Influences of family structure dynamics on sexual debut in Africa: implications for research, practice and policies in reproductive health and social development.
There is no research on the timing, sequencing and number of changes in family environment and their influences on sexual and reproductive health outcomes in Africa. Using a population-based survey with data on family structure at three points in the life course, this paper examines the influences of these family structure dynamics on the timing of first sex among unmarried males and females aged 12-24 years in Cameroon. The number and timing of family transitions significantly impacted the timing of sexual debut for both males and females. The median age at first sex (18.7 years) is higher among young people without family transition than among those with one transition (18.2 years) or two transitions (17.7 years). Family transitions occurring during childhood were significantly associated with premature sexual initiation for females but not for males. Reproductive health and social development interventions for young people in Africa should integrate the changing contexts and transitions in family structure.
PRONUSTIC Research Laboratory, Centre de Recherche du CHUM & Institute de recherche en Santé Publique, University of Montreal, C.P. 6128 Succursale Centre-Ville, Montreal, Quebec, Canada H3C 3J7. barthelemy.kuate.defo@umontreal.ca
Barthelemy Kuate
BK
Defo
Zacharie Tsala
ZT
Dimbuene
D000349:Africa; D002163:Cameroon; D002648:Child; D003075:Coitus; D005190:Family; D005260:Female; D006291:Health Policy; D006801:Humans; D008297:Male; D060728:Reproductive Health; D012922:Social Change; D012951:Socialization; D055815:Young Adult