ArticleBMC public health2012
Substance use and risky sexual behaviours among sexually experienced Ghanaian youth.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Determinants of Adolescent Sexual Behavior in Sub-Saharan Africa: A Systematic Review of In-School and Out-of-School Adolescents.Public health reviews · 2025Pooled it
- Prevalence and associated factors of early initiation of sexual intercourse among youth in Ethiopia: systematic review and meta-analysis.BMC public health · 2023Pooled it
- Contraceptive and reproductive health practices of unmarried women globally, 1999 to 2018: Systematic review and meta-analysis.Medicine · 2020Pooled it
- Pooled it
- The relationship between emotional dysregulation and, HIV acquisition risk behaviours and intimate partner violence perpetration among young men in rural areas and urban informal settlements in South Africa.Psychology, health & medicine · 2026Article
- Experiences, barriers, and enablers of infant and young child feeding among adolescent mothers in Sub-Saharan Africa: a scoping review protocol.Systematic reviews · 2025Article
- Cross-National Trends in Early Sexual Initiation Among 15-Year-Old Adolescents, 2002-2022.International journal of public health · 2025Article
- Substance Use and Risky Sexual Behavior Among Adolescents: A Cross-National Clustered Analysis of 35 European and North American Countries.International journal of sexual health : official journal of the World Association for Sexual Health · 2025Article
- Survey of the risk behaviors and mental health of adolescents in Gabon risky behaviors and vulnerability of adolescent Africans.Communications medicine · 2024Article
- Age at first sex and other determinants of multiple sexual partnerships among sexually active adolescent girls in Ghana: a regression analysis of the 2022 Ghana demographic and health survey.Tropical medicine and health · 2024Article
- Associations of tobacco and alcohol use with sexual behaviors among adolescents in 59 countries: a population-based study.BMC public health · 2024Article
- Article
- Sexual behaviours and contraceptive use among undergraduates in a Nigerian University.Ghana medical journal · 2024Article
- Cannabis use and its psychosocial correlates among school-going adolescents in Sierra Leone.BMC public health · 2024Article
- Alcohol use among in-school adolescents in Sierra Leone.BMJ open · 2024Article
- Cannabis and amphetamine use among school-going adolescents in sub-Saharan Africa: a multi-country analysis of prevalence and associated factors.BMC psychiatry · 2023Article
- Early Sexual Debut and Its Associated Factors Among Young Women Aged 15-24 in Mali: A Multilevel Analysis.Archives of sexual behavior · 2023Article
- Association between educational attainment and risky sexual behaviour among Ghanaian female youth.African health sciences · 2023Article
- Prevalence and correlates of modifiable risk factors for cervical cancer and HPV infection among senior high school students in Ghana: a latent class analysis.BMC public health · 2023Article
- Addressing Learner-Centred Barriers to Sexuality Education in Rural Areas of South Africa: Learners' Perspectives on Promoting Sexual Health Outcomes.Sexuality research & social policy : journal of NSRC : SR & SP · 2023Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe association between risky sexual behaviours and substance uses among Ghanaian youth were investigated.
methodsAn in-school cross-sectional representative survey was conducted among 12-18-year- old youth in Ghana in 2008 (N = 1195, response rate =90%). Logistic regression analyses were employed to investigate the association between substance use (tobacco use, drunkenness, marijuana use and other drug uses) and risky sexual behaviours (sexual debut, condom use and number of sexual partners).
resultsOf all youth, 25% (28% boys and 23% girls) were sexually experienced. The mean age for first sexual intercourse was 14.8 years (14.4 years for boys and 15.1 years for girls). Among the sexually experienced, 31% had multiple sexual partners. Older age (OR = 3.4, 95% CI = 1.7-3.4) and rural residency (OR = 1.5, 95% CI = 1.1-2.1) were independently associated with sexual debut while only older age (OR = 2.4, 95% CI = 1.7-3.4) was associated with condom use. Additionally, smoking (OR = 3.7, 95% CI = 2.0-6.8), tawa use (OR = 2.4, 95% CI = 1.3-4.7), tobacco use (OR = 2.8, 95% CI = 1.7-4.7) drunkenness (OR = 1.7, 95% CI = 1.1-2.8) and marijuana use (OR = 3.3, 95% CI = 1.6-7.0) were independently associated with sexual debut. Furthermore, all substance uses studied were associated with having one or multiple sexual partners.
conclusionSubstance use seems to be a gateway for risky sexual behaviours among Ghanaian youth. Public health interventions should take into account the likelihood of substance use among sexually experienced youth.
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