Experience Of Sexual Intercourse Research Articles

Audit of Genito-Anal Injuries in male and female sexual abuse cases - A retrospective study.

Background: Sexual assault is a global issue wherein timely examination of sexual assault victims by medico-legal officers and an understanding of the characteristics and factors influencing their injuries have a crucial impact on medico-legal evidence collection and its use in the court. Genital injury findings improve the level of justice for victims, but the lack of injury does not negate the possibility of sexual violence incurred on the victim. The following study describes in great detail the different factors associated with injury characteristics and the medico-legal importance of all these factors. Methodology: It was a retrospective descriptive study conducted at the Forensic Medicine Department of King Edward Medical University, Lahore, Pakistan. All the cases included that fulfill the predefined inclusion criteria were included. A record chart was designed, and six years’ data was recorded in it from the medical records of the medico-legal clinic. It was entered and edited manually. Methods used to prevent data entry errors included double entry and validation following data entry Difference of proportions between variables, where appropriate, has been calculated by Pearson Chi-Square test and Fischer Exact test at 95% confidence interval. Data were analyzed using SPSS v23. All procedures performed in this study involving human participants were following the ethical standards of the institutional and/or national research committee and the Helsinki declaration. Results: Genito anal injury was present in 28.2% cases and was absent in 71.8% cases. Most of the victims were aged 11 to 15 years. The most common injury in the victims was a tear. In females, the most common injury site was the vagina, while the perianal area was the most injured site in males. There was a significant relation (p<0.05) between type and site of injury, gender, site of injury, and prior sexual intercourse experience and prevalence rate of injury. Conclusion: This study concludes that the presence of injuries in the Genito anal area is suggestive of sexual assault and provides useful court evidence.

Sexual health risk indicators and their associations with caries status and gingival health of adolescents resident in sub-urban South-West Nigeria

Background Adolescents are at high risk of poor sexual and oral health. We investigated for sexual risk factors associated with caries experience and gingival health among adolescents in Nigeria. Methods This cross-sectional study collected data from 10-19-year-old adolescents in Ile-Ife, South-West Nigeria through a household survey conducted between December 2018 and January 2019. Information collected included age; sex; socioeconomic status; sexual practices (vaginal, oral, anal sex); sexual (transactional sex, multiple sex partners, condom use at last sexual intercourse) and oral health (frequency of tooth brushing, use of fluoridated toothpaste, dental service utilization in the last 12 months, consumption of refined carbohydrates in-between meals) risk behaviors; caries experience; and gingival health. Logistic regression was used to determine associations between explanatory variables (sexual and oral health risk behaviors) and outcome variables (caries experience and gingivitis). Results There were no significant associations between caries experience and history of sexual intercourse (OR:1.00); condom use at last sex act (OR:0.68); and having one (OR:2.27) or more sexual partners. Also, there was no significant association between moderate/severe gingivitis and a history of anal (OR:2.96), oral (OR:2.69), or vaginal (OR:1.40) sex; and a report of having one (OR:1.71) or more (OR:2.57) sex partners. Conclusions Some sexual health risk indicators insignificantly increase the risk for caries and moderate/severe gingivitis. Screening for sexual risk behaviors during dental care may be a suitable wellness programs approach for adolescents.

Lay understanding and experience of sexual intercourse among couples with infertility undergoing an assisted reproduction technology program: A qualitative study

AimTo explore the perception and lay understanding of sexual intercourse and sexual life experiences among infertile couples before, during, and after undergoing an assisted reproduction technology (ART) program. MethodThe participants of this descriptive qualitative study were Indonesian couples with infertility who underwent an ART program. Semi-structured interviews were conducted between September and December 2022, and the participants' responses were recorded. Data were analyzed using a step-by-step analysis based on Braun's qualitative analysis. The study was reported based on the Consolidated Criteria for Reporting a Qualitative Research (COREQ) Checklist. ResultsFifty participants were included, and five themes were developed before and two themes during or after the ART program. The couples’ knowledge varied as they experienced sexual intercourse at different periods, such as before, during, and after the ART program. Many participants reported that ART affected their emotions and mood, leading to decreased desire to engage in sexual intercourse. However, some used sexual intercourse as a basis for creating optimism and confidence in having offspring. Furthermore, couples perceived that the purpose of sexual intercourse is not only to have offspring but also to improve communication, promote intimacy, and express affection. In contrast, some perceived the ART program as time consuming, preventing them from engaging in sexual activities. However, not all couples considered sexual activity solely as a means of procreation. They concluded that sexual behavior is not only determined by genetics. ConclusionCouples who underwent the ART program regardless of its effectiveness were aware that sexual interaction is not only for having children but also for preserving harmony and familial connection.

