Prevalence Of Sexual Intercourse Research Articles

National trends in sexual intercourse and usage of contraception among Korean adolescents.

The exact influence of the COVID-19 pandemic on sexual intercourse and usage of contraception remains largely uncharted territory. To bridge this gap in knowledge, we conducted a comprehensive, cross-sectional examination of long-term trends in the prevalence of sexual intercourse and usage of contraception among South Korean adolescents from 2006 to 2022. In our research, we drew upon data encompassing 1,138,799 South Korean adolescents aged 12 to 18years, derived from the Korean Youth Risk Behavior Web-based Survey (KYRBS) over a period spanning from 2006 to 2022. We focused on the prevalence of sexual intercourse, contraception utilization, and the underlying associated factors among this demographic. The KYRBS data was collected using a complex sampling strategy to determine the national prevalence estimates and shifts in prevalence before (2006-2019) and during (2020-2022) the COVID-19 pandemic era. During the pre-pandemic period, a decrease in adolescent sexual intercourse was observed (6.34% in 2006, 5.53% in 2012, and 5.87% in 2019). However, in the post-pandemic period (2020-2022), there was a surge in sexual intercourse (4.55% in 2020 and 6.20% in 2022). This evident alteration in sexual intercourse trajectory between pre- and post-pandemic periods was statistically significant [βdiff, 0.950; 95% confidence interval (CI), 0.756-1.144]. Regarding contraceptive use among South Korean adolescents, there was an increase in the pre-COVID-19 pandemic phase across all demographic segments (14.61% in 2006, 22.30% in 2012, and 47.69% in 2022) but a notable decline when compared with the pre- and post-pandemic periods (βdiff, -0.319; 95% CI, -0.454 to -0.184). Additionally, during the study period, a decrease in sexual intercourse was observed in the pre-pandemic period (β, -0.129; 95% CI, -0.148 to -0.110), followed by an increase in the post-pandemic period (β, 0.821; 95% CI, 0.627 to 1.014). This shift is highlighted by an effect size of 0.96 [weighted odds ratio (wOR); 95% CI, 0.92 to 1.00], indicating a substantial change in adolescent sexual behaviors across study periods. The increase in sexual intercourse and decrease in usage of contraception observed in our study between the pre- and post-COVID-19 periods suggests a potential threat to sexual health among South Korean adolescents. This trend emphasizes the ongoing necessity of raising awareness about adolescent sexual behavior in South Korea.

Eating disorders and sexuality: A quantitative study in a French medically assisted procreation course.

ObjectiveAmong medically assisted procreation (MAP) patients, the prevalence of eating disorders (ED), clinical or subclinical, current or past, is considerable. In addition to metabolic repercussions, the literature suggests that these patients present with more sexual dysfunction, leading to anxiety.This quantitative research on a population of women consulting a MAP department for unexplained or ovulatory infertility proposed to study the sexuality of this population by comparing the sexuality of patients suffering from or having suffered from an ED to the sexuality of the non‐ED group.MethodPatients (n = 61) filled out the Eating Disorder Examination Questionnaire (EDE‐Q), the Brief Index of Sexual Functioning for Women (BISF‐W), the ED Whole Life Research Questionnaire, the Hospital Anxiety and Depression Scale (HADS) and the Kansas Marital Satisfaction Scale (KMSS).ResultsWe found a prevalence of 54% of ED, current or past. Even though these patients reported the same prevalence of sexual intercourse, they had significantly more physical problems (e.g., anorgasmia, vaginismus, headache) affecting their sexuality (p = .01) than the non‐ED group, after adjusting for depression. Approximately 10% of the study population reported no intravaginal intercourse during the last month.DiscussionThis study provides evidence for the existence of more sexual dysfunction in patients who have a fertility disorder and have ED or a history of ED. Future research should evaluate the results of psychological or sexological care that may be more suitable for the infertility of these patients.

Gender, sexual experiences and sexual behavioural differences in Turkish university students.

