Transitions in adolescent boys and young Men’s high-risk sexual behaviour in India

Background The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men's high-risk sexual behaviour in Ind...

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Bibliographic Details
Published in:BMC public health 2020-07, Vol.20 (1), p.1-1089, Article 1089
Main Authors: Sharma, Santosh Kumar, Vishwakarma, Deepanjali
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescents
Age
AIDS
Alcohol
Boys
Child development
Children & youth
Condom use
Forecasts and trends
Health aspects
Health surveys
High-risk sexual behaviour
HIV
Households
Human immunodeficiency virus
Infections
Men
Multiple sexual partner
Multivariate analysis
Public health
Random variables
Relationship
Reproductive health
Risk
Risk taking
Rural areas
Sexual behavior
Sexual intercourse
Sexually transmitted diseases
Statistical analysis
STD
Teenage sexual behavior
Teenagers
Urban areas
Young adults
Young men
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Summary:Background The sexual behaviour of adolescents is of importance due to the engagement in risky sexual activity at a too early age, which may be associated with the adverse outcomes. The study aims to understand the transitions in adolescent boys and young men's high-risk sexual behaviour in India using two rounds of Indian demographic health survey, NFHS-3 (2005-06) and NFHS-4 (2015-16). Methods A total of 25,538 in NFHS-3 (2005-06) and 35,112 in NFHS-4 (2015-16) men were considered for the analysis. Men have been divided into two age groups as 15-19 years (adolescent) and 20-24 (young men) for comparison purposes. Descriptive and multivariate statistics have been used. Results Overall, high-risk sexual behaviour has increased among adolescent boys (64 to 70%) and young men (18 to 27%) from 2005-06 to 2015-16. The trend of live-in relationship has increased among adolescent boys of rural areas (0.6 to 6.0%) as well as in urban areas (3.1 to 10.9%) over the last 10 years. Adolescent boys having 10th and above years of schooling (AOR = 1.98; p < 0.01), residing in urban areas (AOR = 2.23; p < 0.01), and belonging to the affluent class of households (AOR = 1.41; p < 0.05) were more likely to engage in high-risk sexual activity than the young men in India. The odds of high-risk sexual behaviour was higher among alcohol-using adolescent boys (AOR = 1.82; p < 0.01) and young men (AOR = 2.38; p < 0.01) in 2015-16. Conclusions The study concludes that early sexual debut, lower prevalence of condom use at first sexual experience, tendency of live-in-relationship, and alcohol consumption indicate the hazardous interconnection between such behaviours among adolescent boys over the last decade which placed them at higher-risky sexual behaviour as compared to young men. Adolescent' sexual behaviours have both short-term and long-term consequences, and interventions that focus on multiple domains of risk may be the most effective in helping to promote broad reproductive health among young adults. Keywords: Adolescents, High-risk sexual behaviour, Multiple sexual partner, Relationship, Condom use, Alcohol
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-020-09191-6