TY - JOUR
T1 - Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women
AU - Perez-Fernandez, Jhosuny
AU - Arroyo-Velasco, Diego O.
AU - Huaman, Mariella R.
AU - Chavez-Bustamante, Sarai G.
AU - Llamo-Vilcherrez, Anita P.
AU - Delgado-Flores, Carolina J.
AU - Toro-Huamanchumo, Carlos J.
N1 - Publisher Copyright:
Copyright © 2023 Perez-Fernandez, Arroyo-Velasco, Huaman, Chavez-Bustamante, Llamo-Vilcherrez, Delgado-Flores and Toro-Huamanchumo.
PY - 2023
Y1 - 2023
N2 - Background: Sexually transmitted infections (STIs) are a serious public health problem worldwide, especially among reproductive-age women. The early sexual onset of sexual intercourse (EOSI) has been suggested as a risk factor, although there is no data at the national level. Objective: To evaluate the association between EOSI and STIs in Peruvian women of childbearing age. Methods: Analytical cross-sectional study with secondary data analyzes of the Peruvian Demographic and Family Health Survey 2018. The outcome was the presence of STIs in the last 12 months and the exposure variable was EOSI (age < 15 years at the time of their first sexual experience). To evaluate the association of interest, crude and adjusted prevalence ratios (aPRs) were calculated using generalized linear models with Poisson family and logarithmic link function. Results: We analyzed data from 31,028 women of childbearing age. The 11.3% reported having STIs in the last 12 months and 20.2% of the participants had an EOSI. After adjusting for potential confounders, we found that EOSI was associated with STIs (aPR: 1.27; 95% CI: 1.08–1.50; p = 0.005). When conducting stratified analysis by area of residence and number of sexual partners, this association was maintained in women living in urban areas (aPR: 1.36; 95% CI: 1.11–1.66; p = 0.003) those who did not report having a history of multiple sexual partners (aPR: 1.27; 95% CI: 1.08–1.51; p = 0.005), and those in the middle (aPR: 1.42; 95% CI: 1.03–1.97; p = 0.034) and highest (aPR: 2.12; 95% CI: 1.33–3.39; p = 0.002) wealth quintiles. Conclusion: Among reproductive-age women from Peru, EOSI was associated with STIs, especially in women living in urban areas, with no history of multiple sexual partners, and belonging to the middle to higher wealth index. The implementation of measures to prevent EOSI and fostering appropriate sexual health counseling for women with EOSI is advised.
AB - Background: Sexually transmitted infections (STIs) are a serious public health problem worldwide, especially among reproductive-age women. The early sexual onset of sexual intercourse (EOSI) has been suggested as a risk factor, although there is no data at the national level. Objective: To evaluate the association between EOSI and STIs in Peruvian women of childbearing age. Methods: Analytical cross-sectional study with secondary data analyzes of the Peruvian Demographic and Family Health Survey 2018. The outcome was the presence of STIs in the last 12 months and the exposure variable was EOSI (age < 15 years at the time of their first sexual experience). To evaluate the association of interest, crude and adjusted prevalence ratios (aPRs) were calculated using generalized linear models with Poisson family and logarithmic link function. Results: We analyzed data from 31,028 women of childbearing age. The 11.3% reported having STIs in the last 12 months and 20.2% of the participants had an EOSI. After adjusting for potential confounders, we found that EOSI was associated with STIs (aPR: 1.27; 95% CI: 1.08–1.50; p = 0.005). When conducting stratified analysis by area of residence and number of sexual partners, this association was maintained in women living in urban areas (aPR: 1.36; 95% CI: 1.11–1.66; p = 0.003) those who did not report having a history of multiple sexual partners (aPR: 1.27; 95% CI: 1.08–1.51; p = 0.005), and those in the middle (aPR: 1.42; 95% CI: 1.03–1.97; p = 0.034) and highest (aPR: 2.12; 95% CI: 1.33–3.39; p = 0.002) wealth quintiles. Conclusion: Among reproductive-age women from Peru, EOSI was associated with STIs, especially in women living in urban areas, with no history of multiple sexual partners, and belonging to the middle to higher wealth index. The implementation of measures to prevent EOSI and fostering appropriate sexual health counseling for women with EOSI is advised.
KW - Peru
KW - health risk behaviors
KW - sexual behavior
KW - sexually transmitted diseases
KW - women’s health
KW - Sexual Behavior
KW - Cross-Sectional Studies
KW - Humans
KW - Sexually Transmitted Diseases/epidemiology
KW - Adolescent
KW - Female
KW - Peru/epidemiology
KW - Sexual Partners
UR - http://www.scopus.com/inward/record.url?scp=85173064226&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/e1a211ec-691c-3237-9928-fddb98d25659/
U2 - 10.3389/fpubh.2023.1191722
DO - 10.3389/fpubh.2023.1191722
M3 - Artículo
C2 - 37790721
AN - SCOPUS:85173064226
SN - 2296-2565
VL - 11
JO - Frontiers in Public Health
JF - Frontiers in Public Health
M1 - 1191722
ER -