Elterliche Sexualaufklärung und sexuelles Risikoverhalten bei Töchtern und Söhnen: Befunde aus der Repräsentativbefragung „Jugendsexualität“

ZusammenfassungHintergrundSexualaufklärung im Elternhaus soll laut Sozialisationstheorie zu mehr sexueller Handlungskompetenz bei Jugendlichen führen. Aktuelle Daten für Deutschland fehlen jedoch.Ziel der ArbeitVor diesem Hintergrund war es Ziel der vorliegenden Studie, erstmals das allgemeine Sprechen über Sexualität im Elternhaus (Forschungsfrage 1, F1) sowie speziell die Verhütungsberatung durch die Eltern (F2) mit dem sexuellen Risikoverhalten der Jugendlichen in Verbindung zu setzen.Material und MethodenDatengrundlage ist die 9. Welle der Repräsentativbefragung „Jugendsexualität“ der Bundeszentrale für gesundheitliche Aufklärung (BZgA). Analysiert wurden Daten aller sexuell aktiven 14- bis 17-jährigen Jugendlichen im Sample, von denen eigene Angaben zum Sexualverhalten sowie Angaben ihrer Eltern zum Aufklärungsverhalten vorliegen (N = 357). Zur Beantwortung der beiden Forschungsfragen wurden logistische Regressionsanalysen mit 4 zentralen Merkmalen des jugendlichen Sexualverhaltens gerechnet.ErgebnisseEs zeigte sich, dass das Sprechen über Sexualität im Elternhaus bei Mädchen und Jungen positiv korreliert mit 1. dem erreichten Konsensalter beim ersten Geschlechtsverkehr, 2. einem positiven Erleben des ersten Geschlechtsverkehrs, 3. einem zuverlässigen Verhütungsverhalten und 4. einer geringen Anzahl an Sexualpartner*innen (F1). Das gleiche Ergebnismuster ergab sich für die Verhütungsberatung durch die Eltern (F2).DiskussionDie positiven Zusammenhänge zwischen elterlicher Sexualaufklärung und risikoärmerem jugendlichen Sexualverhalten gilt es hinsichtlich der zugrunde liegenden Kausalmechanismen genauer zu untersuchen.

Factors Influencing Suicidal Ideation in Korean Female Adolescents with Sexual Intercourse Experience.

Suicide rate in South Korea is the highest among Organization for Economic Cooperation and Development countries. Particularly it is a major public health concern among adolescents. We investigated the factors affecting suicidal ideation among female Korean adolescents who had experienced sexual intercourse. This study was a secondary data analysis using the 18th Korea Youth Risk Behavior Survey, conducted using a complex sampling design in 2022. A complex sample multiple logistic regression was performed to analyze data of 1,166 female students who had experienced sexual intercourse. Among the general characteristics, significant differences in suicidal ideation depending on grade, household income, living with family, academic achievement, and allergic dermatitis were observed (P<0.05). Additionally, the factors significantly associated with suicidal ideation were contraceptive use, mental health (generalized anxiety disorder, depressive symptoms, loneliness, and stress), current smoking, drinking, insufficient sleep, and insufficient breakfast consumption (P<0.05). Multiple logistic regression analysis revealed that the factors affecting suicidal ideation were generalized anxiety disorder, perceived stress, loneliness, depressive symptom, and smartphone addiction. For female adolescents with sexual experience, negative mental health and smartphone addiction needed to be managed to reduce suicidal ideation.

Descriptive Study on a Nationwide Exploratory Questionnaire Survey of Emergency Contraceptive Pills and Their Sexual History and Knowledge in Japan.

