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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Predictors of early first sexual intercourse among adolescents in Cape Town, South Africa
Health Education Research, Volume 24, No. 1, Year 2009
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Description
Early coital debut is a risk factor for HIV. In this paper we investigate the predictors of young adolescents' transition to first intercourse using a social cognition theoretical framework. The analyses reported here were based on a longitudinal study of 2360 students in the schools allocated to the control arm of a cluster-randomized controlled trial to investigate the effect of a school-based HIV prevention programme among Grade 8 students in Cape Town. Structural equation modelling was performed with Mplus version 3.11. Of the 1440 students who were virgins at baseline, 1144 remained virgins 15 months later and 296 (20.6%) reported having had their first sexual intercourse. Transition to first sexual intercourse was more likely among males than females, among older students and among students with a lower socio-economic status. Transition to first sexual intercourse was significantly associated with intentions to have sexual intercourse, poor self-efficacy to negotiate delayed sex and intimate partner violence. The model predicted 35% of the variance in intentions and 16% of the variance in transition. These findings indicate some of the factors that influence young adolescent's transition to first intercourse and that need to be addressed when designing effective interventions. © The Author 2008. Published by Oxford University Press. All rights reserved.
Authors & Co-Authors
Mathews, Catherine
South Africa, Tygerberg
South African Medical Research Council
South Africa, Cape Town
University of Cape Town
AarØ, Leif Edvard
Norway, Bergen
Universitetet I Bergen
Flisher, Alan J.
South Africa, Cape Town
University of Cape Town
Norway, Bergen
Universitetet I Bergen
Mũkoma, Wanjirũ
South Africa, Cape Town
University of Cape Town
Wubs, Annegreet Gera
Norway, Bergen
Universitetet I Bergen
Schaalma, Herman P.
Netherlands, Maastricht
Universiteit Maastricht
Statistics
Citations: 93
Authors: 6
Affiliations: 4
Identifiers
Doi:
10.1093/her/cym079
ISSN:
02681153
e-ISSN:
14653648
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Violence And Injury
Study Design
Randomised Control Trial
Cohort Study
Study Approach
Quantitative
Study Locations
South Africa
Participants Gender
Female