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. 2020 Jul 22;9(3):1795.
doi: 10.4081/jphr.2020.1795. eCollection 2020 Jul 28.

Early sexual debut and associated factors among students in Ethiopia: A systematic review and meta-analysis

Birye Dessalegn Mekonnen  1
Affiliations

Early sexual debut and associated factors among students in Ethiopia: A systematic review and meta-analysis

Birye Dessalegn Mekonnen. J Public Health Res. .

Abstract

Students with early sexual debut are exposed to risky sexual behaviours. For effective intervention on early sexual debut and its consequences, determination of its magnitude and identifications of associated factors is important. Therefore, this systematic review and meta-analysis aims to estimate the pooled prevalence and the associated factors of early sexual debut among students in Ethiopia. Relevant articles were identified through databases such as PubMed, Global Health, HINARI, Google advance search, Scopus, and EMBASE from March 10th to April 3rd. The data was extracted using a standardized data extraction form and exported to STATA 11 for analysis. The overall pooled prevalence of early sexual debut among students was estimated using a randomeffects meta-analysis. Presence of association was determined using an odds ratio with a corresponding 95% CI. A total of 9 studies with 4,217 participants were involved in this meta-analysis. The estimated pooled prevalence of early sexual debut among students in Ethiopia was 27.53% (95% CI: 20.52, 34.54). Being female (OR: 3.64, 95% CI: 1.67, 5.61), watching pornography (OR: 3.8, 95% CI: 2.10, 5.50) and having boyfriend or girlfriend (OR: 2.72, 95% CI: 1.24, 5.96) were found to be significantly associated with early sexual debut. More than one fourth of students practiced early sexual debut. The finding suggests the need of strengthening prevention strategies, effective intervention, and programs in educational institutions to reduce early sexual debut and its consequences. Furthermore, special attention should be given to female students and students who watch pornography.

Keywords: Early sexual debut; Ethiopia; meta-analysis; students; systematic review.

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Figures

Figure 1.
Figure 1.
Flow chart of study selection for systematic review and meta-analysis of early sexual debut among students in Ethiopia, 2020.
Figure 2.
Figure 2.
Forest plot of the pooled prevalence of early sexual debut among students in Ethiopia, 2020.
Figure 3.
Figure 3.
Funnel plot with pseudo 95% confidence interval that investigated the publication bias of the pooled prevalence of early sexual debut, Ethiopia, 2020
Figure 4.
Figure 4.
Forest plot showing the pooled odds ratio of the association between gender and early sexual debut in Ethiopia, 2020.
Figure 5.
Figure 5.
Forest plot showing the pooled odds ratio of the association between watching pornography and early sexual debut in Ethiopia, 2020.
Figure 6.
Figure 6.
Forest plot showing the pooled odds ratio of the association between having boyfriend/girlfriend and early sexual debut in Ethiopia, 2020.
See this image and copyright information in PMC

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