A shift towards obtaining emergency contraceptives without a prescription have been discussed in Japan. In response to this social background, we aimed at investigating the background of sexual intercourse, emergency contraceptive use, and knowledge of sexual and reproductive health education among women of reproductive age in Japan. In this study, we conducted a national wide cross-sectional questionnaire survey using a total of 4 web-based domains (background, sexual history, emergency contraceptives, and sexual and reproduction-related knowledge) composed of 50 questions. We obtained responses from a total of 4,631 participants of varying age groups (18-25, 26-35, and 36-45 years old) and 47 prefectures (84 to 118 from each prefecture). Among participant responses, 69.7% are sexually active, of which 49.0% had experiences of sexual intercourse with an unknown person. The responses from a total of 737 participants who have sexual intercourse, know of emergency contraceptives, and have experienced a situation that necessitated the use of emergency contraceptives, were analyzed. Of these participants, 46.4% (342/737) took emergency contraceptives, while 43.6% (321/737) participants did not take emergency contraceptives. Participants who have the knowledge for obtaining emergency contraceptives through the correct means were 52.6% (2438/4631). This study showed that approximately half of participants may not have correct knowledge of emergency contraceptives. In addition, approximately half of sexually active participants are facing unintended pregnancies due to a lack of sexual and reproductive awareness. Hence, comprehensive sex education is necessary to achieve social and regulatory changes centered on emergency contraceptives.

East-west disparities in safer sex inside China: a sociocultural perspective.

This study responds to the increasing rate of HIV/AIDS and unplanned pregnancies among Chinese college students from a sociocultural perspective, and investigates the influences of sociocultural factors in shaping sex-related beliefs and acts among Chinese college students. An online survey was conducted on a purposive sample of 1286 female college students in four cities in east and west China. Significant east-west disparities have emerged in the rate of sexual intercourse experience, rate of safer sex, conservative sexual values, authority sex education, unofficial sex knowledge access and HIV knowledge. A higher rate of sexual activity, but lower rate of safer sex, were found among the students in the west relative to those in the east. This study demonstrates that in a large country, such as China, regional disparities in economy, social development and sexual norms are salient to affect individuals' sexual behaviours.

Influence of the use of Social-Media and Exposure to Pornography on the Sexual Behaviour of youths in selected tertiary institutions in Southwest Nigeria

Exposure to pornography is fraught with health and social implications. In Nigeria, there is a dearth of information on how youths have been exposed to pornography on social media (SM) and the effects of this on their sexual behaviors (SB). This study described the pattern of SM use, exposure to pornography, and the effects of this exposure on SB of young persons in southwest Nigeria. Two hundred students were randomly selected from two tertiary institutions. Data were collected using a pre-tested questionnaire that explored the respondents’ SM usage pattern, exposure to pornography, and SB. Data were analyzed using descriptive statistics, Chi-square, and logistic regression. The mean age of respondents was 21.4±2.7. The SM in which most of the respondents had accounts were WhatsApp (96.7%) and Facebook (95.3%). Major sexual-related activities undertaken on SM included watching/downloading naked pictures (7.0%) and sex videos (13.5%). A majority (92.5%) of the respondents have been inadvertently exposed to pornography, and the major sources of this exposure were SM (59.3%) and web-based Internet pages (61.5%). While only 68.0% have been intentionally exposed, the major sources of exposure were SM (42.3%) and web-based Internet pages (53.3%). About half (48.5%) have experienced sexual intercourse, out of which 17.5% reported having multiple sexual partners. Recent inadvertent (OR: 4.5, 95%CI: 1.25-16.4) and intentional (OR: 2.3, 95% CI: 1.2-4.8) exposure to pornography were significantly associated with the experience of sexual intercourse. Likewise, recent intentional pornography exposure was significantly associated with having multiple sexual partners (OR: 3.0, 95%CI: 1.1-8.6). SM use with exposure to pornography had notable effects on SB of young persons. Effective interventions should be conducted to reduce this exposure and its associated effects among the target population.