This study was conducted to determine sexual experiences and gender differences in sexual behaviour in university students. In this cross-sectional and descriptive study conducted between 1st February and 12th November 2017. A total of 491 volunteer students were selected at a state university in the Mediterranean region of Turkey using a systematic sampling method. Questionnaires were distributed to the students in sealed envelopes and collected on completion. The data were collected using a socio-demographic form and a sexual experiences and sexual health behaviours form. A total of 414 students (78 males; 336 females) were included in this study. The prevalence of sexual intercourse among these was 4.3%, and total oral and anal sex experiences were 35% and 16.7%, respectively. A significantly higher number of female students of those who reported having sexual intercourse (n = 9; 50.0%), oral sex (n = 81; 55.9%) and anal sex (n = 60; 87.0%), also reported not telling anyone about his/her partner (77.2%), not talking about sex (82.4%) and not buying contraceptive products, even when necessary (78.3%). Hidden sexuality was seen to affect female students more often and this may lead to risky sexual behaviours, sexually transmitted diseases, an unhealthy sexual life with multiple partners and even unplanned, unwanted pregnancies.

Sexual Practices among Senior Students in Private Secondary Schools in Uyo, Southern Nigeria.

Sexual practices of adolescents have enormous consequences on their health and career outcome. The objective of this study was to assess the sexual practices among senior secondary students in private schools in Uyo, Nigeria. This was a descriptive crosssectional study. Data were collected using structured, self administered questionnaire and analyzed with SPSS version 23 software. Level of significance was set at 0.05. A total of 353 respondents participated in the study. The mean age was 14.84±1.10 years with a male to female ratio of 1:1.17. The prevalence of sexual intercourse was 14.2%. The mean age of sexual debut was 11.7±2.60 years, being significantly lower in males, (10.83 ±2.64 years) than females, (12.67±2.42 years) (p=0.00). Risky sexual behaviour included low contraceptive use 15 (30.0%) and having multiple sexual partners 9(18%). A total of 25.8% males and 9.0% females engaged in pornography (p=0.00). Also, 8.6% of males and 2.6% females both masturbated and had sexually active friends respectively (p=0.01). In view of the early sexual debut and risky sexual practices reported among senior secondary students in private schools in Uyo, there is need for early integration of sexuality education into the curriculum of such schools to improve sexual behaviour among the students.

Changes in prevalence of knowledge, attitudes and practices of sexuality in teenage students, Bogotá, 2011-2015

To present the changes in the prevalence of knowledge, attitudes and practices in high school adolescents in sexuality after an intervention process. Observational descriptive study. It was administered a questionnaire to 319 adolescents, attending three public schools, for five consecutive years as they progressed in school years (seventh to eleventh). Health promotion workshops were held. Changes in the prevalence were measured (identification of the menstrual cycle, emergency contraception and, condom protection, as well as parents' acceptance of contraception methods, having sex, reasons for do it and, whether they used protection in the first and last relationship). The results were compared by gender. The identification of emergency contraception was increased from 52% in seventh to 70% in eleven; also, the certainty of the condom protection (from 45% to 62%, respectively). The average of the prevalence of sexual intercourse was 24%, protection in the first relationship 52% and, in the last one was 81%; no statistical differences of these variables were found when comparing them by gender. Parents' perception of acceptance of planning increased from 45% to 79%. The program results highlighted the need to strengthen the educational processes.

