexual initiation. Results Three hundred seventeen (49.9%) of the respondents have ever had sex. The mean age at first sexual initiation was 16.6 (SD ±2.3) years. Being in age group 20-24 [Adjusted Odds Ratio (AOR) & (95% CI) = 2.75 (1.74, 4.34)], Educational level [AOR& (95% CI) = 0.20 (0.08, 0.48)], being in school [AOR& (95% CI) = 0.19 (0.11, 0.33)], having paid job [AOR& (95% CI) = 2.20 (1.19, 4.07)], peer pressure [AOR& (95% CI) = 3.20 (2.08, 4.94)], alcohol consumption [AOR& (95% CI) = 2.17 (1.43, 3.28)], and pornographic materials [AOR& (95% CI) = 2.27 (1.43, 3.61)] had significant association with sexual initiation. Conclusion Substantial numbers of females had started sexual activity that might expose them to different reproductive health problems. In general age group, peer pressure, alcohol consumption and watching pornographic materials were found to be predictors for the sexual debut. Therefore, building life skills, establishing youth friendly clubs should be intensified.http://link.springer.com/article/10.1186/s12905-018-0563-7
spellingShingle Digafe Tsegaye Nigatu
Asefa Seme
Shewaye Fituma
Mesfin Tafa Segni
Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
BMC Women's Health
title Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
title_full Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
title_fullStr Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
title_full_unstemmed Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
title_short Sexual initiation and associated factors among young women in West Shoa, Ambo Town, Ethiopia: a community-based cross-sectional study
title_sort sexual initiation and associated factors among young women in west shoa ambo town ethiopia a community based cross sectional study
url http://link.springer.com/article/10.1186/s12905-018-0563-7
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