Is poverty a driver for risky sexual behaviour? Evidence from national surveys of adolescents in four African countries.
Is poverty a driver for risky sexual behaviour? Evidence from national surveys of adolescents in four African countries.
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DOI：
10.2307/25549733
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发表时间：
2007-12-01
影响因子：
1
通讯作者：
Ciera, James
中科院分区：
文献类型：
--
作者：
Madise, Nyovani;Zulu, Eliya;Ciera, James
这篇论文使用布基纳法索、加纳、马拉维和乌干达的全国代表性青少年数据，通过检验财富状况对首次性行为年龄、避孕套使用情况和多个伴侣的影响，为贫困和危险性行为之间的联系提供了相互矛盾的证据。结果显示，与贫穷的女孩相比，布基纳法索、加纳和马拉维最富有的女孩的首次性行为时间较晚，但这种关联在乌干达并不显著。男性的财富状况较弱，只有马拉维的财富状况显著，在那里，处于中间五分之一的人首次性行为的时间更早。较富裕的青少年在最后一次性行为时最有可能使用避孕套，但财富状况与性伴侣的数量无关。尽管财富状况和性行为之间的联系并不一致，但有证据表明，贫穷的女性由于较早的首次性行为和不使用避孕套，容易受到感染。
This paper contributes to conflicting evidence on the link between poverty and risky sexual behaviour by examining the effect of wealth status on age at first sex, condom use, and multiple partners using nationally representative adolescents' data from Burkina Faso, Ghana, Malawi, and Uganda. The results show that the wealthiest girls in Burkina Faso, Ghana, and Malawi had later sexual debut compared with their poorer counterparts but this association was not significant for Uganda. Wealth status was weaker among males and significant only in Malawi, where those in the middle quintile had earlier sexual debut. Wealthier adolescents were most likely to use condoms at the last sexual act, but wealth status was not associated with number of sexual partners. Although the link between wealth status and sexual behaviour is not consistent, there is evidence that poor females are vulnerable to infection because of earlier sexual debut and non-use of condoms.