How Reliable Are Reports of Early Adolescent Reproductive and Sexual Health Events in Demographic and Health Surveys?

Neal,; Hosegood, Victoria

doi:10.1363/4121015

Cited by 32 publications

(29 citation statements)

References 6 publications

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“…For our analysis, we selected only students who participated at both T1 and T2 (n = 3,184). In addition, to be able to predict the initiation of early sexual intercourse, i.e., intercourse experience before the age of 15 years [ 1 – 3 , 43 ], we selected only participants who were younger than 15 years old at both T1 and T2 (n = 1,001 excluded) and who at T1 had never had sexual intercourse (n = 26 excluded). Furthermore, we excluded participants with missing information on sexual intercourse at T1 (n = 7) and/or T2 (n = 9).…”

Section: Methodsmentioning

confidence: 99%

Early Sexual Intercourse: Prospective Associations with Adolescents Physical Activity and Screen Time

et al. 2016

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ObjectivesTo assess the prospective associations of physical activity behaviors and screen time with early sexual intercourse initiation (i.e., before 15 years) in a large sample of adolescents.MethodsWe used two waves of data from the Rotterdam Youth Monitor, a longitudinal study conducted in the Netherlands. The analysis sample consisted of 2,141 adolescents aged 12 to 14 years (mean age at baseline = 12.2 years, SD = 0.43). Physical activity (e.g., sports outside school), screen time (e.g., computer use), and early sexual intercourse initiation were assessed by means of self-report questionnaires. Logistic regression models were tested to assess the associations of physical activity behaviors and screen time (separately and simultaneously) with early sexual intercourse initiation, controlling for confounders (i.e., socio-demographics and substance use). Interaction effects with gender were tested to assess whether these associations differed significantly between boys and girls.ResultsThe only physical activity behavior that was a significant predictor of early sexual intercourse initiation was sports club membership. Adolescent boys and girls who were members of a sports club) were more likely to have had early sex (OR = 2.17; 95% CI = 1.33, 3.56. Significant gender interaction effects indicated that boys who watched TV ≥2 hours/day (OR = 2.00; 95% CI = 1.08, 3.68) and girls who used the computer ≥2 hours/day (OR = 3.92; 95% CI = 1.76, 8.69) were also significantly more likely to have engaged in early sex.ConclusionThese findings have implications for professionals in general pediatric healthcare, sexual health educators, policy makers, and parents, who should be aware of these possible prospective links between sports club membership, TV watching (for boys), and computer use (for girls), and early sexual intercourse initiation. However, continued research on determinants of adolescents’ early sexual initiation is needed to further contribute to the strategies for improving adolescents’ healthy sexual development and behaviors.

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Section: Methodsmentioning

confidence: 99%

Early Sexual Intercourse: Prospective Associations with Adolescents Physical Activity and Screen Time

et al. 2016

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“…In addition, the data relies on respondents’ recall for age at first birth. There is evidence that social-desirability bias and concern around potential censure may deter women from reporting very early ages at birth, but this appears to be mostly when respondents are under 20 years old, rather than in the 20–29 year age group used in this study 47. Finally, the data are now somewhat dated.…”

Section: Discussionmentioning

confidence: 82%

Using geospatial modelling to estimate the prevalence of adolescent first births in Nepal

et al. 2019

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IntroductionAdolescent pregnancy is associated with significant risks and disadvantages for young women and girls and their children. A clear understanding of population subgroups with particularly high prevalence of first births in adolescence is vital if appropriate national responses are to be developed. This paper aims to provide detailed data on socioeconomic and geographic inequities in first births to adolescents in Nepal, including wealth quintile, education, rural/urban residence and geographic region. A key element is the use of geospatial modelling to develop estimates for the prevalence of adolescent births at the district level.MethodsThe study uses data from the 2011 Nepal Demographic and Health Survey. Initial cross-tabulations present disaggregated data by socioeconomic status and basic geographic region. Estimates of prevalence of adolescent first births at the district level are creating by regression modelling using the Integrated Nested Laplace Approximation package in R software.ResultsOur findings show that 40% of women had given birth before the age of 20 years, with 5% giving birth before 16 years. First births to adolescents remain common among poorer, less educated and rural women. Geographic disparities are striking, with estimates for the percentage of women giving birth before 20 years ranging from 35% to 53% by region. District level estimates showed even more marked differentials (26%–67% had given birth by 20 years), with marked heterogeneity even within regions. In some districts, estimates for the prevalence of first birth among the youngest age groups (<16 years) are high.ConclusionImportant geographic and socioeconomic inequities exist in adolescent first births. In some districts and within some subgroups, there remain high levels of adolescent first births, including births to very young adolescents. The use of Bayesian geospatial modelling techniques can be used by policymakers to target resources.

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“…Respondents aged 15–49 years were included in the analysis; in 16 of the 90 surveys, only ever-married women were sampled (online supplementary material 1). We calculated the numbers of live births for the numerators and denominators for the 10-year period before each survey, because of likely under-reporting of early adolescent births by girls and young women who were in the 15–19 years age group at the time of the survey 34…”

Section: Methodsmentioning

confidence: 99%

Using three indicators to understand the parity-specific contribution of adolescent childbearing to all births

et al. 2018

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IntroductionA strong focus on sexual and reproductive health of female adolescents is a key to achieving sustainable development goals, due to the large size of the current cohort in low-income and middle-income countries (LMICs) and adolescents’ biological and social vulnerability. Several indicators of fertility among adolescents are in wide use, but the contribution of adolescent births to all births is poorly understood. We propose and calculate a package of three indicators capturing the contribution of adolescent births to all births, stratified by parity (first and second/higher).MethodsWe used Demographic and Health Survey data for 30 LMICs and vital registration for two high-income countries (to calculate levels and trends across a range of countries) for three time periods: 1990–1999, 2000–2009 and 2010–2015. The three indicators were calculated overall and by age thresholds (<16, <18 and <20 years) and exact ages, for each country and time point. Patterns of changes in indicators for the three cumulative thresholds over time are described.ResultsIn the 30 LMICs, the percentage of all live births occurring to adolescents varied across countries, with a median of 18% for adolescents <20 years. Three countries (Jordan, Indonesia and Rwanda) had levels below 10%; Bangladesh had the highest at 33%. The contribution of adolescent first-order births to all first-order births was high; a median of 49%. Even among second-order and higher-order births, the contribution of adolescent childbearing was appreciable (median of 6%). Over the period under examination, the proportion of adolescent births among all live births declined in the majority of the LMICs.ConclusionThese three indicators add to our understanding of the scale of adolescent childbearing and can be used in conjunction with population estimates to assess the absolute need for age-appropriate and parity-appropriate reproductive, maternal and newborn healthcare and to monitor progress in improving young people’s health.

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How Reliable Are Reports of Early Adolescent Reproductive and Sexual Health Events in Demographic and Health Surveys?

Cited by 32 publications

References 6 publications

Early Sexual Intercourse: Prospective Associations with Adolescents Physical Activity and Screen Time

Early Sexual Intercourse: Prospective Associations with Adolescents Physical Activity and Screen Time

Using geospatial modelling to estimate the prevalence of adolescent first births in Nepal

Using three indicators to understand the parity-specific contribution of adolescent childbearing to all births

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