Age of sexual debut and associated factors among HIV positive individuals registered at anti-retroviral therapy centre of a tertiary hospital of South Gujarat, India - a cross sectional study

Authors

  • Sonal Dayama Department of Community Medicine, M S Ramaiah Medical College & Hospitals, Bangalore, Karnataka
  • Jayendra Kumar Kosambiya Department of Community Medicine, Government Medical College, Surat, Gujarat
  • Mamtarani Verma Department of Community Medicine, Government Medical College, Surat, Gujarat
  • Sridhar Ryavanki Directorate of Health Services, Anand Rao Circle, Bangalore, Karnataka

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20160440

Keywords:

Sexual debut, HIV positive individuals, ART centre, India, Migrant, Labourer

Abstract

Background: Evidence shows that early sexual debut “is a significant predictor of prevalent HIV infection”. With this background, this study was planned with objectives of finding the age at sexual debut and to determine mean age of sexual debut, its trend among different age groups and factors associated with it among HIV positive individuals.

Methods:A Cross sectional study was conducted at Anti-Retroviral Therapy (ART) centre of a Tertiary Hospital of Gujarat region of India. Two hundred fifty patients were enrolled in the study. Age of sexual debut and associated factors like education, occupation, marital status, substance abuse and condom use at sexual debut were explored.

Results: Among 250 participants, 240 (96%) had initiated sexual activity among which 133 (55.4%) were males and 107 (44.6%) were females. Mean age of sexual debut was 19.6 (±3.7) years; among males 21.2 (±3.9) years and females 17.7 (±2.2) years. The lowest age of coital debut was 14 years in males and 13 years in females. Mean age of sexual debut in the younger age group was significantly lower than among the older age group. Age of sexual debut was found to be independent of socioeconomic status, educational status and history of substance abuse; lower age of sexual debut was found to be associated with being a laborer, a migrant or female.

Conclusions:Interventions for behaviour change regarding sexual health among vulnerable groups like adolescents, migrants and females need to be intensified.

References

Pettifor A, O'Brien K, MacPhail, Miller WC, Rees H. Early Coital Debut and Associated HIV Risk Factors among Young Women and Men in South Africa. International Perspectives on Sexual and Reproductive Health. 2009;35(2):74-82.

Grizzle M, Flanigan T. HIV/AIDS| White Paper World Youth Alliance .page 14.Availabale at https://www.wya.net/wp-content/uploads/2014/04/WYA_HIV-AIDS_white_paper.pdf. Accessed 11 October 2013.

Kunda LJE. They have ears but they cannot hear Listening and talking as HIV prevention: a New Approach to HIV and AIDS campaigns at three of the Universities in KwaZulu Natal. PhD Thesis. University of KwaZulu-Natal, Durban South Africa. Available at http://ccms.ukzn.ac.za/Files/articles/CFPD/phd_final_mm_jk_monday,12th-2.pdf) Accessed 11 October 2013.

Kaestle CE, Halpern CT, Miller WC, Ford CA. Young Age at First Sexual Intercourse and Sexually Transmitted Infections in Adolescents and Young Adults. Am. J. Epidemiol. 2005;161 (8):774-80.

Tripathi N, Sekher TV, Murthy AK. Youth in India Ready for Sex Education? Emerging Evidence from National Surveys. PLoS ONE, 2013;8(8):e71584.

National Aids Prevention and Control Policy. Available at http://www.hsph.harvard.edu/population/aids/india.aids.02. pdf Accessed on 24 July 2012.

Joge U, Deo D, Lakde R, Choudhari S, Malkar V, Ughade H. Sociodemographic and clinical profile of HIV/AIDS patients visiting to ART centre at a rural tertiary care hospital in Maharashtra state of India. Int J Biol Med Res. 2012;3(2):1568-72.

United Nations Office on Drugs and Crime Regional Office for South Asia. Psychosocial care for women in shelter homes, 2011. Available at www.unodc.org/documents/humantrafficking/2011/Psychosocial_care_for_women_in_shelter_homes.pdf. Accessed 1 January 2012.

Buvé A, Bishikwabo-Nsarhaza K, Mutangadura G. The spread and effect of HIV-1 infection in sub-Saharan Africa. Lancet. 2002;359(9322):2011-7.

Booysen FR, Summerton J. Poverty, risky sexual behaviour, and vulnerability to HIV infection: evidence from South Africa. J Health Popul Nutr. 2002;20(4):285-8.

Parikh A, Bachman DeSilva M, Cakwe M, Quinlan T, Simon JL, Skalicky A, et al. Exploring the Cinderella myth: intra household differences in child wellbeing between orphans and non-orphans in Amajuba District, South Africa. AIDS. 2007;21(7):95.

Chakravarty J, Mehta H, Parekh A, Attili SV, Agrawal NR, Singh SP. Study on Clinico-epidemiological Profile of HIV Patients in Eastern India. J Assoc Physicians India. 2006;54:854-7.

Singh SK, Mondol S, Gupta K. The pattern of single male migration and risk behaviour to HIV/AIDS among factory workers in Surat. International Institute of Population Sciences, Mumbai, India. 2003.

