Abstract

Several studies have focused on the risk factors associated with adolescent developmental outcomes, but the literature on the role of protective factors at the family and community level for positive adolescent development is scarce, especially in sub-Saharan Africa (SSA). We hypothesize that ensuring a supportive environment for adolescents may result in delayed sexual debut for adolescents in SSA. The relationship between family structure and positive adolescent sexual behaviour, measured as delay in sexual debut, was examined using the bioecological theory framed by a risk and resilience perspective. We used nationally representative data on female and male adolescents (aged 15–17 years) from 12 countries in SSA. We modelled logistic regressions to test for associations between family structure and delayed sexual debut while controlling for other covariates in SSA. The majority (90%) of the young adults delayed sexual debut, and this delay varied by family structure. After controlling for other covariates, adolescents living with neither parent had lower odds of delaying sexual debut although results were only significant for males. Interaction terms with community socio-economic status showed an interaction between community education and males living with neither parent. Future studies must investigate the gender differentials in the relationship between family structure and delayed sexual debut among adolescents in SSA.

Highlights

  • Adolescence has been characterized as a period of both risk and opportunity [1]

  • About 96% of females living with both parents have delayed sexual debut compared to 91% of females living with neither parents who delayed sexual debut

  • This result was different for males where 93% of males with secondary and higher education delayed sexual debut compared to 97% with no education

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Summary

Introduction

Adolescence has been characterized as a period of both risk and opportunity [1]. This phase gives young people the prospects to cultivate behaviours that form a strong foundation for healthy lifestyles during their life-course. It can be a phase of experimentation, which has resulted in a number of programmes being tailored to the needs and rights of adolescents globally. Interventions at the global, national and local levels have been directed to articulating and meeting the needs of adolescents living in various settings. The key priorities have been school retention, sexual and reproductive health and increasing the age of marriage for girls [2, 3].

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