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      Early Sexual Debut and the Effects on Well-Being among South African Adolescent Girls and Young Women Aged 15 to 24 Years

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          Abstract

          We compared first sex experiences and wellbeing of adolescent girls and young women (AGYW) who had an early sexual debut (age < 15) with those who had later sexual debut. We conducted a representative household survey among AGYW aged 15–24 years in six districts in South Africa. Of 3009 AGYW who had ever had sex, 8.9% reported early sexual debut. Early sexual debut was associated with coercion at first sex and a lower average well-being score compared with a later debut. Interventions which aim to delay early sexual debut may positively affect well-being.

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          New Well-being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings

          Ed Diener, Derrick Wirtz, William Tov … (2010)
          Article 0 comments Cited 995 times – based on 0 reviews     Review now
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            The Relationship Between Marriage and Psychological Well-being: A Longitudinal Analysis

            H. Kim, P McKenry (2002)
            Article 0 comments Cited 82 times – based on 0 reviews     Review now
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              Early age of first sex: a risk factor for HIV infection among women in Zimbabwe.

              Audrey E. Pettifor, Ariane van der Straten, Megan S. Dunbar … (2004)
              To explore the relationship between early age of coital debut (15 years of age or younger) and risk for HIV infection among sexually active urbanized Zimbabwean women. Cross-sectional analysis of screening data from a cohort study. Sexually active women aged 18-35 years were recruited from public sector family planning clinics in and around Harare, Zimbabwe between November 1999 and September 2002. They received a brief behavioral interview and HIV testing. Of the 4675 women screened, 4393 (94%) had complete data on sexual behaviors and HIV serostatus, and were included in this analysis. HIV prevalence in this sample was 40.1%. The median age of coital debut was 18 years and 11.8% of women reporting having experienced coital debut at age 15 or younger. Women with early coital debut had a significantly higher risk profile, including multiple lifetime partners and not completing high school. In binary generalized linear regression models HIV risk was increased for women reporting early age of coital debut (relative hazard, 1.30; 95% confidence interval, 1.13-1.50), controlling for duration of sexual activity and current age; this effect was attenuated somewhat after controlling for other factors such as number of sexual partners. Our results show that early coital debut is a significant predictor of prevalent HIV infection independent of other identified factors in this population. HIV prevention strategies should include delaying the age of first coitus and should address the barriers that may prevent young women from so doing.
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                Author and article information

                Journal
                Journal ID (nlm-journal-id): 101312593
                Journal ID (pubmed-jr-id): 36336
                Journal ID (nlm-ta): Int J Sex Health
                Journal ID (iso-abbrev): Int J Sex Health
                Title: International journal of sexual health : official journal of the World Association for Sexual Health
                ISSN (Print): 1931-7611
                ISSN (Electronic): 1931-762X
                Publication date Nihms-submitted: 27 August 2022
                Publication date (Print): 9 March 2021
                Publication date PMC-release: 09 September 2022
                Volume: 34
                Issue: 2
                Pages: 242-253
                Affiliations
                [a ]Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa;
                [b ]Department of Psychiatry and Mental Health, Division of Child & Adolescent Psychiatry, Adolescent Health Research Unit, University of Cape Town, Cape Town, South Africa;
                [c ]South African DST-NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, Stellenbosch, South Africa;
                [d ]Data Yarn, Pretoria, South Africa;
                [e ]Centers for Disease Control and Prevention, Pretoria, South Africa;
                [f ]Faculty of Health Sciences, Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
                Author notes
                [✉ ] CONTACT Tracy McClinton Appollis tmappollis@ 123456mrc.ac.za Health Systems Research Unit, South African Medical Research Council, PO Box 19070, Tygerberg, Cape Town7505, South Africa.
                Author information
                http://orcid.org/0000-0002-4469-6674
                http://orcid.org/0000-0002-1949-3138
                Article
                Manuscript ID: HHSPA1832544
                DOI: 10.1080/19317611.2021.1979162
                PMC ID: 9462400
                PubMed ID: 36092761
                SO-VID: e4cd8aca-e463-45d8-8d19-b3faf51f4ac1
                License:

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
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                Subject: Article

                Keywords: early sexual debut,hiv,adolescents,youth,south africa
                Data availability:
                Keywords: early sexual debut, hiv, adolescents, youth, south africa

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