Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women

Jhosuny Perez-Fernandez, Diego O. Arroyo-Velasco, Mariella R. Huaman, Sarai G. Chavez-Bustamante, Anita P. Llamo-Vilcherrez, Carolina J. Delgado-Flores, Carlos J. Toro-Huamanchumo

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number1191722
JournalFrontiers in Public Health
Volume11
DOIs
StatePublished - 2023

Keywords

  • Peru
  • health risk behaviors
  • sexual behavior
  • sexually transmitted diseases
  • women’s health
  • Sexual Behavior
  • Cross-Sectional Studies
  • Humans
  • Sexually Transmitted Diseases/epidemiology
  • Adolescent
  • Female
  • Peru/epidemiology
  • Sexual Partners

Fingerprint

Dive into the research topics of 'Association between early sexual initiation and sexually transmitted infections among Peruvian reproductive-age women'. Together they form a unique fingerprint.

Cite this