Abstract
This paper examined trends in adolescent sexual initiation in sub-Saharan Africa, with emphasis on differentials in social determinants across gender and contexts. Data were drawn from Demographic and Health Surveys in 8 countries that had at least 2 surveys conducted approximately 5 years apart, each with distinct questionnaires for women and men of reproductive age regardless of marital status. The data were useful both for testing of substantive hypotheses about the correlates of adolescent sexual intercourse as well as for elaborating sexual health interventions in contexts of development. The main analytical tool was multivariate logistic models using a generalized estimating equation to consider the probability of a young man or young woman having first intercourse during adolescence. In some countries, observed declines over time in the proportion of adolescents having had sex were not statistically significant after taking into account changes in background characteristics, especially education. Important gender differentials were also found. While secondary schooling was associated with lower probability of early sex among girls in all countries, the relationship was often in the opposite direction among boys. Influences of other sociodemographic and community status variables were generally less important.
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References
Adamchak, D., & Mbvizo, M. (1991). Family planning information sources and media exposure among Zimbabwean men. Studies in Family Planning, 22, 326–331.
Ainsworth, M. (1994). Socioeconomic determinants of fertility in sub-Saharan Africa. Washington, DC: World Bank.
Blanc, A. K., & Rutenberg, N. (1990). Assessment of the quality of data on age at first sexual intercourse, age at first marriage, and age at first birth in the Demographic and Health Surveys. In An assessment of DHS-I data quality (DHS Methodological Reports, No. 1). Columbia, MD: Institute for Resource Development/Macro Systems.
Blanc, A. K., & Way, A. (1998). Sexual behavior and contraceptive knowledge and use among adolescents in developing countries. Studies in Family Planning, 29, 106–116.
Caldwell, J. C. (1976). Toward a restatement of demographic transition theory. Population and Development Review, 2, 321–366.
Castle, S., & Konaté, M. K. (1999). The context and consequences of economic transactions associated with sexual relations among Malian adolescents. In The African population in the 21st century: Proceedings of the third African population conference (Vol. 3, pp. 105–128). Durban, South Africa: Union for African Population Studies.
Cleland, J., & Wilson, C. (1987). Demand theories of the fertility transition: An iconoclastic view. Population Studies, 41, 5–30.
Coale, A. J. (1973). The demographic transition. In Congrès international de la population (Vol. 1, pp. 53–71). Liège, Belgium: International Union for the Scientific Study of Population.
Djamba, Y. K. (1997). Financial capital and premarital sexual activity in Africa: The case of Zambia. Population Research and Policy Review, 16, 243–257.
Easterlin, R. A. (1983). Modernisation and fertility: A critical essay. In R. A. Bulatao & R. D. Lee (Eds.), Determinants of fertility in developing countries (Vol. 2, pp. 562–586). New York: Academic Press.
Farooq, G., & DeGraff, D. (1988). Fertility and development: An introduction to theory, empirical research and policy issues. Geneva, Switzerland: International Labour Office.
Gage, A. J. (1995). An assessment of the quality of data on age at first union, first birth, and first sexual intercourse for phase II of the Demographic and Health Surveys program (DHS Occasional Papers, No. 4). Calverton, MD: Macro International.
Gage, A. J. (1998). The social implications of adolescent fertility. In M. Livi-Bacci & G. Santis (Eds.), Population and poverty in the developing world (pp. 120–143). Oxford: Clarendon Press.
Liang, K. Y., & Zeger, S. L. (1993). Regression analysis for correlated data. Annual Review of Public Health, 14, 43–48.
Lloyd, C. B., Kaufman, C. E., & Hewett, P. (2000). The spread of primary schooling in sub-Saharan Africa: Implications for fertility change. Population and Development Review, 26, 483–515.
Macro International. (1996). Sampling manual (Demographic and Health Surveys Basic Documentation, No. 6). Calverton, MD: Macro International.
Mahy, M., & Gupta, N. (2002). Trends and differentials in adolescent reproductive behavior in sub-Saharan Africa (DHS Analytical Studies, No. 3). Calverton, MD: ORC Macro.
Marckwardt, A. M., & Rutstein, S. O. (1996). Accuracy of DHS-II demographic data: Gains and losses in comparison with earlier surveys (DHS Working Papers, No. 19). Calverton, MD: Macro International.
Martin, T. C., & Juarez, F. (1995). The impact of women's education and fertility in Latin America: Searching for explanations. International Family Planning Perspectives, 21, 52–57.
Mboup, G., & Saha, T. (1998). Fertility levels, trends and differentials (DHS Comparative Studies, No. 28). Calverton, MD: Macro International.
Menken, J. (1980). The health and demographic consequences of adolescent pregnancy and childbearing. In C. S. Chilman (Ed.), Adolescent pregnancy and childbearing: Findings from research (pp. 157–205). Washington, DC: US Department of Health and Human Services.
Mensch, B., Hewett, P., & Erulkar, A. (2001). The reporting of sensitive behavior among adolescents: A methodological experiment in Kenya. Paper presented at the annual meeting of the Population Association of America, Washington, DC.
ORC Macro. (2001). Model “B” questionnaire with commentary for low contraceptive prevalence countries (MEASURE DHS+ Basic Documentation, No. 2). Calverton, MD: ORC Macro.
Robey, B., Rutstein, S. O., & Morris, L. (1992). The reproductive revolution: New survey findings. Population Reports, Series M, No. 11. (pp. 1–43).
Rutstein, S. O., & Bicego, G. T. (1990). Assessment of the quality of data used to ascertain eligibility and age in the Demographic and Health Surveys. In An assessment of DHS-I data quality (DHS Methodological Reports, No. 1). Columbia, MD: Institute for Resource Development/Macro Systems.
Senderowitz, J., & Paxman, J. M. (1985). Adolescent fertility: Worldwide concerns. Population Bulletin, 40, 3–49.
Simmons, G. B. (1985). Theories of fertility. In G. M. Farooq & G. B. Simmons (Eds.), Fertility in developing countries: An economic perspective on research and policy issues (pp. 20–66). London: MacMillan.
Singh, S., Wulf, D., Samara, R., & Cuca, Y. P. (2000). Gender differences in the timing of first intercourse: Data from 14 countries. International Family Planning Perspectives, 26, 21–28.
United Nations. (1999), Report of the ad hoc committee of the whole of the twenty-first special session of the General Assembly. (A/S-21/5/Add). New York: United Nations Publications.
Voydanoff, P., & Donnelly, B. W. (1990). Adolescent sexuality and pregnancy. Newbury Park, CA: Sage.
Westoff, C. F., & Bankole, A. (1997). Mass media and reproductive behavior in Africa (DHS Analytical Report, No. 2). Calverton, MD: Macro International.
Wulf, D., & Singh, S. (1991). Sexual activity, union and childbearing among adolescent women in the Americas. International Family Planning Perspectives, 17, 137–144.
Zabin, L. S., & Kiragu, K. (1998). Health consequences of adolescent sexuality and fertility behavior in sub-Saharan Africa. Studies in Family Planning, 29, 210–232.
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Gupta, N., Mahy, M. Sexual Initiation Among Adolescent Girls and Boys: Trends and Differentials in Sub-Saharan Africa. Arch Sex Behav 32, 41–53 (2003). https://doi.org/10.1023/A:1021841312539
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DOI: https://doi.org/10.1023/A:1021841312539