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. 2018 Jul;22(Suppl 1):57-64.
doi: 10.1007/s10461-018-2058-9.

Age at Sexual Initiation and Sexual and Health Risk Behaviors Among Jamaican Adolescents and Young Adults

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Age at Sexual Initiation and Sexual and Health Risk Behaviors Among Jamaican Adolescents and Young Adults

Sharlene Beckford Jarrett et al. AIDS Behav. 2018 Jul.

Abstract

Current policies limit access to sexual and reproductive health services for adolescents younger than 16 years in Jamaica. Using data from a national survey, we explored the relationship between age at sexual initiation and subsequent sexual risk behaviors in a random sample of 837 Jamaican adolescents and young adults aged 15-24 years. In the sample overall, 21.0% had not yet had sex. Among the 661 sexually active participants, the mean age at first sex was 14.7 years. High percentages of sexually active youth reported engaging in risk behaviors such as inconsistent condom use (58.8%), multiple sex partners (44.5%), and transactional sex (43.0%). Age of sexual initiation for males was unrelated to subsequent sexual risk behaviors. However, earlier sexual debut for females was associated with their number of partners during the preceding year. Findings underscore the potential benefits of access to sexual and reproductive education and services at earlier ages than current policies allow. Interventions before and during the period of sexual debut may reduce sexual risk for Jamaican adolescents and young adults.

Keywords: Adolescent sexual health; Jamaica; Sexual and reproductive health policy; Sexual debut; Sexual risk behavior.

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Conflict of interest statement

Conflict of Interest

The authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Comparisons by sex and age of sexual debut among adolescents and young adults for (A) HIV testing,a (B) condom use,a (C) frequent drinking,a (D) multiple partners,b and (E) transactional sex,a Jamaica, 2012. a Pairwise comparisons did not achieve statistical significance. b Female multiple partners – female 0 or 1 partner, P=.022
Figure 1.
Figure 1.
Comparisons by sex and age of sexual debut among adolescents and young adults for (A) HIV testing,a (B) condom use,a (C) frequent drinking,a (D) multiple partners,b and (E) transactional sex,a Jamaica, 2012. a Pairwise comparisons did not achieve statistical significance. b Female multiple partners – female 0 or 1 partner, P=.022

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