Risk Factors Of Sexual Patterns In Fertile Women Of Cervic Lessions

Background: The incidence of cervical lesions that can progress to cervical cancer is estimated at 100 per 100,000 population. In 2013, cervical cancer was the most common cancer in Indonesia (0.8%). The incidence of cervical cancer in Magelang Regency in 2018 reached 2.3%, higher than the incidence in Central Java Province. This study aims to determine the magnitude of the risk factors for cervical lesions due to sexuality patterns in the Magelang Regency area. The purpose of this study was to determine several risk factors for the occurrence of cervical lesions and to find out what factors had the most influence on these events in Magelang Regency in 2020. By knowing the risk factors, the public knew to anticipate them. Methods: This study uses an analytical survey. The population of this study were all women who had partners of childbearing age. Samples were taken using accidental sampling, namely patients who did VIA examinations at independent practice midwives in the Magelang Regency area. Results: factors that did not affect the incidence of cervical lesions were the respondent's age, first experience of sexual intercourse (p 0.548), family planning methods (p 0.451) and genital hygiene (p 0.512). The factors that contributed to the incidence of cervical lesions were the number of sexual partners (p 0.164, OR 0.378), use of assistive devices (p 0.000, OR 8.634) and frequency of sex (p 0.000, OR 2.888) Conclusion: The biggest contributor to these factors is the use of sexual aids

Sexual health literacy and preventive behaviors among middle-school students in a rural area during the COVID-19 situation: A mixed methods study.

Background: This study explored the association between sexual health literacy (SHL) and preventive behaviors of pregnancies and sexually transmitted diseases (STDs) among middle-school students during the COVID-19 outbreak to aid in the development of an informative program. Methods: Mixed-method study with stratified two-stage cluster sampling was used to obtain 730 students from 20 middle schools in a rural province of Thailand. Online self-administered questionnaire was used to collect data from February 2020 to February 2021. Two brainstorming sessions were conducted with a purposeful sample of 25 stakeholders. Multiple linear regressions were used to assess the relationships. Results: The associated significant factors with the preventive behaviors were sex (b=2.06, 95% CI: 1.07, 3.05), nightlife (b=-2.33, 95% CI: -3.99, -0.67), drinking alcoholic beverages (b=2.24, 95% CI: -3.24, -1.23), sexual intercourse experience (b=-2.64, 95% CI: -4.56, -0.72), and SHL (b=0.12, 95% CI: 0.08, 0.16). The stakeholders recommended an edutainment online program via Facebook. Conclusion: This study investigated factors associated with SHL and preventive behaviors among middle school students. The most effective variable in this model was SHL. Therefore, a trial of an online program emphasizing SHL improvement should be examined for effectiveness among these students and seems appropriate, considering their rural area context and middle-school status.

The effects of the ‘Our Love, Our Control’ online program on sexual health literacy (SHL) and behaviors in preventing unintended pregnancy and sexually transmitted diseases (STDs) among adolescents in agricultural areas during COVID-19 outbreak in Thailand

Background: This quasi-experimental study aimed to determine the effects of the ‘Our Love, Our Control’ online program on sexual health literacy and behaviors during the COVID-19 situation in Thailand from February 2020 to September 2021. Methods: Multistage sampling resulted in 37 and 34 participants in the experimental and control groups, respectively. Data were collected by a self-administered questionnaire. Descriptive statistics, Fisher’s exact test/Chi-square test, and independent t-test/Mann-Whitney test were used to determine differences in sociodemographic variables between the experimental and control groups. Repeated measures of ANCOVA were used to compare the mean and 95% confidence intervals of the adjusted variables. Results: From the results, adolescents who had sexual intercourse experience had statistically significant differences at the eighth week of score for behaviors (23.92; 95% CI: 16.56; 31.29), and at the eighth and at the twentieth week of score for sexual health literacy (43.55; 95% CI: 28.10; 59.00; and 19.35; 95% CI: 0.23; 38.48, respectively). However, adolescents who had no sexual intercourse experience had statistically significant differences only at the eighth week of score for sexual health literacy. (11.20; 95% CI: 3.79; 18.61). Conclusions: These findings present a useful practical program to prevent unintended pregnancy and sexually transmitted diseases, especially in sexually active adolescents.

Sexual-Related Knowledge, School and Family Sexuality Education and Its Association with Experience of Sexual Intercourse among Vocational Secondary School Students in China.