Relationships of substance use and sexual behavior of female junior high school students in Korea: A cross-sectional Web-based survey

The purpose of this study was to identify the sexual behavior and associated factors of Korean female junior high school students. This study design was cross-sectional, and used raw data from the 2013 Korea Youth Risk Behavior Web-based Survey. Among the data from 72,435 students, we analyzed those from 17,609 female junior high school students. Descriptive statistics were used to identify sexual behavior, and χ2-test and logistic regression were used to identify factors related to sexual behavior. Among the female students, 2.5% responded that they had experienced sexual intercourse, and the prevalence of sexual intercourse was higher among mixed-school students than girls’-school students. The students’ risk behaviors or mental health such as drinking, smoking, drug use, depression, and suicidal ideation or attempt showed significant associations whether they had experiences of sexual intercourse or not. Factors which significantly related to students’ likelihood of sexual intercourse were smoking, drug use, depression, suicidal attempt, perceived economic status, and part-time job experiences. Based on the results of this study, development of a sexual education program including a focus on the students’ risk behaviors and mental health is recommended to reduce the likelihood of risky sex among Korean female junior high school students.

\u201cI am spiritual, but not religious\u201d: Does one without the other protect against adolescent health-risk behaviour?

ObjectivesSpirituality and religious attendance (RA) have been suggested to protect against adolescent health-risk behaviour (HRB). The aim of this study was to explore the interrelatedness of these two concepts in a secular environment.MethodsA nationally representative sample (n = 4566, 14.4 ± 1.1 years, 48.8% boys) of adolescents participated in the 2014 Health Behaviour in School-aged Children cross-sectional study. RA, spirituality (modified version of the Spiritual Well-Being Scale), tobacco, alcohol, cannabis and drug use and the prevalence of sexual intercourse were measured.ResultsRA and spirituality were associated with a lower chance of weekly smoking, with odds ratios (OR) 0.57 [95% confidence interval (CI) 0.36–0.88] for RA and 0.88 (0.80–0.97) for spirituality. Higher spirituality was also associated with a lower risk of weekly drinking [OR (95% CI) 0.91 (0.83–0.995)]. The multiplicative interaction of RA and spirituality was associated with less risky behaviour for four of five explored HRB. RA was not a significant mediator for the association of spirituality with HRB.ConclusionsOur findings suggest that high spirituality only protects adolescents from HRB if combined with RA.

‘Inexperienced’? Patterns in romantic and sexual experiences among urban poor early adolescents in Nairobi, Kenya

The need for early prevention approaches to improve young people’s sexual and reproductive health is gaining attention, yet little is known about the sexual experiences of early adolescents aged 10–14 years. Drawing on cross-sectional survey data collected from 365 early adolescents in a Nairobi slum, we used latent class analysis to identify subgroups based on self-reported awareness about sex and involvement in romantic and sexual activities. Multivariate regression models were fitted to examine the characteristics of each subgroup. Results revealed three subgroups: Involved (12%, high probability of being aware of sex and to have engaged in romantic/sexual activities); Observant (48%, high awareness but little own experience); and Naïve (40%, little awareness or personal experience). Being in the Involved group was associated with older age, having commenced puberty/orphanhood, and living in the least poor households. Findings suggest that while most early adolescents in this setting have not initiated romantic and sexual activities, there are distinct subgroups of who would not be captured by looking only at the prevalence of sexual intercourse. Understanding the characteristics and needs of specific subgroups may help to strengthen efforts to improve young people’s sexual and reproductive health in urban poor environments.

Determinants of the age at sexual debut among adolescents in secondary schools in Obio/Akpor local government area of Rivers State, Nigeria

