ArticleJournal of community health2016
Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal.
Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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Who cites it
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries.BMC public health · 2022Pooled it
- Trial
- Trends in Median Age at First Sex and Age at First Marriage Among Youth in Tanzania: Accelerated Failure Time Model (1994-2016).Archives of sexual behavior · 2026Article
- Prevalence and factors associated with self-reported sexually transmitted infections in Myanmar: analysis of national survey data.Frontiers in public health · 2026Article
- Self-reported sexually transmitted infections among women in Indonesia: analysis of 2017 Indonesia demographic and health survey.BMC public health · 2025Article
- Trends in HIV-related knowledge, behaviors and determinants of HIV testing among adolescent women aged 15-24 in Nigeria.Tropical medicine and health · 2025Article
- Changes in knowledge of safe sex and sexual behaviour among male vocational high school students in Zhejiang Province, China: a 6-year cross-sectional comparison (2015-2021).Frontiers in reproductive health · 2025Article
- Predictive model for genital tract infections among men and women in Ghana: An application of LASSO penalized cross-validation regression model.Epidemiology and infection · 2024Article
- Spatial distribution and factors associated with HIV testing among adolescent girls and young women in Sierra Leone.BMC infectious diseases · 2024Article
- Self-reported sexually transmitted infections among men and women in Papua New Guinea: A cross-sectional study.Health science reports · 2024Article
- Timing of sexual debut and associated sociodemographic and HIV risk factors among young people in Eswatini.PloS one · 2024Article
- Time to First Sexual Experience and Its Determinants Among Female Youths: A Survival Analysis of Rwanda Demographic Health Survey (2019-2020).International journal of women's health · 2024Article
- Early sexual debut is associated with drug use and decreased educational attainment among males and females in Kisumu County, Kenya.Reproductive health · 2023Article
- Impulsivity as a Predictor of Early Dating Initiation in 11-12-Year-Old Youth.Archives of sexual behavior · 2023Article
- Factors Associated with Early Sexual Activity in Adolescents Residing in an Urban Area of Northeastern Mexico Who Use WhatsApp or Facebook.Journal of community health · 2023Article
- Prevalence and determinants of inconsistent condom use among unmarried sexually active youth. a secondary analysis of the 2016-2017 Eswatini HIV incidence measurement survey.African health sciences · 2023Article
- "Our parents kiss in front of us": Reasons for early sexual debut among in-school youth in the Manzini Region in Eswatini.PloS one · 2023Article
- Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women.Frontiers in public health · 2023Article
- Comparison of survival analysis approaches to modelling age at first sex among youth in Kisesa Tanzania.PloS one · 2023Article
- Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
While early sexual debut is highly prevalent in Nepal, its link to sexually transmitted infections (STIs/HIV) risk factors has not been explored at a national level. The objective of this study was to assess potential association between early sexual debut and risk factors for STIs/HIV acquisition, including sexual risk behaviors, sexual violence, and teenage pregnancy among adults in Nepal. Data were taken from the nationally representative Nepal Demographic Health Survey (2011), which employed a two-stage complex design to collect data. A sample of 12,756 adults (ages 15-49 years) were included. Multivariate logistic models were conducted, adjusted for demographic characteristics, to assess the association between early sexual debut and STIs/HIV-related risk factors. The prevalence of early sexual debut in this sample was 39.2%, with a mean age of coital debut at 17.9 years. After adjusting for potential confounders, individuals with early sexual debut were significantly more likely to report a history of STIs (aOR 1.19; 95% CI 1.06-1.35) and had a significantly higher risk profile, including having multiple sex partner (aOR 2.14; 95% CI 1.86-2.47), inconsistent condom use (aOR 0.72; 95% CI 0.61-0.86), paid for sex (aOR 1.61; 95% CI 1.14-2.27), a history of sexual violence (aOR 1.99; 95% CI 1.63-2.43), and teenage pregnancy (aOR 12.87; 95% CI 11.62-14.26). Individuals who have early sexual debut are more likely to engage in risk behaviors that place them at increased risk of STIs/HIV acquisition. STIs/HIV prevention strategies should aim at delaying sexual debut to decrease the disproportionate burden of adverse health outcomes, including STIs/HIV, among individuals in Nepal.
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