Objectives: To investigate the associations between sexual-related knowledge, access to school and family sexuality education, and the experience of sexual intercourse, in order to make recommendations on sexuality education for vocational secondary school students in China. Methods: A cross-sectional study was conducted among 3180 vocational secondary school students in the Shanghai municipality and the Shaanxi province, China. Data were collected through an online, electronic questionnaire, which included socio-demographics, sexual-related knowledge, sources of information, and sexual-related behaviors. Results: The score on sexual-related knowledge among girls (53.8) is higher than that of boys (48.8), and that of participants from Shanghai (55.2) is higher than their counterparts from Shaanxi (47.6). The proportions of girls (70% and 41.7%, respectively) and participants from Shanghai (65% and 35.7%, respectively) who reported acquiring sexual information from their schools/teachers and parents are higher than that of boys (54.3% and 21.0%, respectively) and their counterparts from Shaanxi (59.7% and 27.4%, respectively). About 6% of participants had experienced sexual intercourse and 10% had watched porn actively. Experience of sexual intercourse was associated with higher sexual-related knowledge scores (OR = 1.01, 95% CI: 1.00–1.02) and active porn watching (OR = 2.63, 95% CI: 1.79–3.84) but was not associated with school and family sexuality education. Conclusions: Vocational secondary school students had poor sexual knowledge and inadequate school and family sexuality education. School and family-based comprehensive sexuality education should be promoted among vocational secondary school students.

Factors influencing suicidal tendencies during COVID-19 pandemic in Korean multicultural adolescents: a cross-sectional study

BackgroundThere is concern that the COVID-19 pandemic has had a negative impact on the psychological wellbeing of many populations, including increase of fear, anxiety, and uncertainty. Since the start of the COVID-19 pandemic, adolescents specifically have experienced direct and indirect impacts on their mentally, resulting in severe depression, self-harm and suicide. This study aimed to identify factors influencing suicidal tendencies and the mental health status of multicultural adolescents in Korea during the COVID-19 pandemic.MethodsThis cross-sectional study was conducted with 784 multicultural adolescents (Korean fathers and foreign mothers) who participated in the 16th national Korean Youth Risk Behaviour online survey. Research variables were measured using self-reported questionnaires for mental health and suicidal tendencies. Data was analysed using SPSS 26.0 program.ResultsThe factors influencing suicidal tendencies (contemplating suicide, suicidal plans, and suicide attempts) were sexual intercourse experience (adjusted odds ratio [aOR], 7.67, 5.04, 7.10), depressive mood (aOR 1.03, 0.98, 0.97, 0.90), and unhappiness (aOR 13.00, 7.28, 5.56).ConclusionsIn conclusion, the factors that affect suicidal tendencies showed sexual intercourse experience, depressive mood and unhappiness. Screening for suicidal tendencies and suicide prevention programs that consider the significant factors that affect suicidal tendencies should be developed for multicultural adolescents. School health professions and mental health counselors at schools need to emphasize the mental health and psychosocial support needs of senior high school students.

A review of intravaginal ejaculatory dysfunction and unconsummated marriage cases in the outpatient clinic for male infertility at the University of Tsukuba Hospital

