Prevalence and risk factors for inter-generational Sex: a cross-sectional cluster survey of Barbadian females aged 15–19

BMC Women's Health

Research Article

Kim Quimby¹  Ian R Hambleton¹  R Clive Landis²  Clarissa Perks³  Rajul Patel³  Alok Kumar⁴  Colin Clarke⁵  Nicole Drakes⁶ 

[1] Chronic Disease Research Centre, The University of the West Indies, Bridgetown, Barbados;Chronic Disease Research Centre, The University of the West Indies, Bridgetown, Barbados;Edmund Cohen Laboratory for Vascular Research, Chronic Disease Research Centre, University of the West Indies, BB11115, Bridgetown, Barbados;Department of Genito Urinary Medicine & HIV, Southampton University, Southampton, UK;Department of Pediatrics, Faculty of Medical Sciences, University of the West Indies, Bridgetown, Barbados;Department of Youth Affairs, Ministry of Youth, Family & Sports, Bridgetown, Barbados;National HIV AIDS Commission, National AIDS Program, Bridgetown, Barbados;

关键词: Adolescent Female;    Sexual Encounter;    Sexual Coercion;    Financial Distress;    Sexual History;   

DOI  :  10.1186/1472-6874-13-53

 received in 2013-03-08, accepted in 2013-11-21,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to establish the prevalence and risk factors for intergenerational (IG)-sex in females aged 15–19 residing in Barbados.MethodsThis cross sectional cluster survey was conducted in a 2.6% national sample in the age range (n = 261) recruited from multiple polling districts chosen with a probability proportional to size. Consent was obtained from participants aged ≥18 years or from parents/guardians of participants <18 years, with participant assent. The prevalence of age at first sex was analyzed using a life table approach and risk factors for IG sex (defined as sexual relations with a male 10 or more years older) were analyzed by logistic regression, adjusting for age.Results51.0% of adolescent females in the survey reported ever having had sex, among whom prevalence of IG-sex was 13.2% (95% CI: 6.7-19.8) at first sex, 29.0% (22.3-35.7) within the preceding twelve months, and 34.8% (24.3-45.4) ever. Condom use at first sex was positively related to willingness to have sex (F statistic = 9.8, p = 0.001). The strongest determinant for IG-sex was age of sexual debut (age adjusted Odds Ratio [95% CI]: 0.58[0.41-0.83]), followed by money or gifts received from the partner (2.91[1.17-7.23] and self-esteem (0.33[0.11-0.95]).ConclusionsThe survey establishes a high rate of IG-sex in Barbados, a ‘high income’ country. Most insightful is that risk of IG-sex nearly halved for every year at which first sex was delayed. A high proportion of coerced sex was reported at first sexual experience and this was linked to poor condom use. Affirmative prevention approaches are recommended to boost self-acclamation of adolescent women within less coercive relationships, especially during their first sexual encounter.

【 授权许可】

Unknown   
© Drakes et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.