ArticleInternational journal for equity in health2021
Socioeconomic variations in risky sexual behavior among adolescents in 14 sub-Saharan Africa countries who report ever having had sex.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Stated preferences of adolescents and young adults for sexual and reproductive health services in Africa: a systematic review.Sexual and reproductive health matters · 2025Pooled it
- A systematic review of social processes and mechanisms in the community that influence risky sexual behaviour among adolescents and young adults.Nursing open · 2023Pooled it
- Pooled prevalence, spatial variation and associated factors of risky sexual behavior among sexually active men and women aged 15-49 years in sub-Saharan Africa, 2015-2024: evidence from Demographic and Health Survey.BMC public health · 2026Article
- Psychosocial Factors Influencing the Sexual Risk Behaviour of Adolescents Living with and Affected by HIV Who Reside in HIV-Affected Homes in Uganda.AIDS and behavior · 2026Article
- Profiles of Risky Sexual Behaviors and Associated Factors Among Sexually Active Men in Rwanda: A Nationwide Survey.Archives of sexual behavior · 2026Article
- Exploring prevalence of risky sexual behaviour among adolescents in high schools: A systematic review.SAGE open medicine · 2026Review
- Factors associated with multiple sexual partnerships among men in South Africa.BMC public health · 2025Article
- Magnitude of risky sexual behavior and associated factors among secondary school students in southern Ethiopia, 2023.Journal of public health research · 2025Article
- Multiple sexual partnership (MSP) and its distribution, determinants, gender differences, socio-economic inequalities and regional patterns: a nested multilevel regression analysis of a nationally representative survey among Indian youth (15-24 years).Journal of health, population, and nutrition · 2025Article
- Prevalence and associated factors of condomless sex among adolescents and young adults in Liberia: a multilevel analysis using data from the 2019-2020 Demographic and Health Survey.BMC public health · 2025Article
- Human immunodeficiency virus vulnerability and pre-exposure prophylaxis awareness among adolescent girls and young women in Cameroon: A cross-sectional study.Interdisciplinary nursing research · 2025Article
- Stress-responsive biomarkers and sexual behaviors among young women in rural South Africa.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Suggested Screening Criteria for Gardnerella vaginalis Based on Established Risk Factors.Cureus · 2024Review
- Influence of socio-contextual factors on the link between traditional and new media use, and young people's sexual risk behaviour in Sub-Saharan Africa: a secondary data analysis.Reproductive health · 2024Article
- Energy and vulnerability: Exploring the energy poverty-risky sexual behavior nexus among young women in Ghana.SSM - population health · 2024Article
- Article
- Effect of multi-level social risk factors on developmental trajectories of sexual risk behaviors among Bahamian middle-to-late adolescents.Health psychology and behavioral medicine · 2024Article
- Alcohol Use as a Predictor of Risky Sexual Behaviour among Young Adults in the Western Cape Province of South Africa.International journal of environmental research and public health · 2023Article
- Individual-, Interpersonal- and Institutional-Level Factors Associated with HIV Stigma Among Youth in Kenya.AIDS and behavior · 2023Article
- Exploring effects of multi-level factors on transitions of risk-taking behaviors among middle-to-late adolescents.International journal of behavioral development · 2023Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundEquity is a guiding principle of the Global Strategy for Women, Children and Adolescents' Health (2016-2030) aimed at improving adolescent health and responding more effectively to adolescents' needs. We investigated the socioeconomic differentials in having multiple sexual partners and condom use among unmarried adolescents who reported ever having had sex aged 15-19 years in 14 sub-Saharan countries.
methodsUsing the most recent publicly available Demographic and Health Surveys conducted between 2011 and 2018, we calculated survey- and sex-specific proportions of two or more partners and condomless sex, both overall and by selected socioeconomic characteristics and we fitted logistic regression models to estimate the survey- and sex-specific adjusted odds ratios. The pooled adjusted odds ratios were estimated using multilevel logistic regression.
resultsIn most countries, higher percentages of male adolescents than female adolescents reported having more than one partner in the last 12 months. Conversely, a lower percentage of young male reported having condomless sex when compared to young female: from 19.8% in Gabon to 84.5% in Sierra Leone among male adolescents and from 32.6% in Gabon to 93.2% in Sierra Leone among female adolescents. In the multilevel analyses, condomless sex was associated with place of residence, wealth and schooling for both female and male adolescents, while among male adolescents multiple partnerships was significantly associated with place of residence.
conclusionOur findings on disparities in condomless sex associated with socioeconomic characteristics might reflect constraint choice and decision making. Results also suggest the need for educational programming and services and better access to barrier methods.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.