ABSTRACT Introduction Male infertility can be classified into three categories of causes: testicular factors, seminal tract obstruction, and sexual disorders. Sexual disorders, in particular, have been increasing in recent years, as people now marry later in life, and lifestyles have become more diverse. This study focused on erectile dysfunction (ED) and ejaculation dysfunction (EjD) because they are direct causes of sexual disorders and infertility. The most serious sexual disorders are intravaginal ejaculation dysfunction (IVEjD), which indicates a lack of ability to ejaculate during sexual intercourse, and unconsummated marriage (UM), which means no experience of sexual intercourse after marriage. In this study, we reviewed the actual statuses of IVEjD and UM in male infertility patients who were consulted at our clinic. Objective To examine the characteristics of IVEjD and UM by comparing them with other male infertility patients. Methods This study was approved by the relevant ethical review board. We obtained data on 83 male infertility patients diagnosed from 2018–2020 at our clinic. We extracted information on IVEjD and UM patients, which were defined as serious sexual disorders (SSD). We analyzed the factors of SSD cases related to infertility. Results Of 83 male infertility cases, 26 cases had either ED or EjD. We found nine SSD cases; seven cases had IVEjD, and two cases had UM. The mean age was 38.8 years (IQR: 30–50), and the mean age of the wives was 33.6 years (IQR: 2–43). All SSD cases had never had ejaculatory intercourse with a woman including their wives. Seven cases possibly had ED or EjD, but all SSDs were able to ejaculate by masturbation. One case had premature ejaculation, and six cases had delayed ejaculation during masturbation. Three cases had poor semen findings (oligozoospermia or asthenozoospermia), one case had an organic abnormality (after phimosis surgery), and one case had active depression, but there were no abnormalities in the testicular volume or endocrine findings. The causes of SSDs were inappropriate methods of masturbation in three cases (push method in two cases, strong grip in one case), a lack of sexual experience in two cases, and sexual aversion in one case. In three cases, the wives were able to conceive, but all had undergone fertility treatments without sexual intercourse. Conclusion In this study, 31.3% of male infertility patients had sexual disorders, which is higher than the figure in the national survey. In addition, 10.8% of men had never had sexual intercourse with ejaculation in their lives, and even if we consider the fact that these are patients who visit specialized outpatient clinics, it is clear that there are more patients suffering from SSD than expected. Although sexual disorders can be caused by physical abnormalities such as neurological disorders, vascular disorders, and endocrine disorders, all nine cases examined in this study were able to ejaculate by masturbation, suggesting that lifestyle and psychological problems are the major factors of infertility. Given the difficulty in providing medical interventions for these factors, only a small percentage of cases with severe sexual dysfunction resulted in pregnancy, suggesting the difficulty involved in treating sexual dysfunctions. Disclosure Work supported by industry: no.

Internal Consent, Affirmative External Consent, and Sexual Satisfaction Among Young Adults

ABSTRACT Sexual satisfaction is an important part of sexual health. Recently, efforts have been underway to better understand what factors contribute to positive sexual experiences among young adults. One factor may be sexual consent. This study aimed to explore individual and interactive effects of two distinct, but related dimensions of sexual consent – internal consent and affirmative external consent – on young adults’ feelings of sexual satisfaction following their most recent sexual intercourse experience. Participants were 294 young adults (ages 18–25, M age = 23.7; 59% women) recruited from Amazon’s MTurk. Results showed that each dimension of consent had a significant, unique relationship with satisfaction, and that the two dimensions of consent alone accounted for half of the variance in satisfaction. Additional analyses showed that there are specific components of both internal and affirmative external consent (e.g., safety/comfort; arousal; consent/want; communicator/initiator cues) that may be most influential in driving this relationship. As both consent dimensions greatly contribute to positive sexual experiences, researchers attempting to promote sexual wellbeing may be wise to attend to both internal and external consent.

Sexual health risk indicators and their associations with caries status and gingival health of adolescents resident in sub-urban South-West Nigeria

Background: Adolescents are at high risk of poor sexual and oral health. We investigated for sexual risk factors associated with caries experience and gingival health among adolescents in Nigeria. Methods: This cross-sectional study collected data from 10-19-year-old adolescents in Ile-Ife, South-West Nigeria through a household survey conducted between December 2018 and January 2019. Information collected included age; sex; socioeconomic status; sexual practices (vaginal, oral, anal sex); sexual (transactional sex, multiple sex partners, condom use at last sexual intercourse) and oral health (frequency of tooth brushing, use of fluoridated toothpaste, dental service utilization in the last 12 months, consumption of refined carbohydrates in-between meals) risk behaviors; caries experience; and gingival health. Logistic regression was used to determine associations between explanatory variables (sexual and oral health risk behaviors) and outcome variables (caries experience and gingivitis). Results: There were no significant associations between caries experience and history of sexual intercourse (OR:1.00); condom use at last sex act (OR:0.68); and having one (OR:2.27) or more sexual partners. Also, there was no significant association between moderate/severe gingivitis and a history of anal (OR:2.96), oral (OR:2.69), or vaginal (OR:1.40) sex; and a report of having one (OR:1.71) or more (OR:2.57) sex partners. Conclusions: Some sexual health risk indicators insignificantly increase the risk for caries and moderate/severe gingivitis. Screening for sexual risk behaviors during dental care may be a suitable wellness programs approach for adolescents.

