ArticlePloS one2021
What predicts the early sexual debut among unmarried adolescents (10-19 years)? Evidence from UDAYA survey, 2015-16.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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21 citing papers in PubMed, 37 citations in OpenAlex.
- Enhancing reproductive health among adolescent girls in India: results of an individualized RCT to study the efficacy of the go Nisha go mobile game.Reproductive health · 2025Trial
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- Socio-demographic determinants of sexual inactivity among reproductive heterosexual married women in Bangladesh: evidence from BDHS data 2022.Reproductive health · 2026Article
- Time to first sexual experience and its predictors among young women (15-24 years) in Zambia: Evidence from 2024 Demographic and Health Survey.PLOS global public health · 2026Article
- Determinant factors of sexual and reproductive health literacy among adolescents in Indonesia: A national population-based study.Journal of education and health promotion · 2026Article
- Identifying sexual behavioural choices when commencing pre-exposure prophylaxis: Findings from a public health facility in eThekwini, KwaZulu-Natal, South Africa.Southern African journal of HIV medicine · 2026Article
- Factors associated with early sexual onset and delaying sex in rural middle school youth.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Prevalence, predictors and selected outcomes of early sexual initiation among adolescents in secondary schools in Lugbe, Abuja, Nigeria: a mixed methods study.BMJ public health · 2025Article
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- Analysis of risky sexual behaviors among male college students who were sexually active in Sichuan, China: a cross-sectional survey.AIDS research and therapy · 2024Article
- Direct and indirect estimation of adolescent sexual intercourse and contraceptive use in Rajasthan India: an application of the best friend methodology.BMC women's health · 2024Article
- 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
- Prevalence and Predictors of Risky Sexual Behavior Among Young Men in India: Evidence From National Family Health Survey.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Associations between adolescents watching pornography and poor mental health in three Swedish surveys.European child & adolescent psychiatry · 2023Article
- Examining the relationship between risky sexual behavior and suicidal thoughts among unmarried adolescents in India.Scientific reports · 2023Article
- Article
- Geographical hotspots and correlates of early sexual debut among women in Ghana.Reproductive health · 2022Article
- Determinants of age at first sex inequality between women and men youth in Uganda: A decomposition analysis.PLOS global public health · 2022Article
- Love, sex, and commitment: relationship choices and trajectories among unmarried youth in India.Sexual and reproductive health matters · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionThe societal norm in India is such that adolescents are expected to respect and follow traditional values and view early sexual debut as undesirable and deviant from the social mores. However, a dramatic shift in attitudes towards sex before marriage has been observed in India. We in this study, aim to study the factors associated with early sexual debut among unmarried adolescents. MATERIALS AND
methodsThe study used data from the Understanding the lives of adolescents and young adults (UDAYA) survey conducted in 2016 with 15,388 adolescents aged 10-19 years from two Indian states. Bivariate and logistic regression analyses were performed to determine the associated factors.
resultsAdolescent boys (9%) were more prone to early sexual debut compared to girls (4%). Both boys (17.2%) and girls (6%) who were school dropouts had significantly higher chances of early sexual debut. Boys who had rare [OR: 2.28; CI: 1.12-4.64] or frequent media exposure [OR: 2.70; CI: 1.36-5.32] were significantly more likely to report early sexual debut than those who had no media exposure. Further, the likelihood of early sexual debut was significantly higher among boys [OR: 3.01; CI: 2.34-3.87] and girls [OR: 1.87; CI: 1.12-3.12] who had exposure to pornography compared to their counterparts. The odds of early sexual debut were higher among boys [OR: 1.89; CI: 1.19-3.01] and girls [OR: 1.77; CI: 1.30-2.41] who had moderately-severe/severe depressive symptoms compared to their counterparts.
conclusionsThe results highlight that Indian unmarried adolescents demand the appropriate knowledge to promote safer sexual behavior and lead a responsible and healthy lifestyle. The preventive efforts must be multifaceted with involvement at the individual and parental levels. Especially, interventions appear advantageous to be parents-focused emphasizing family life education that can prevent risky sexual behaviors among adolescent boys and girls. And the public programs should focus on sexual health promotion considering the physical and psychosocial changes during early ages of sex life.
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