Background: The age at sexual debut is an important public health issue as it determines the onset of exposure to sexual and reproductive health diseases. Early sexual debut increases the risk of sexually transmitted infections, HIV/AIDS, teenage pregnancy and all the associated sequelae. This study determined the age at sexual debut and associated factors among adolescents in secondary schools in Obio/Akpor local government area (LGA) of Rivers State, Nigeria. Methods: A descriptive cross-sectional school-based study was carried out among eight secondary schools in Obio/Akpor LGA of Rivers State between May and July 2017. Using the multistaged sampling method, 426 students aged 10–19 years were recruited. A semi-structured pretested self-administered questionnaire was used. SPSS version 20 was used for analysis. Comparison of means was done using the Student's t-test, while the test for association between subgroups was carried out using the Chi-square test and logistic regression analysis was done to describe the sociodemographic characteristics of respondents and to identify independently associated factors. Results: Of the 426 students studied, 223 (52.3%) of them were males and 203 (47.7%) were females, giving a male-to-female ratio of 1:1. The mean age of respondents was 13.8 ± 1.7 years. The prevalence of sexual intercourse was 8.0%, with a mean age at sexual debut of 13.0 ± 2.3 years. The factors identified to influence the age at sexual debut include alcohol use (odds ratio [OR]: 13.088, confidence interval [CI]: 6.038–28.374, P = 0.000), not living with both parents (OR: 7.008, CI: 3.289–15.164, P = 0.000), peer pressure (χ[2] = 17.007, P ≤ 0.001) and sexual abuse (χ[2] = 7.472, P = 0.006). Conclusion: The prevalence of sexual intercourse is 8.0% among adolescents in Obio/Akpor LGA. Early sexual debut exists with no gender difference on the timing of sexual debut. Peer pressure, sexual abuse, alcohol use and absence of both parents in a child's life are risk factors to early sexual debut. An early and comprehensive sex education is necessary to protect children from initiating sexual intercourse early in life.

Trends in Portuguese Adolescents’ Sexual Behavior from 2002 to 2014: HBSC Portuguese Study

This study examined trends in adolescent sexual behaviors from 2002 to 2014 in Portugal. Data were collected using self-reported questionnaires from 8th and 10th graders in classrooms during 2002, 2006, 2010, and 2014. Overall, the prevalence of sexual intercourse, age of sexual initiation, pill use, and sexual intercourse under the influence of alcohol or drugs decreased in Portugal between 2002 and 2014, while condom use increased. Boys and 10th graders more frequently reported having ever had sexual intercourse, boys and 8th graders more frequently reported having had sexual intercourse under the influence of alcohol or drugs, girls and 10th graders more frequently reported having had their first sexual intercourse at 14 years or older (except in 2014, where boys and girls reported more frequently having initiated at 12–13 years), and girls and 10th graders reported more frequently having used condoms and the pill (except in 2014) at the last sexual intercourse. Eighth graders more frequently reported having had their first sexual experience at 12–13 years (except in 2006).

The association between Ugandan adolescents’ viewing of specific television genres and sex-related normative beliefs and behaviours

ABSTRACTGrowing evidence in Western nations indicates that exposure to high levels of sexual media content influences adolescents’ sexual attitudes and behaviours in those countries. Although media in many sub-Saharan markets contain increasingly higher levels of sexual content, little research has investigated the effects of that content on adolescents’ HIV-related risk and protective behaviours. This project used cultivation theory to examine Ugandan adolescents’ media use, and to test the relationship between their exposure to specific television genres and their sex-related normative beliefs and behaviours. Three hundred and sixty secondary school students from four purposively sampled schools filled out a questionnaire about their television viewing, their beliefs about the prevalence of sexual intercourse among their peers, and their own sexual behaviours. Preliminary evidence of relationships between watching comedy and cartoon programming, and high estimates of the proportion of adolescents who engage in sexual intercourse, were observed. Watching comedy programming and non- African programming was associated with the higher likelihood to have ever had sexual intercourse.

Contraception and Unintended Pregnancy among Unmarried Female University Students: A Cross-sectional Study from China.