Utilization of youth friendly reproductive health services and associated factors among secondary school students in Southern Ethiopia, 2019: school-based cross-sectional study.

youth-friendly services are services that are accessible, acceptable, and appropriate for them. Youths are suffering by unwanted pregnancy, unsafe abortion and its complications and Sexually transmitted diseases (STIs) including HIV. However, a little study was done in Ethiopia previously. Hence, the purpose of this study is to assess the utilization of youth-friendly reproductive health services and associated factors among secondary school students in Areka Town, Sothern Ethiopia. school-based cross-sectional study design was conducted among 600 secondary school students at the Areka Town. A simple random sampling method was used to select the study participants. A structured and pre-tested self-administered questionnaire was used to collect data. Data was entered using Epi data version 3.1 and exported to the SPSS version 20 for further analysis. Adjusted odds ratio at 95% confidence interval with p-value < 0.05 was estimated to identify the associated factors on multivariable logistic regression. the magnitude of youth-friendly reproductive health service utilization was 44.2%, with 95% CI: (40.0-48.4). Having sexual experience (AOR: 14.72, 95%CI (2.41-89.79)), parental monitoring (AOR = 7.65, 95% CI (1.19-49.07)) and having good knowledge (AOR: 14.02 95% CI (9.34-21.53)) were factors independently associated with youth-friendly reproductive health service utilization. the study shows the utilization of youth-friendly reproductive health service were low. Having sexual intercourse experience, parental monitoring, and having good knowledge were predictors of youth-friendly reproductive health service utilization. Areka Town educational office in collaboration with multimedia should provide information and create awareness on youth-friendly service.

Factors Associated with the HPV Vaccination among Korean Americans and Koreans: A Systematic Review.

Koreans and Korean Americans (KAs) have limited HPV knowledge and awareness. KAs share a culture with Koreans, and this culture has affected their behavior around HPV. This systematic review aimed to synthesize the factors associated with HPV vaccination among Koreans and KAs. The literature search was done with four databases. The vaccination rate, awareness and knowledge of HPV, and factors associated with vaccination intention were identified. Eighteen articles were selected. Koreans and KAs had low levels of HPV knowledge and awareness. Perceived benefits and seriousness were associated with vaccination intention. Cervical cancer history, beliefs that their daughters need a pap smear test, sexual intercourse experiences, occupation, low education, and income were associated with vaccination intention. This systematic review discovered that HPV vaccination behavior is associated with HPV vaccine awareness, perceived benefits of the vaccine, and the perceived seriousness of HPV infection among Koreans and KAs. Based on the results, we suggest healthcare providers provide a HPV vaccine recommendation by emphasizing the benefits of the vaccination to Koreans and KAs. This study can be the basis for developing interventions to increase HPV vaccination by guiding the target population and variables, as well as the intervention content.

Prevalence and associated factors of gender based violence among Baso high school female students, 2020

BackgroundGender-based violence (GBV) is a common reproductive health problem, especially in developing countries. It is still the first research priority area in Africa that is identified by World Health Organization. The main aim of this study was to identify the prevalence and determinants of Gender Based Violence among Baso high school female students in Debre Berhan town, Ethiopia.MethodsAn institutional based cross-sectional study was conducted in Debre Berhan, Ethiopia. A total of 350 female students were selected by stratified sampling technique. A self-administered structured questionnaire was used to collect the data. Each independent variable was fitted separately into bivariate logistic analysis, and Variables with p-values less than 0.25 in bivariable model were fitted into multivariate logistic regression analysis to evaluate the degree of association with gender-based violence. The significance level was obtained with 95% CI and p-value < 0.05.ResultThe prevalence of GBV during the lock- down was 36.2% (95% CI 0.3, 0.4), and the lifetime prevalence of GBV was 47.2% (95% CI 0.4, 0.5). The prevalence of life time sexual violence and physical violence were found to be 27.99% (95% CI 0.2, 0.3), and 37.99% (95% CI 0.3, 0.4), respectively. Sexual violence and physical violence during the lockdown were found to be 21.3% and 17.8%, respectively. Respondents educational performance (AOR = 4.5; 95% CI 1.8, 11.3), monthly pocket money received from their parents (AOR = 3; 95% CI 1.6, 5.6), free discussion about reproductive issue (AOR = 2.7; 95% CI 1.4, 5.2), and experience of sexual intercourse (AOR = 13.2; 95% CI 4.8, 36.4) were found to be associated factors of gender based violence.Conclusion and recommendationGender Based Violence is still a significant sexual and reproductive health issue in Ethiopia. Governmental and non-governmental organizations should give due attention to this problem. Moreover, further large-scale studies are needed to estimate the national figure of GBV and to identify route causes.

