Meta-Analysis: Factors Related with Premarital Sexual Behavior in Adolescents
DOI:
https://doi.org/10.26911/thejhpb.2024.09.03.03Abstract
Background: Premarital sexual behavior is a sexual activity carried out before marriage. Premarital sexual behavior is a health priority in adolescents because it causes unwanted pregnancies, abortions, STIs, HIV/AIDS and even death. Parents, peers, community environment, economic and cultural conditions influence premarital sexual behavior. This study aims to analyze the effect of peers, smoking behavior, alcohol consumption, exposure to pornography and rural areas on premarital sexual behavior in adolescents.
Subjects and Method: This was a systematic review and meta-analysis of study articles. Data obtained from databases including Google Schoolar, Pubmed and Science Direct. Article search was carried out by considering eligibility criteria with the PICO model. Population: adolescents. Intervention: high peer pressure, smoking behavior, alcohol consumption, exposure to pornography, and rural areas. Comparation: low peer pressure, non-smoking, no alcohol consumption, no exposure to pornography, and urban areas. Outcome: premarital sexual behavior. The articles were collected with keywords including "Peer Pressure" AND "Smoking" AND "Alcohol Compsumtion" AND "Pornography Exposure" AND "Rural" OR "Premarital Sexual Behavior" AND "Cross Sectional Study". Study articles were collected with PRISMA flow diagrams and analyzed using Review Manager 5.3 application.
Results: The results of the meta-analysis indicated that adolescents were influenced by premarital sexual behavior in the presence of high peer pressure (aOR= 3.57; CI95%= 1.38 to 9.26; p<0.001), smoking behavior (aOR= 1.17; CI95%= 0.63 to 2.16; p<0.001), alcohol consumption (aOR=2.11; CI95%=1.34 to 3.33; p<0.001), and exposure to pornography (aOR= 2.43; CI95%= 1.44 to 4.09; p<0.001).
Conclusion: Adolescent premarital sexual behavior increases with high peer pressure, smoking, alcohol consumption, and exposure to pornography.
Keywords:
premarital sexual behavior, peer pressure, adolescentsReferences
Abegaz B (2022). Pre-marriage sexual practices and associated factors among students at Woldia University, northeastern Ethiopia. Afr. J. Reprod. Health. 26(11):129–140. Doi: 10.-29063/ajrh2022/v26i11.12
Ahmad N, Awaluddin M, Ismail H, Samad R, Rashid N (2014). Sexual Activity Among Malaysian School-Going Adolescents. Asia Pac J Public Health. 26(5):44S-52S. Doi: 10.1177/1010539-514544700
Akibu M, Gebresellasie F, Zekarias F, Tse-gaye W (2017). Premarital sexual practice and its predictors among university students: Institution based cross-sectional study. Pan Afr Med J. 28(11):1–11. Doi: 10.11604/pamj.-2017.28.234.12125
Arega L, Zewale A, Bogale A (2019). Pre-marital sexual practice and associated factors among high school youths in Debretabor town, South Gondar zone, North West Ethiopia, 2017. BMC Res. Notes. 12(1):1–7. Doi: 10.1186/s13104-019-4348-3
Behulu K, Anteneh T, Aynalem L (2019). Premarital sexual intercourse and associated factors among adolescent students in Debre-Markos town secondary and preparatory schools, northwest Ethiopia, 2017. BMC Res Notes. 12(1):4–9. Doi: 10.1186/s13-104-019-4132-4
Biratu B, Garoma S, Getachew M, Desalegn M (2022). Drinking alcohol raises the chance of premarital sex by fourfold among secondary school adolescent students in Jima Arjo, Southwestern Ethiopia, 2018: a school-based cross-sectional study. Contracept. Reprod., 7(1):1–10. Doi: 10.1186/s40834-022-00171-2
Bogale A, Seme A (2014). Premarital sexual practices and its predictors among in-school youths of Shendi Town, west Gojjam zone, North Western Ethiopia. Reprod. Health. 11(1):1–9. Doi: 10.1186/1742-4755-11-49
Budu E, Armah-ansah EK, Frimpong JB, Seidu AA (2023). Prevalence and predictors of premarital sexual intercourse among young women in sub-Saharan Africa. Reprod. Health. 20(1): 1–11. Doi: 10.-1186/s12978-023-01626-8
Emebet T, Debebe S, Deresse D (2014). Prevalence, associated risk factors and consequences of premarital sex among female students in Aletawondo High School, Sidama Zone, Ethiopia. J. Public Health Epidemiol. 6(7):216–222. Doi: 10.5897/jphe2014.-0640
Fluharty M, Taylor AE, Grabski M, Munafo MR (2017). The association of cigarette smoking with depression and anxiety: A systematic review, Nicotine and Tobacco Research, 19(1): 3–13. Doi: 10.1093/ntr/ntw140.