This study aims to understand the level of contraceptive knowledge and attitudes towards contraception, and then to explore the association between the contraceptive behavior and unintended pregnancy in unmarried female university students in China. A cross-sectional study was conducted of university students in 49 universities across 7 cities in China from September 2007 to January 2008. We distributed 74,800 questionnaires, of which 69,842 were returned. In this paper, the data from 35,383 unmarried female university students were analyzed. The prevalence of sexual intercourse in unmarried female university students was 10.2%. The prevalence of unintended pregnancy in those sexually active female university students, was 31.8%. Among students with pregnancy, 53.5% experienced two or more pregnancies. 28.3% of the students with sexual intercourse reported that they always adopted contraceptive methods, and of those 82.9% chose to use male condoms. The majority (83.9%) of students with unintended pregnancy chose to terminate the latest pregnancy by surgical abortion or medical abortion. The contraceptive knowledge level of students who experienced unintended pregnancy was lower than those who did not. In China, about one third of unmarried female students with sexual intercourse experience unintended pregnancy. A variety of contraceptive methods are adopted, but the frequency of contraceptive use is low. Most of unmarried female students who experienced unintended pregnancy would choose to terminate the pregnancy with surgical or medical abortion. University students, especially the ones who have experienced unintended pregnancy, lack contraceptive and reproductive health knowledge.

Prevalence of sexual intercourse and associated factors among adolescents attending schools in Goiânia in the state of Goiás, Brazil

This study sought to investigate the prevalence of sexual intercourse among adolescents in a Brazilian city and its association with sociodemographic factors, health-risk behaviors, and body image perception. A cross-sectional study was conducted using data from the National Adolescent School-based Health Survey (PeNSE), carried out in 2009. The sample comprised schoolchildren enrolled in the 9th year in the city of Goiânia, Goiás (n= 3,099), mostly aged between 13 and 15. The dependent variable was the reporting of sexual intercourse at least once. To identify variables associated with sexual activity, Poisson regression analysis was used. The prevalence of sexual intercourse at least once in the adolescents' lifetime was 26.5% (95% CI= 23.8-29.4). Prevalence was higher among males, those aged 14 years or older, who reported not living with their mother or with their father, who attended public schools, reported alcohol, tobacco or other drug use, and were involved in fights and family violence. The conclusion reached was that the prevalence of sexual intercourse was high and associated with poor sociodemographic conditions, health-risk behaviors and violence. These factors should be considered in the health promotion strategies seeking more safe and healthy sexual behavior during adolescence.

Sexual behavior and associated factors among Korean junior high school students

The study purpose was to identify the sexual behavior and associated factors of Korean junior high school students. Raw data from the 2013 Korean Youth Risk Behavior Web-Based Survey were used. Among the data from 72,435 students, 36,530 junior high school students were analyzed. Complex sample frequency analysis and complex sample chi-square were used to identify the condition of sexual behavior, and complex sample logistic regression was used to examine the factors related to sexual behavior. Among the students, 3.8% responded that they had experienced sexual intercourse, and the prevalence of sexual intercourse was higher among male students (5.0%) compared to female students (2.5%). Among male students, those who had the following were more likely to have had sexual intercourse: perceived high economic status, living with a relative, experience with a partti-me job, a foreign father, experience with smoking and drinking during the past month, experience with drug use, and depression during the past 12 months. Among the female students who were more likely to have had sexual intercourse, the following were ascertained: higher grades, perceived high economic status, living with a relative or in childcare facilities, experience with a part-time job, a foreign father or mother, experience with smoking and drinking during the past month, and experience with drug use. The results suggest that it is important to develop a comprehensive approach program not only focused on sexual behavior but also including mental health or other health behaviors to effectively reduce the likelihood of sexual intercourse among Korean junior high school students.

Sexual behavior of school-aged adolescents in the city of Goiânia, Goiás.

To investigate the characteristics of sexual behavior in school-aged adolescents and possible differences regarding sex and type of school. Cross-sectional study using data from the National Adolescent School-based Health Survey (PeNSE) 2009, carried out by the Brazilian Ministry of Health, in partnership with the Brazilian Institute of Geography and Statistics (IBGE). The sample consisted of 3,099 9th graders living in Goiânia, State of Goiás, Brazil, mostly aged between 13 to 15 years old, who answered a self-applicable questionnaire on risk and protective health factors. The Rao-Scott test was used in the statistical analysis, considering the complex sample design. The prevalence of sexual intercourse was of 26.5% (95%CI 23.8 - 29.4) at least once in life and of 18.5% (95%CI 16.5 - 20.8) in the last year. Both behaviors were more frequent among male students and among those attending public schools. Most of the respondents had their first intercourse at the age of 13 or younger, with up to 3 partners. They had also used a pregnancy prevention method in the last intercourse, and received guidance on prevention at school. The age of the first intercourse was earlier and the number of partners was higher among male students. More females and those attending public schools reported having received information on pregnancy prevention. Guidance on STD/AIDS was also more frequent in public schools. Results showed a need for health education measures involving education and health professionals, as well as parents, to reduce the discrepancies found regarding sex and type of school.

