Association between Age at First Sexual Relation and Some Indicators of Sexual Behaviour among Adolescents
), Thomas LeGrand(2),
(1) 1Department of Geography, Université de N’Djaména, B.P. : 54, N’Djaména (Tchad);
(2) Department of Demography, Université de Montréal, 3150 Jean-Brillant, Montréal QC, Canada H3T 1N8
Corresponding Author
Abstract
among adolescents aged 14 to 19 years in Burkina Faso, Malawi and Uganda. Analyses are conducted using data
from National Surveys of Adolescents, organized in 2004. Multivariate analyses are performed using dichotomous
logistic regression and ordered polychotomic logistic regression. Analyses show that initiation of sexual activity
before age 14 is more likely to be associated with having a casual sex partner. It is less likely to be associated with
condom use at first sexual relation or with systematic condom use in the past 12 months. These associations vary
depending on adolescents’ country and gender. Delaying onset of sexuality could be a surer and safer way to protect
health during adolescence. However, sexual and reproductive health programs that advocate abstinence only are
likely to have few positive effects on young people. To better implement this strategy, sexual education for
adolescents should be integrated (Afr J Reprod Health 2012 (Special Edition); 16[2]: 173-188).
References
Greenberg J. Age at first coitus. A marker for risky
sexual behavior in women. Sexually transmitted
diseases 1992; 19 (6): 331-334
]Singh S et al. Gender Differences in the Timing of First
Intercourse: Data from 14 Countries. International
Family Planning Perspectives 2000; 26 (1): 21-28,
Mba CJ. Sexual behaviour and the risks of HIV/AIDS
and other STDs among young people in sub-saharan
Africa: A review. Research Review 2003; 19 (1):
-26
Debesse M. L’Adolescence. Paris : Collection Que Saisje
? PUF, 1988 : 128.
Spriggs AL, Halpern CT. Timing of Sexual Debut and
Initiation Of Postsecondary Education by Early
Adulthood. Perspectives on Sexual and
Reproductive Health 2008; 40 (3): 152-161
Alsaker FD. Timing of puberty and reactions to pubertal
changes. In: Rutter M. ed., Psychosocial
Disturbances in Young People: Challenges for
Prevention. Cambridge, UK: Cambridge University
Press, 1995; 37-82.
Petersen AC, Taylor B. The biological approach to
adolescence: biological change and psychological
adaptation. In: Adelson J. ed., Handbook of
Adolescent Psychology, New York: Wiley, 1980;
-155
Harrison A et al. Early sexual debut among young men
in rural South Africa: heightened vulnerability to sexual risk? Sexually Transmitted Infections 2005;
(3): 259-261
Harrison A et al. Young People’s Sexual Partnerships in
KwaZulu-Natal, South Africa: Patterns, Contextual
Influences, and HIV Risk. Studies in Family
Planning 2008; 39 (4): 295-308
Rwengue M. Comportements sexuels à risques parmi les
jeunes de Bamenda, au Cameroun. Perspectives
Internationales sur le Planning Familial 2000;
Numéro special: 13-19
Madise N et al. Is Poverty a Driver for Risky Sexual
Behaviour? Evidence from National Surveys of
Adolescents in four African Countries. African
Journal of Reproductive Health 2007; 11 (3): 83-98
Konings E et al. Sexual behaviour survey in a rural area
of northwest Tanzania. AIDS 1994; 8 (7): 987-993
Mnyika KS et al. Determinants of high-risk sexual
behaviour and condom use among adults in the
Arusha region, Tanzania. International Journal of
STD & AIDS 1997; 8 (3): 176-183
Lugoe WL et al. Sexual debut and predictors of condom
use among secondary school students in Arusha,
Tanzania. AIDS Care 1996; 8 (4): 443-452
Pettifor A 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 2009; 35 (2): 74-82
Gueye M et al. Timing of first intercourse among Malian
adolescents: Implications for contraceptive use.
International Family Planning Perspectives 2001; 27
(2): 56-62, 70
Sauvain-Dugerdil C et al. The Start of the Sexual
Transition in Mali: Risks and Opportunities. Studies
in Family Planning 2008; 39 (4): 263-280
Duncan ME et al. First coitus before menarche and risk
of sexually transmitted disease. Lancet 1990; 335
(8685): 338-3340
Pettifor AE et al. Early age of first sex: a risk factor for
HIV infection among women in Zimbabwe. AIDS
; 18 (10): 1435-1442
Meekers D. Sexual initiation and premarital childbearing
in sub-Saharan Africa. Population Studies 1994; 48
(1): 47-64
Vimard P. Synthèse : entre présent contrasté et avenir
incertain : la démographie, la santé de la
reproduction et le développement en Afrique
subsaharienne. In : Ferry B. dir., L'Afrique face à ses défis démographiques : un avenir incertain.
Paris : Karthala, CEPED, AFD, 2007 : 329-367.
UNDP. Rapport sur le Développement Humain de
/2008. 2007, Available at:
dictables.pdf> Accessed February 10, 2009.
Guiella G, Woog V. Santé sexuelle et de la reproduction
des adolescents au Burkina Faso: Résultats de
l’Enquête Nationale sur les Adolescents du Burkina
Faso 2004. New York: Occasional Report No. 21,
Guttmacher Institute, 2006 : 152
Munthali A et al. Adolescent Sexual and Reproductive
Health in Malawi: Results from the 2004 National
Survey of Adolescents. New York: Guttmacher
Institute, Occasional Report, No. 24, 2006: 152.
Neema S et al. Adolescent sexual and reproductive
health in Uganda: results from the 2004 Uganda
National Survey of Adolescents. New York:
Guttmacher Institute, Occasional Report, No. 25,
: 150.
Digest Innocenti. Le mariage précoce. 2001; 7 : 28.
Dixon-Mueller R. “ How Young is “Too Young”?
Comparative Perspectives on Adolescent Sexual,
Marital, and Reproductive Transitions ”. Studies in
Family Planning 2008; 39 (4): 247-262
Santelli J et al. Abstinence and abstinence-only
education: A review of U.S. policies and programs.
Journal of Adolescent Health 2006; 38 (1): 72-81
Bessinger R et al. Sexual Behavior, HIV, and Fertility
Trends. A Comparative Analysis of Six Countries.
Phase I of the ABC Study. Washington, DC:
Measure Evaluation/USAID, 2003: 73.
Asiimwe-Okiror G et al. Change in sexual behaviour and
decline in HIV infection among young pregnant
women in urban Uganda. AIDS 1997; 11 (4): 1757-
Green EC et al. Uganda’s HIV Prevention Success: The
Role of Sexual Behavior Change and the National
Response. AIDS and Behavior 2006; 10 (4): 335-
Gersovitz M. HIV, ABC and DHS: age at first sex in
Uganda. Sexually Transmitted Infections 2007; 83
(2): 165-168
Shears KH. Abstinence sexuelle: une option pour les
adolescents. Network en Français 2002; 22 (1)
Grunseit A et al. Sexuality education and young people’s
sexual behavior: a review of studies. Journal of
Adolescent Research 1997; 12 (4): 421-453.
Article Metrics
Abstract View
: 664 times
Download : 210 times
Refbacks
- There are currently no refbacks.




