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A Meta-Analysis of Risky Sexual Behaviour among Male Youth in Developing Countries.

Berhan Y, Berhan A - AIDS Res Treat (2015)

Bottom Line: Previous tests of the association of risky sexual behaviour with levels of education and economic status have yielded inconsistent results.We applied a random effects analytic model and calculated a pooled odds ratio.The pooled odds ratio showed a statistically significant association of higher-risk sex with male youth younger than 20 years, living in urban centers, well educated, and of a high economic status.

View Article: PubMed Central - PubMed

Affiliation: Hawassa University, P.O. Box 1560, Hawassa, Ethiopia.

ABSTRACT
The purpose of this meta-analysis was to assess the association between risky sexual behaviour and level of education and economic status in male youth. Previous tests of the association of risky sexual behaviour with levels of education and economic status have yielded inconsistent results. Using data from 26 countries, from both within and outside Africa, we performed a meta-analysis with a specific focus on male youths' risky sexual behaviour. We applied a random effects analytic model and calculated a pooled odds ratio. Out of 19,148 males aged 15-24 years who reported having sexual intercourse in the 12 months preceding the survey, 75% engaged in higher-risk sex. The proportion of higher-risk sex among male youth aged 15-19 years was nearly 90% in 21 of the 26 countries. The pooled odds ratio showed a statistically significant association of higher-risk sex with male youth younger than 20 years, living in urban centers, well educated, and of a high economic status. The overall proportion of condom use during youths' most recent higher-risk sexual encounter was 40% and 51% among 15-19-year-olds and 20-24-year-olds, respectively. Our findings suggest that male youth's socioeconomic status is directly related to the likelihood that they practice higher-risk sex. The relationship between income and sexual behaviour should be explored further.

No MeSH data available.


Among male youths aged 15–24 years, higher-risk sex practices in past 12 months by age group (2003–2009). M-H = Mantel-Haenszel statistic; CI = confidence interval.
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fig1: Among male youths aged 15–24 years, higher-risk sex practices in past 12 months by age group (2003–2009). M-H = Mantel-Haenszel statistic; CI = confidence interval.

Mentions: The odds ratios for all countries revealed a statistically significant association of higher-risk sex with youth in the age range of 15–19 relative to 20- to 24-year-olds (Figure 1). Across countries, male youth under 20 years were about 8 times more likely than were male youth aged 20–24 years to have had higher-risk sex in the last 12 months (OR = 7.9; 95% CI: 6.25–10.01). A subgroup analysis demonstrated that the odds ratio for African male youth was higher than that for the non-Africans (OR = 8.9; 95% CI: 6.62–11.90 and OR = 5.5; 95% CI: 4.09–7.30, resp.). In other words, the age discrepancy was stronger for African male youth than for non-Africans, with younger males much more likely to report higher-risk sex.


A Meta-Analysis of Risky Sexual Behaviour among Male Youth in Developing Countries.

Berhan Y, Berhan A - AIDS Res Treat (2015)

Among male youths aged 15–24 years, higher-risk sex practices in past 12 months by age group (2003–2009). M-H = Mantel-Haenszel statistic; CI = confidence interval.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4325476&req=5

fig1: Among male youths aged 15–24 years, higher-risk sex practices in past 12 months by age group (2003–2009). M-H = Mantel-Haenszel statistic; CI = confidence interval.
Mentions: The odds ratios for all countries revealed a statistically significant association of higher-risk sex with youth in the age range of 15–19 relative to 20- to 24-year-olds (Figure 1). Across countries, male youth under 20 years were about 8 times more likely than were male youth aged 20–24 years to have had higher-risk sex in the last 12 months (OR = 7.9; 95% CI: 6.25–10.01). A subgroup analysis demonstrated that the odds ratio for African male youth was higher than that for the non-Africans (OR = 8.9; 95% CI: 6.62–11.90 and OR = 5.5; 95% CI: 4.09–7.30, resp.). In other words, the age discrepancy was stronger for African male youth than for non-Africans, with younger males much more likely to report higher-risk sex.

Bottom Line: Previous tests of the association of risky sexual behaviour with levels of education and economic status have yielded inconsistent results.We applied a random effects analytic model and calculated a pooled odds ratio.The pooled odds ratio showed a statistically significant association of higher-risk sex with male youth younger than 20 years, living in urban centers, well educated, and of a high economic status.

View Article: PubMed Central - PubMed

Affiliation: Hawassa University, P.O. Box 1560, Hawassa, Ethiopia.

ABSTRACT
The purpose of this meta-analysis was to assess the association between risky sexual behaviour and level of education and economic status in male youth. Previous tests of the association of risky sexual behaviour with levels of education and economic status have yielded inconsistent results. Using data from 26 countries, from both within and outside Africa, we performed a meta-analysis with a specific focus on male youths' risky sexual behaviour. We applied a random effects analytic model and calculated a pooled odds ratio. Out of 19,148 males aged 15-24 years who reported having sexual intercourse in the 12 months preceding the survey, 75% engaged in higher-risk sex. The proportion of higher-risk sex among male youth aged 15-19 years was nearly 90% in 21 of the 26 countries. The pooled odds ratio showed a statistically significant association of higher-risk sex with male youth younger than 20 years, living in urban centers, well educated, and of a high economic status. The overall proportion of condom use during youths' most recent higher-risk sexual encounter was 40% and 51% among 15-19-year-olds and 20-24-year-olds, respectively. Our findings suggest that male youth's socioeconomic status is directly related to the likelihood that they practice higher-risk sex. The relationship between income and sexual behaviour should be explored further.

No MeSH data available.