Gebreyesus H, Berhe T, Welegebriel Z, Wubayehu T, Hailemariam G, Gebre-kirstos G, Teweldemedhin M (2019). Premarital sexual practice and associated factors among adolescents in the refugee camps in Tigray, northern Ethiopia. BMC Res. Notes. 12(1):1–7. Doi: 10.1186/s13104-019-4459-x
Girmay A, Mariye T (2019). Risky sexual behavior practice and associated factors among secondary and preparatory school students of Aksum town, northern Ethiopia, 2018. BMC Res. Notes. 12(1):1–7. Doi: 10.1186/-s13104-019-4714-1
Kalu A (2017). Premarital Sexual Practice and Associated Factors among Robe TVET Students at Robe Town, Bale Zone, Oromia Region, Southeast Ethiopia,2016. MOJ. Public Health, 5(6):193-203. Doi: 10.15406/mojph.-2017.05.00147
Mai, Vanthy K, Sirinan. (2019) ‘Factors influencing pre-marital sexual inter-course among unmarried young individuals in Cambodia’, Makara Journal of Health Research, 23(3), pp. 143–149. Doi: 10.7454/msk.v23i3.1157.
Meleko A, Mitiku K, Kebede G, Muse M, Moloro N. (2017). Magnitude of Pre-marital Sexual Practice and its Associated Factors among Mizan Preparatory School Students in Mizan Aman Town, South West Ethiopia. J. Com-mut. Med. Health Educ, 07(04):1-8. Doi: 10.4172/2161-0711.1000539
Manaf A, Tahir M, Sidi H, Midin M, Jaafar N, Das S, Malek A (2014). Pre-marital sex and its predicting factors among Malaysian youths. Compr. Psychiatry. 55(1):S82–S88. Doi: 10.1016/j.comp-psych.2013.03.008
Mulugeta Y, Berhane Y (2014). Factors associated with pre-marital sexual debut among unmarried high school female students in Bahir Dar town, Ethiopia: Cross-sectional study. Rep-rod. Health. 11(1):1–6. Doi: 10.1186/-1742-4755-11-40
Mundhiro N, Fauzi R, Maruf A, Nurfadhilah N (2021). Determinants of Premarital Sexual Behavior Amongst Adolescents in Indonesia. J. Biometrika Dan Kependudukan, 10(1):72-86. Doi: 10.20473/jbk.v10i1.2021.86-93
Noubiap N, Nannseu JRN, Ndoula ST, Wang B, Jingi AM, Aminde LN, et al. (2015). Prevalence and correlates of HIV-risky sexual behaviors among students attending the Medical and Social Welfare Center of the University of Maroua, Cameroon Public Health. BMC Res. Notes. 8(1):1–11. Doi: 10.1186/s13104-015-1638-2
Regassa T, Chala D, Adeba E (2016). Pre-marital Sex in the Last Twelve Months and Its Predictors among Students of Wollega University, Ethiopia. Ethiop. J. Health Sci. 26(4):351–358. Doi: 10.4314/ejhs.v26i4.7
Rehm, J, Sr GEG, Gmel G, Hasan OSM, Imtiaz S, Popova S, Probst C, et al. (2017). The relationship between different dimensions of alcohol use and the burden of disease an update, Addiction, 112(6): 968–1001. Doi: 10.-1111/add.13757.
Salih A, Metaferia H, Reda A, Biadgilign S (2015). Premarital sexual activity among unmarried adolescents in northern Ethiopia: A cross-sectional study. Ex Reprod Healthc. 6(1):9–13. Doi: 10.1016/j.srhc.2014.06.00.
Selvam T (2018). Functions of Peer Group in Adolescence Life, (January).
Shrestha B (2019). Premarital sexual behavior and its impact on health among adolescents. Am J Health Promot. 9(7):43-52. 10.3126/jhp.v7i0.25496.
Shitu K, Kassie A, Wolde M (2023). Prevalence and Determinants of Premarital Sexual Practice among Youths in Ethiopia: Based on the Ethiopian Demographic and Health Survey Data. Int J Reprod Med. 20(23):1–7. Doi: 10.1155/2023/6643797
Sserwanja Q, Mwamba D, Poon P, Kim H (2023). Prevalence and Factors Associated with Risky Sexual Behaviors Among Sexually Active Female Adolescents in Zambia. Arch. 52(1):205–215. Doi: 10.1007/s10508-022-023-85-6
Sufyan L, Nurdiantami Y (2020). Peer In-fluence and Dating as Predictors of Pre-Marital Sexual Behavior Among Indonesia Unmarried Youth. Atlantis Press. 30(3):235–241. Doi: 10.2991/-ahsr.k.201125.041
Tarrant S (2013). Battling Pornography: The American Feminist Anti-Pornography Movement, 1976–1986. New York: Cambridge University Press. Doi: 10.1080/1554477X.2013.776410.