The global and regional burden of sexual behaviors and food insecurity and their combined association on the magnitude of suicidal behaviors among 121,248 adolescent girls: An international observational study in 67 low- and middle-income and high-income countries

BackgroundFood insecurity and early sexual behaviors increase the risk of suicidal behavior, however their combined association on social behaviors receive little attention. Therefore, this study estimated the magnitude of adolescent global suicidal burden, it correlates with food insecurity and sexual behaviors, and assessed the combined association of food insecurity and sexual behaviors on the burden of suicidal behaviors (SBs) among school-going adolescent girls aged between 11 and 17 years. MethodsThe study design is multi-county, and pooled cross-sectional in nature. Data for 67 countries from the Global School-based Student Health Survey (GSHS) were used. A random-effects meta-analysis was used to generate national and overall pooled estimates of suicidal behaviors. Multinomial logistic regression analyses were employed to estimate the adjusted effect of independent factors and the combined associations of sexual behaviors and food insecurity on adolescent SBs in the context of global, regional, and country income groups and adjusted by a set of explanatory factors. ResultsThe study included 121,248 girls aged 11–17 years. The population-weighted prevalence of high-level (SBs) was 40.65% among school-going girls who experienced sexual intercourse and 7.41% among those who reported severe food insecurity. However, the burden of SBs varied according to type of sexual behaviors and the age. The burden of SB among girls who had sexual intercourse with 1–2 sex partners, 3–4 sex partners, or >4 sex partners was 11.49%, 13.28%, or 18.43%, respectively. The high-level SB was double (23.08%) among adolescent girls who had first sexual intercourse aged 11–13 years old compared to adolescent girls aged 14–17 years (11.49%). The burden of SBs (for at least one SB, for two SBs, or for three SBs) were significantly associated with adolescent girls who experienced sexual intercourse (relative risk ratio, RRR = 2.04, 95% confidence interval, CI:1.83–2.28; RRR = 2.24, 1.99–2.52; RRR = 1.86, 1.59–2.18), sexual intercourse with four or more sex partners (RRR = 1.44, 1.15–1.79; RRR = 1.65, 1.33–2.06; RRR = 2.47, 1.94–3.16), first sexual intercourse aged 11–13 years (RRR = 1.22, 1.02–1.46; RRR = 1.51, 1.26–1.82; RRR = 2.26, 1.81–2.83), compared to adolescents who had no experience of SBs. Compared to adolescent girls who did neither experience food insecurity nor sexual intercourse, the overall burden of SBs (for at least one SB, for two SBs or for three SBs) were significantly higher among girls reporting to have experienced both food insecurity and sexual intercourse (RRR = 1.55, 1.29–1.86; RRR = 1.70, 1.42–2.04; RRR = 1.54, 1.26–1.88); and those reporting having experienced food insecurity but have never had sexual intercourse (RRR = 1.66, 1.48–1.87; RRR = 1.45, 1.26–1.67; RRR = 1.62, 1.36–1.92). However, it was significantly lower among girls reporting to have had sexual intercourse but never experienced food insecurity. This association was extended among adolescents in the context of regional and country income groups. ConclusionThe high burden of suicidal behaviors among adolescents calls for an urgent policy interventions to address food insecurity as a means to keep adolescents in school. The interventions should also aim to integrate safeguards that dissuade youngsters from early sex and protect them from sexual victimisation, and the associated adverse outcomes that that hamstring the attainment of SDG 3.4.2.