Predictors of Sexual Debut Among Young Adolescents in Nairobi’s Informal Settlements

Bibliographic Data

ID19544823
AuthorsMilly Marston (0000-0001-8970-2081, London School of Hygiene & Tropical Medicine), Donatien Beguy, Caroline Kabiru (0000-0002-0735-9839), John G F Cleland (0000-0002-1471-7016, London School of Hygiene & Tropical Medicine), John Cleland
Year2013
Volume39
Issue01
Pages022-031
Publication date2013-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueInternational Perspectives on Sexual and Reproductive Health (JOURNAL)
Journal identifiersISSN: 1944-0391 • E-ISSN: 1944-0405
PublisherGuttmacher Institute (PUBLISHER • US)
DOI10.1363/3902213
PMID23584465
PMCIDPMC4101799
OpenAlexW2020943078
LanguageEN
Citations received20
References cited38

CONTEXT: There is a need to better understand the various social, psychosocial and behavioral factors associated with sexual activity among young adolescents in various settings in Sub-Saharan Africa. METHODS: Data were drawn from Wave 1 (2007-2008) and Wave 2 (2009) of the Transition to Adulthood study, which collected information about key markers of the transition to adulthood and social, demographic and psychosocial characteristics of male and female youth living in two informal settlements in Nairobi, Kenya. Logistic regression analyses were used to examine variables associated with experience of sexual debut by Wave 2 among youth who were aged 12-16 and sexually inexperienced at Wave 1. RESULTS: Of the 1,754 youth in the sample, 92 experienced sexual debut between survey waves. For both males and females, sexual debut was positively associated with having permanently dropped out of school (odds ratios, 6.9 and 21.8, respectively), having never attended school (8.6 and 39.4) and having experienced severe family dysfunction (2.8 and 5.7). Lack of parental supervision was a predictor of sexual debut among males only (10.1), whereas low aspiration was a predictor among females only (10.4). Surprisingly, young women, as well as men, who did not have high self-esteem were less likely than those who did to initiate first sex between waves (0.4 and 0.3). CONCLUSIONS: Study findings underscore the importance of school attendance, family dysfunction, parental supervision and self-esteem in driving sexual behavior in this age-group. Further studies are warranted to elucidate how these factors can be addressed in prevention programs for young adolescents

Attendance · Developmental psychology · Logistic regression · Odds · Psychiatry · Psychosocial · Sociology · Young adult · Adolescent Health and Behaviors · Adolescent Sexual and Reproductive Health · Demography · Medicine · Poverty, Education, and Child Welfare · Psychology