Teenage sexual attitudes and behaviour in China: a literature review

China is the most populated of any country in the world. Social norms and values pertaining to love and marriage have changed considerably since the launch of its open-door policy and economic reforms of the 1980s. Attitudes to sex have become more open, while the negative consequences of early sexual intercourse have become issues of health and social concern. The aim of this study is to provide an overview of the teenage sexual attitudes and behaviour in contemporary China. A literature review was conducted between 2000 and 2010, using both English (Medline, CINAHL, PsycINFO, ASSIA) and Chinese language databases (China National Knowledge Infrastructure, Wanfang database). Thirty-six studies were included and reviewed. It was found that young people reported poor sexual knowledge, especially in relation to reproductive matters and sexually transmitted infections. The media, such as television, magazines and the Internet, were seen as their main sources of information on sex. Despite the frequently reported liberal attitudes to sexual behaviour, only a small number of young people had already lost their virginity or been involved in pregnancies. Young men were more likely than young women to report having had sex, while respondents at vocational high schools were less likely to remain virgins than those at common/key high schools. Although the prevalence of sexual intercourse among Chinese teenagers was still lower than that reported in studies conducted in most western countries, the findings do reflect some changes in sexual values and behaviour of young people within the country. They also suggest the need to develop more comprehensive sex education programmes in co-operation with young people, schools, health organisations, families and communities and to make sexual and reproductive health services accessible to teenagers and unmarried young people throughout China.

Factores asociados por género a relaciones sexuales en adolescentes de Santa Marta, Colombia, en el año 2004*

RESUMENObjetivo: determinar las variables asociadas a haber tenido relaciones sexuales en mujeres y hombres, estudiantes de secundaria en Santa Marta, Colombia.Materiales y métodos: se diseñó un estudio transversal para conocer las variables relacionadas con haber tenido relaciones sexuales. Mediante regresión logística se ajustaron las variables asociadas en forma separada para mujeres y para hombres.Resultados: un grupo de 2.039 mujeres y otro de 1.536 hombres participaron en el estudio. La prevalencia general de relaciones sexuales fue 22,5%; en hombres 41,0%; y en mujeres 8,6%. En mujeres, haber tenido relaciones sexuales se relacionó con no haber recibido información sobre VIH-SIDA (OR=9,4; IC95% 1,3-71,4), consumo de alcohol (OR=8,3; IC95% 4,4-15,6), edad mayor de 15 años (OR=4,2; IC95% 3,0-6,0), consumo de cigarrillo durante el último mes (OR=3,0; IC95% 2,0-4,6) y consumo de marihuana (OR=2,8; IC95% 1,1-7,1). En hombres, se asoció a consumo de marihuana (OR=10,9; IC95% 2,5-47,4), consumo de alcohol (OR=5,2; IC95% 3,7-7,2), consumo de cigarrillo el último mes (OR=3,4; IC95% 2,3-5,1), edad mayor de 15 años (OR=3,0; IC95% 2,2-4,0) y orientación heterosexual (OR=1,7; IC95% 1,2-2,5).Conclusiones: la prevalencia de relaciones sexuales es mayor en hombres que en mujeres. Exclusivamente en mujeres se relaciona con no haber recibido información sobre VIH-SIDA; y en hombres con orientación heterosexual. Es necesario considerar los aspectos culturales propios de América del Sur en la investigación del comportamiento sexual adolescente.

