Individual and community-level tolerance of spouse abuse and the association with the circumstances of first sex among youth from six sub-Saharan African countries.

Publisher: Informa Healthcare Country of Publication: England NLM ID: 8915313 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0451 (Electronic) Linking ISSN: 09540121 NLM ISO Abbreviation: AIDS Care Subsets: MEDLINE

Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-

HIV Infections/*prevention & control ; Sexual Behavior/*psychology ; Sexually Transmitted Diseases/*prevention & control ; Spouse Abuse/*psychology ; Spouse Abuse/*statistics & numerical data; Adolescent ; Africa South of the Sahara ; Coitus ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Kenya/ethnology ; Lesotho/ethnology ; Malawi/ethnology ; Multivariate Analysis ; Risk-Taking ; Tanzania/ethnology ; Uganda/ethnology ; Young Adult ; Zimbabwe/ethnology

Youth who engage in early and premarital sex are at risk of HIV and sexually transmitted infections. Most prevention programs ignore the mediating influence of the threat and experience of violence on these outcomes. Using nationally representative data from Lesotho, Malawi, Zimbabwe, Kenya, Tanzania, and Uganda, multivariate analyses examined the association between individual- and community-level tolerance of spouse abuse on the age and circumstances of sexual debut among female youth. The youth sample sizes ranged from a high of 5007 in Malawi to a low of 3050 in Lesotho. In the study countries, there were between 521 and 367 communities included in the analysis. Youth who approved of spouse abuse were more likely to have sexually debuted at each age. In Kenya, youth from communities with high female spouse abuse tolerance were more likely to have initiated sex at each age. In Malawi and Zimbabwe, youth from high tolerance communities were less likely to have sexually debuted at each age or to have had premarital sex; the same effect on premarital sex was found for men's tolerance in Kenya and Tanzania. Programs are needed to reduce violence risk and increase youth negotiating power and delayed sexual debut, with the objective of reducing young people's risk of negative outcomes.

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R03 HD055111 United States HD NICHD NIH HHS; R03 HD055111-01A1 United States HD NICHD NIH HHS; 1R03HD05511101A1 United States HD NICHD NIH HHS; R24 HD050924 United States HD NICHD NIH HHS; 5 R24 HD050924 United States HD NICHD NIH HHS

Date Created: 20110910 Date Completed: 20120517 Latest Revision: 20240610

20250114

PMC3249487

10.1080/09540121.2011.608784

21902559