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Circumcision status and time to first sex among never-married young men in Malawi: evidence from the demographic and health survey
Authors: Mkandawire P, Luginaah I, Dixon J, Armah F, and Arku G
Source: AIDS and Behavior, 17(6):2123-35; doi: 10.1007/s10461-013-0444-x
Topic(s): Circumcision
First intercourse
Men's health
Country: Africa
Published: JUL 2013
Abstract: This study examines the association between circumcision status and the timing of first sexual intercourse among adolescents in Malawi. Results of survival models applied to nationally representative sample of never-married young men aged between 15 and 24 obtained from the Demographic and Health Survey data show that being circumcised is associated with earlier initiation of sexual activity in Malawi. Young men who reported being circumcised experienced their first sexual intercourse earlier in life than their uncircumcised counterparts. Although the introduction of theoretically relevant knowledge, socio-cultural, demographic, and socioeconomic variables in the multivariate models attenuated the association between circumcision and earlier sexual initiation, the relationship nonetheless remained robust. The study concludes by discussing the implications of these findings and suggests relevant policy recommendations.