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

Overview

Journal Int J Sex Health

Publisher Routledge

Date 2022 Sep 12

PMID 36092761

Authors

Tracy McClinton Appollis

Kim Jonas

Roxanne Beauclair

Carl Lombard

Zoe Duby

Mireille Cheyip

Kealeboga Maruping

Janan Dietrich

Catherine Mathews

Affiliations

Soon will be listed here.

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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References

Maharaj P, Munthree C . Coerced first sexual intercourse and selected reproductive health outcomes among young women in KwaZulu-Natal, South Africa. J Biosoc Sci. 2006; 39(2):231-44. DOI: 10.1017/S0021932006001325. View

Dickson N, Paul C, Herbison P, Silva P . First sexual intercourse: age, coercion, and later regrets reported by a birth cohort. BMJ. 1998; 316(7124):29-33. PMC: 2665316. DOI: 10.1136/bmj.316.7124.29. View

Duby Z, Jonas K, McClinton Appollis T, Maruping K, Dietrich J, Mathews C . "Condoms Are Boring": Navigating Relationship Dynamics, Gendered Power, and Motivations for Condomless Sex Amongst Adolescents and Young People in South Africa. Int J Sex Health. 2024; 33(1):40-57. PMC: 10807805. DOI: 10.1080/19317611.2020.1851334. View

Zuma K, Setswe G, Ketye T, Mzolo T, Rehle T, Mbelle N . Age at sexual debut: a determinant of multiple partnership among South African youth. Afr J Reprod Health. 2011; 14(2):47-54. View

Anderson K, Beutel A, Maughan-Brown B . HIV risk perceptions and first sexual intercourse among youth in Cape Town South Africa. Int Fam Plan Perspect. 2007; 33(3):98-105. DOI: 10.1363/ifpp.33.098.07. View

Onsomu E, Kimani J, Abuya B, Arif A, Moore D, Duren-Winfield V . Delaying sexual debut as a strategy for reducing HIV epidemic in Kenya. Afr J Reprod Health. 2013; 17(2):46-57. View

Shrestha R, Karki P, Copenhaver M . Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal. J Community Health. 2015; 41(1):70-7. PMC: 4715759. DOI: 10.1007/s10900-015-0065-6. View

Jewkes R, Gibbs A, Jama-Shai N, Willan S, Misselhorn A, Mushinga M . Stepping Stones and Creating Futures intervention: shortened interrupted time series evaluation of a behavioural and structural health promotion and violence prevention intervention for young people in informal settlements in Durban, South Africa. BMC Public Health. 2014; 14:1325. PMC: 4320600. DOI: 10.1186/1471-2458-14-1325. View

Kelly R, H Gray R, Sewankambo N, Serwadda D, Wabwire-Mangen F, Lutalo T . Age differences in sexual partners and risk of HIV-1 infection in rural Uganda. J Acquir Immune Defic Syndr. 2003; 32(4):446-51. DOI: 10.1097/00126334-200304010-00016. View

10.

Oswalt S, Cameron K, Koob J . Sexual regret in college students. Arch Sex Behav. 2005; 34(6):663-9. DOI: 10.1007/s10508-005-7920-y. View

11.

Osorio A, Lopez-Del Burgo C, Carlos S, Ruiz-Canela M, Delgado M, de Irala J . First sexual intercourse and subsequent regret in three developing countries. J Adolesc Health. 2012; 50(3):271-8. DOI: 10.1016/j.jadohealth.2011.07.012. View

12.

Shafii T, Stovel K, Davis R, Holmes K . Is condom use habit forming?: Condom use at sexual debut and subsequent condom use. Sex Transm Dis. 2004; 31(6):366-72. DOI: 10.1097/00007435-200406000-00010. View

13.

Cotton S, Mills L, Succop P, Biro F, Rosenthal S . Adolescent girls perceptions of the timing of their sexual initiation: "too young" or "just right"?. J Adolesc Health. 2004; 34(5):453-8. DOI: 10.1016/j.jadohealth.2003.09.019. View

14.

Koon-Magnin S, Kreager D, Ruback R . Partner age differences, educational contexts and adolescent female sexual activity. Perspect Sex Reprod Health. 2010; 42(3):206-13. DOI: 10.1363/4220610. View

15.

Mathews C, Aaro L, Flisher A, Mukoma W, Wubs A, Schaalma H . Predictors of early first sexual intercourse among adolescents in Cape Town, South Africa. Health Educ Res. 2008; 24(1):1-10. DOI: 10.1093/her/cym079. View

16.

Tsuyuki K, Al-Alusi N, Campbell J, Murry D, Cimino A, Servin A . Adverse childhood experiences (ACEs) are associated with forced and very early sexual initiation among Black women accessing publicly funded STD clinics in Baltimore, MD. PLoS One. 2019; 14(5):e0216279. PMC: 6504039. DOI: 10.1371/journal.pone.0216279. View

17.

Pettifor A, OBrien K, MacPhail C, Miller W, Rees H . 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. DOI: 10.1363/ifpp.35.082.09. View

18.

Luke N . Confronting the 'sugar daddy' stereotype: age and economic asymmetries and risky sexual behavior in urban Kenya. Int Fam Plan Perspect. 2005; 31(1):6-14. DOI: 10.1363/3100605. View

19.

Mitchell K, Lewis R, OSullivan L, Fortenberry J . What is sexual wellbeing and why does it matter for public health?. Lancet Public Health. 2021; 6(8):e608-e613. PMC: 7616985. DOI: 10.1016/S2468-2667(21)00099-2. View

20.

Wrosch C, Bauer I, Scheier M . Regret and quality of life across the adult life span: the influence of disengagement and available future goals. Psychol Aging. 2006; 20(4):657-70. DOI: 10.1037/0882-7974.20.4.657. View