Prevalence of major HIV- risk related behaviour among SSS3 students in Port Harcourt Metropolis, Nigeria

The paper intended to find the prevalence of HIV infection risk-related behaviours among third year senior secondary school students in Port Harcourt metropolis. A cross-sectional survey among 1800 third year senior secondary school students randomly selected from thirteen secondary schools in Port Harcourt metropolis was done using two-stage sampling technique. Demographic data and information on the sexual behaviour of each student in the study group was obtained from self-administered structured questionnaire. The prevalence of sexual intercourse was 61.1%. Males were more sexually active than females. Age of first sexual intercourse was 13.2±5.6 years for males and 13.9±4.1 years for females. Of the sexually active students, 32.6% had multiple sexual partners. Sexual activity of the students did not increase with age. The prevalence of Intravenous drug use (IVDU) was found to be 1.4%. The use of intravenous drugs was more among the males (80.8%) than among the females. The prevalence of blood transfusion is 10.3%. Among the sexually active students only 437 (36.9%) used condom. Sex of student, social class and school gender were significant predictors of ever-had sexual activity. The paper concludes that the prevalence of sexual behaviour related to the development of HIV/AIDS amongst the students is high. The need to highlight HIV/AIDS education programmes in the school curriculum of adolescents is discussed. African Journal of Health Sciences Vol. 15 (1&2) 2008: pp. 42-49

Prevalence and social correlates of sexual intercourse among schoolgoing adolescents in Namibia

Adolescent sexuality is an important public health issue, as it affects risk to contract HIV and other sexually transmitted infections. The assessment of prevalence of sexual intercourse among adolescents is of public health significance, as it may guide policies and programmes aimed at reducing the transmission of sexually transmitted infections among this age group. This cross-sectional study using standardised methodology was conducted to assess the prevalence and correlates of sexual intercourse among Namibian schoolgoing adolescents in 2004. Overall the prevalence of sexual intercourse was 33.2% (44.0% males and 24.8% females). Variables positively associated with the outcome in multivariate analysis were male gender (OR=2.39; 95% CI (1.81, 3.17)), cigarette smoking (OR=1.67; 95% CI (1.07, 2.63)), alcohol drinking (OR=1.63; 95% CI (1.18, 2.26)), and drug use (OR=9.82; 95% CI (6.28, 15.36). Parental supervision was negatively associated with sexual intercourse in the last 12 months (OR=0.73; 95% CI (0.56, 0.94)). Efforts to control unhealthy lifestyles (smoking, alcohol and illicit drug use) may impact on adolescents' sexual activity.

Prevalence of sexual intercourse among school-going adolescents in Coast Province, Kenya

A study was carried out to estimate the prevalence and associated factors of sexual intercourse among school adolescents in Coast Province, Kenya. Data were obtained through the Kenya Global School-Based Health Survey. Overall the prevalence of sexual intercourse within the last 12 months was 14.9% (22.2% in males and 5.0% in females). Among males, the protective factors against having sex were being of age < 15 years (OR = 0.60, 95% CI 0.58, 0.62) and ever been drunk (OR = 0.63, 95% CI 0.59, 0.67). The risk factors for having sex among males were ever smoked (OR = 2.05, 95% CI 1.92, 2.19), having close friends (OR = 1.68, 95% CI 1.56, 1.81), currently drinking alcohol (OR = 1.13, 95% CI 1.06, 1.20), ever used drugs (OR = 2.36, 95% CI 2.24, 2.49) and parental supervision (OR = 1.30, 95% CI 1.25, 1.34). Meanwhile among female respondents, parental supervision was protective (OR = 0.88, 95% CI 0.81, 0.94) and the only risk factor was ever used drugs (OR = 2.85, 95% CI 2.57, 3.15). It is suggested that public health interventions aimed to promote adolescent sexual health should be designed with the appreciation of the factors associated with sexual activity in due consideration.