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Early coital debut and associated HIV risk factors among young women and men in South Africa.
Int Perspect Sex Reprod Health. 2009 Jun; 35(2):82-90.IP

Abstract

CONTEXT

Young people in South Africa are at high risk of HIV infection. Because first sexual experiences may influence a young person's HIV risk, a better understanding of coital debut is needed.

METHODS

Data from a nationally representative survey that included 7,692 sexually active South African youth aged 15-24 were used to assess characteristics related to sexual debut and to respondents' first sexual partner. Poisson regression analyses were conducted to identify relationships among these characteristics and partner age differences, early coital debut (i.e., before age 15), forced sex with one's first partner and nonuse of condoms at first sex.

RESULTS

Eighteen percent of young men and 8% of young women reported early coital debut. The likelihood of early debut was elevated among females and males who had had an older first partner (adjusted prevalence ratio, 1.1 per year) and among females who had had forced sex (2.5). Lack of condom use at first sex was associated with early coital debut (1.5) and forced sex (1.6) for males. Among females, the likelihood of nonuse was elevated for respondents who had had an early debut but had not had forced sex (1.3), and among those who had had both a later debut and forced sex (1.4).

CONCLUSIONS

Early coital debut is associated with factors that may increase a young person's risk for HIV infection, such as forced sex and having older partners. Intervention efforts should encourage youth to delay coital debut and promote strategies to make young people's first sexual experience safer.

Authors+Show Affiliations

Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, NC, USA. apettif@email.unc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19620092

Citation

Pettifor, Audrey, et al. "Early Coital Debut and Associated HIV Risk Factors Among Young Women and Men in South Africa." International Perspectives On Sexual and Reproductive Health, vol. 35, no. 2, 2009, pp. 82-90.
Pettifor A, O'Brien K, Macphail C, et al. Early coital debut and associated HIV risk factors among young women and men in South Africa. Int Perspect Sex Reprod Health. 2009;35(2):82-90.
Pettifor, A., O'Brien, K., Macphail, C., Miller, W. C., & Rees, H. (2009). Early coital debut and associated HIV risk factors among young women and men in South Africa. International Perspectives On Sexual and Reproductive Health, 35(2), 82-90. https://doi.org/10.1363/ifpp.35.082.09
Pettifor A, et al. Early Coital Debut and Associated HIV Risk Factors Among Young Women and Men in South Africa. Int Perspect Sex Reprod Health. 2009;35(2):82-90. PubMed PMID: 19620092.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early coital debut and associated HIV risk factors among young women and men in South Africa. AU - Pettifor,Audrey, AU - O'Brien,Katie, AU - Macphail,Catherine, AU - Miller,William C, AU - Rees,Helen, PY - 2009/7/22/entrez PY - 2009/7/22/pubmed PY - 2009/12/16/medline SP - 82 EP - 90 JF - International perspectives on sexual and reproductive health JO - Int Perspect Sex Reprod Health VL - 35 IS - 2 N2 - CONTEXT: Young people in South Africa are at high risk of HIV infection. Because first sexual experiences may influence a young person's HIV risk, a better understanding of coital debut is needed. METHODS: Data from a nationally representative survey that included 7,692 sexually active South African youth aged 15-24 were used to assess characteristics related to sexual debut and to respondents' first sexual partner. Poisson regression analyses were conducted to identify relationships among these characteristics and partner age differences, early coital debut (i.e., before age 15), forced sex with one's first partner and nonuse of condoms at first sex. RESULTS: Eighteen percent of young men and 8% of young women reported early coital debut. The likelihood of early debut was elevated among females and males who had had an older first partner (adjusted prevalence ratio, 1.1 per year) and among females who had had forced sex (2.5). Lack of condom use at first sex was associated with early coital debut (1.5) and forced sex (1.6) for males. Among females, the likelihood of nonuse was elevated for respondents who had had an early debut but had not had forced sex (1.3), and among those who had had both a later debut and forced sex (1.4). CONCLUSIONS: Early coital debut is associated with factors that may increase a young person's risk for HIV infection, such as forced sex and having older partners. Intervention efforts should encourage youth to delay coital debut and promote strategies to make young people's first sexual experience safer. SN - 1944-0391 UR - https://www.unboundmedicine.com/medline/citation/19620092/Early_coital_debut_and_associated_HIV_risk_factors_among_young_women_and_men_in_South_Africa_ L2 - https://www.guttmacher.org/pubs/journals/3508209.html DB - PRIME DP - Unbound Medicine ER -