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

Abstract

BackgroundFor 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.MethodsCommunity-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.ResultsThree 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.ConclusionSubstantial 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.

Risky sexual behaviors and associated factors among preparatory school students in Arba Minch town, Southern Ethiopia

“…Exposure to pornographic movies was one factor that promotes unhealthy sexual relationship and this study showed those who had exposure were more likely to practice risky sexual behaviors. This result was supported by different studies done in Tanzania and parts of Ethiopia (Tadesse and Yakob, 2015;Mariam et al, 2018;Nigatu et al, 2018;Kahsay et al, 2017;Yarro and Kafanabo, 2016). Nevertheless, contradictory to some studies done in Ethiopia (Alamrew et al, 2013;Ali, 2017).…”

“…This study speculated that those individuals were more prone to risky sexual behavior. This finding correlates with studies done in parts of Ethiopia, in three Asian countries (Hanoi, Shanghai, and Taipei) and Nigeria (Negeri, 2014;Mariam et al, 2018;Nigatu et al, 2018;Fentahun and Mamo, 2014;Kahsay et al, 2017; Ifeadike et al, 2018; Mavhandu-Mudzusi and Asgedom, 2016); however, inconsistent with some studies done elsewhere (Alamrew et al, 2013, Dadi andTeklu, 2014). For this discrepancy, methodological aspects over weight other situations.…”

“…Peer pressure, alcohol consumption, watching pornographic materials, early sexual initiation, multiple sexual partnerships, inconsistence use of condoms, chewing "khat" and substance use, depression, poor living arrangement, educational status of parents, family connectedness, having sex with CSWs, and poor knowledge towards HIV/AIDS are the major predictors of risky sexual behaviors among youths (Tadesse and Yakob, 2015;Alamrew et al, 2013;Mariam et al, 2018;Nigatu et al, 2018;Fentahun and Mamo, 2014;Abebe et al, 2013;Manee and Aria, 2018;Mullu et al, 2016). Alternatively, interpersonal processes like succumbing to peer-norms, intergenerational gaps regarding beliefs about sexual behavior, the socioeconomic context of students, and the interplay between desiring love.…”

Nexus between Gender differences and Sexual Satisfaction in selected Married couples in Ilishan, Ogun State, Nigeria

“…Generally, usual ratings of sexual satisfaction (Hyde, 2005;Jackson, Miller, Oka, & Henry, 2014) are not different between the genders; as several findings (Nigatu, Seme, Fituma, &Segni, 2018;O'Sullivan & Byers, 1992) suggest that gender differences exist in the meaning, perceptions and importance attached to sexual drive, sexual initiation, and sexual intimacy. Female and male sexual orientations are divergent.…”

“…Sexual initiation is perceived as the ability to influence and commence sexual activity with one's partner resulting in sexual intercourse (Nigatu, Seme, Fituma, &Segni, 2018). Various scholars (Byers & Heinlein, 1989;McCormick, 1979;Vannier& O'Sullivan, 2011) have dimensioned sexual initiation into twothe verbal and non-verbal initiations.…”