Back to browse results
Prevalence and associated factors of early sexual initiation among youth female in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys
Authors: Tigist Andargie Ferede, Atalay Goshu Muluneh, Alemakef Wagnew and Agmasie Damtew Walle
Source: BMC Women's Health, 23
Topic(s): Reproductive health
Sexual behavior
Country: Africa
  Multiple African Countries
  Congo Democratic Republic
  Cote D'Ivoire
  Sierra Leone
  South Africa
Published: MAR 2023
Abstract: Background: Early sexual initiation is a major public health concern globally, specifically in Sub-Saharan African (SSA) countries where reproductive health care services are limited. It is strongly related to increased risk of HIV/AIDS, sexually transmitted diseases, unwanted pregnancy, adverse birth outcomes, and psychosocial problems. However, there is limited evidence on the prevalence and associated factors of early sexual initiation among youth females in SSA. Methods: A secondary data analysis was employed based on the recent DHSs of sub-Saharan African countries. A total weighted sample of 184,942 youth females was considered for analysis. Given the hierarchical nature of DHS data, a multilevel binary logistic regression model was fitted. The Intra-class Correlation Coefficient (ICC), Median Odds Ratio (MOR), and Likelihood Ratio (LR) test were used to assess the presence of clustering. Four nested models were fitted and the model with the lowest deviance (-2LLR0 was selected as the best-fitted model. Variables with p-value?