ArticleBMC public health2023
Socioeconomic inequality in early sexual initiation among female youths in sub-Saharan African countries: a decomposition analysis.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exposing the Influence of Preceding Sexual Behavior in Younger Years toward Prostate Cancer Occurrence: Qualitative Mapping on Sexual Risk Factors.Asian Pacific journal of cancer prevention : APJCP · 2025Pooled it
- Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).Contraception and reproductive medicine · 2026Article
- "Exploring the factors associated with early sexual debut among young women in Kinshasa: evidence from two cross-sectional studies ".Reproductive health · 2026Article
- Exploring the lived socioeconomic experiences of teen mothers in Rwanda.Reproductive health · 2026Article
- Socioeconomic inequalities in healthcare access among patients with type 2 diabetes in Iran: a cross-sectional study.BMJ open · 2026Article
- Spatial patterns and determinants of anxiety, depressive symptoms and their co-occurrence among currently married women of reproductive age in Bangladesh.Global mental health (Cambridge, England) · 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
- Article
- From early sexual debut to later overweight and obesity: a multilevel analysis of Ghanaian women.Tropical medicine and health · 2025Article
- Prevalence and associated factors of early sexual initiation among female youth in Tanzania: a nationwide survey.BMC public health · 2025Article
- Article
- Are rural adolescent girls in Senegal more likely to use family planning? DHS 2023 analysis.Journal of public health in Africa · 2025Article
- Early sexual debut among adolescent girls and young women in Sierra Leone: A multilevel analysis of prevalence and predictors.Contraception and reproductive medicine · 2024Article
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4 authors.
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Abstract
introductionYouths are defined as individuals within the age group 15-24 years. It is the transitional stage from childhood to adulthood with biological, social, and psychological change, so it is a time of risk and opportunity for their future life. Early sexual initiation exposes young people to various social, economic, sexual, and reproductive health issues, such as unwanted adolescent pregnancies, sexually transmitted infections, unsafe abortion, cervical cancer, and early marriages. Therefore, this study aimed to assess the presence of socioeconomic inequality in early sexual initiation and contributing factors in sub-Saharan African countries.
methodsA total of 118,932 weighted female youths from SSA countries' DHS data were included in the study. Socioeconomic inequality of Early sexual initiation was evaluated using the Erreygers znormalized concentration index and associated concentration curve. Decomposition analysis was performed to determine those factors causing socioeconomic-related inequality.
resultsThe weighted Erreygers normalized concentration index of wealth-related inequality of early sexual initiation was - 0.157 with a Standard error = 0.0046 (P value < 0.0001); this indicated that early sexual initiation was disproportionately concentrated among the poor (pro-poor). Moreover, the weighted Erreygers normalized concentration index (ECI) of educational status-related inequality of early sexual initiation was - 0.205 with a Standard error = 0.0043 (P value < 0.0001). This indicated that early sexual initiation was disproportionately concentrated among youths with no formal education. The decomposition analysis revealed that mass media exposure, wealth index, place of residency, religion, marital status, educational status, and age were significant contributors to the pro-poor socioeconomic inequalities in early sexual initiation. CONCLUSION AND RECOMMENDATION: This study has revealed pro-poor inequality in early sexual initiation. Therefore, priority must be given to modifiable factors such as promoting the accessibility of media exposure in the household, improving the educational opportunity of female youths, and improving their country's economy to a higher economic level to improve the wealth status of the population.
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