Report on the Global AIDS Epidemic. Joint United Nations Programme on HIV/AIDS.UN- AIDS 2006 Available at http://www.unaids.org/sites/default/files/media_asset/2006_gr-executivesummary_en_0.pdf. Accessed 12 July 2012.

Rego A, Nadkarni V, Vasundhra D. HIV/AIDS in India: a critical review of selected studies (1990–2000). The gender and reproductive health research initiative. New Delhi: CREA. 2002.

Decosas J, Fadel K, Anarf J, Dométo KS, Hans-Ulrich W. Migration and AIDS. The Lancet. 1995;346(8978):826-8.

Mishra A. Risk of sexually transmitted infections among migrant men: Findings from a survey in Delhi. Asian and Pacific Migration Journal. 2004;13(1): 89-106.

Gangakhedkar RR, Bentley ME, Divekar AD, Gadkari D, Mehendale SM, Shepherd ME, et al. Spread of HIV infection in married monogamous women in India. The Journal of American Medical Association. 1997;278(23):2090-2.

Fernandez ME, McCurdy SA, Arvey SR, Tyson SK, Morales-Campos D, Flores B. HPV knowledge, attitudes, and cultural beliefs among Hispanic men and women living on the Texas-Mexico Border. Ethnicity & health. 2009;14(6):607-24.

Sood N, Suman P. Report to the United Nations Human Rights Council for the universal periodic review of the Republic of India on the lack of comprehensive sexuality education in India. Youth Coalition for Sexual and Reproductive Rights (YCSRR), Cananda. 2008. Available at http://sexualrightsinitiative.com/wp-content/uploads/India-UPR-1-YC.pdf. Accessed 27 July 2012.

Taraphdar P, Dasgupta A, Saha B. Coital Debut of People Living With HIV/AIDS Attending School of Tropical Medicine, Kolkata. Indian Journal of Public Health. 2009;53(4):240-2.

George S, Jacob M, John TJ, Jain MK, Nathan N, Rao PSS, et al. A case control analysis of risk factors in HIV transmission in south India in HIV/IDS research in India J Acquir Immune Defic Syndr Hum Retrovirol. 1997;14(3):290-3.

United Nations Children’s Fund. Progress for children. A report card for adolescents. New York: UNICEF. 2012.

Svanemyr J, Chandra-Mouli V, Christiansen CS, Mbizvo M. Preventing child marriages: first international day of the girl child my life, my right, end child marriage. Reproductive Health. 2012;9:31

Clark, S. Early marriage and HIV risk in sub-Saharan Africa. Stud Fam Plann. 2004;35(3):149-60.

Raj A, Saggurti N, Lawrence D, Balaiah D, Silverman JG. Association between adolescent marriage and marital violence among young adult women in India. Int J Gynecol Obstet. 2010;110(1):35-9. doi: 10.1016/j.ijgo.2010.01.022

UNICEF. Explore Ideas .Articles, Opinions and research about teaching and learning. 2001. http://www.unicef.org/teachers/teacher/lifeskil.htm. Accessed 27 July 2012.

Wang B, Xiaoming Li, Stanton B, Kamali V, Naar-King S, Shah I. Sexual attitudes, pattern of communication, and sexual behaviour among unmarried out-of-school youth in China. BMC Public Health. 2007;7:189.

Mzolo T, Shkedy Z, Zuma K. Investigating factors associated with HIV among 15 to 24 Year old females. Dissertation. Faculty of Sciences, Master of Statistics. Masstricht University. 2010.

IDIVA. News: Health ;World Contraception Day 2012. Available at http://idiva.com/news-health/world-contraception-day-2012-astonishing-facts/16141). Accessed 30 November 2012.

Mehta KG, Baxi RK, Patel SV, Chavda PD, Mazumdar VS. Assessment of sexual behavior and serostatus disclosure among people living with HIV/AIDS (PLWHAs) attending antiretroviral therapy center in tertiary care Hospital, Baroda. J HIV Hum Reprod. 2013;1:77-83.

Population, Reproductive Rights and Reproductive Health with Special Reference to HIV/AIDS – A Concise Report, United Nations, New York. 2004.

Dave SS, Copas A, Richens J, White RG, Kosambiya JK, Desai V, et al. HIV and STI Prevalence and Determinants among Male Migrant Workers in India. PLoS One. 2012;7(8):e43576.

Wig N, Sakhuja A, Agarwal SK, Khakha DC, Mehta S, Vajpayee M .Multidimensional health status of HIV-infected outpatients at a tertiary care centre in north India. Indian J Med Sci. 2008;62:87-97.

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Published

2017-02-01

How to Cite

Dayama, S., Kosambiya, J. K., Verma, M., & Ryavanki, S. (2017). Age of sexual debut and associated factors among HIV positive individuals registered at anti-retroviral therapy centre of a tertiary hospital of South Gujarat, India - a cross sectional study. International Journal Of Community Medicine And Public Health, 3(2), 498–505. https://doi.org/10.18203/2394-6040.ijcmph20160440

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Original Research Articles