Socio-Ecological Associations of the Development of Sexual Behavior in Young Adolescent Girls in the Rural Southern Region of Malawi

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dc.contributor.authorMatemba, Sadandaula Rose Muheriwa
dc.contributor.authorCianelli, Rosina
dc.contributor.authorDe Santis, Joseph P.
dc.contributor.authorRodriguez, Natalia Villegas
dc.contributor.authorKaponda, Chrissie C. P. N.
dc.contributor.authorMcmahon, James M.
dc.contributor.authorLeblanc, Natalie M.
dc.date.accessioned2025-01-20T17:11:49Z
dc.date.available2025-01-20T17:11:49Z
dc.date.issued2024
dc.description.abstractAdolescent girls are more likely to experience early sexual debut than boys. However, the developmental context of their sexual behaviors is under-investigated. Using the socio-ecological model and Malawi Schooling and Adolescent Survey, we investigated factors crucial in determining the development of sexual behaviors of 416, 14-year-old girls in rural southern Malawi. We applied Bivariate Logistic Regression analysis to determine associations. Results showed that 353 (84.9%) experienced sexual intercourse, 60 (18.4%) had multiple sexual partners, and 32 (9.1%) used condoms or hormonal contraceptives. Participants' educational background, desire for higher education, reproductive health knowledge, and being monitored by teachers in school were positively associated with healthy sexual behaviors. Having a boyfriend, lack of schooling support, and being invited to teachers' homes were positively associated with risky sexual behaviors. Therefore, promoting adolescents' formal education, sexual health literacy, and safety in schools should be essential components of research and biobehavioral interventions targeting young adolescents in Malawi.
dc.description.funderSpecial thanks also go to The Population Council, New York, for providing access to data and to Dr. Betty Mkwinda Nyasulu, Lecturer of the Writing Program at the University of Texas at San Antonio Graduate School for editing the revised manuscript.
dc.fuente.origenWOS
dc.identifier.doi10.1177/02724316231199221
dc.identifier.eissn1552-5449
dc.identifier.issn0272-4316
dc.identifier.urihttps://doi.org/10.1177/02724316231199221
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91210
dc.identifier.wosidWOS:001058017400001
dc.issue.numero5
dc.language.isoen
dc.pagina.final666
dc.pagina.inicio624
dc.revistaJournal of early adolescence
dc.rightsacceso restringido
dc.subjectsexual behavior
dc.subjectsocio-ecological factors
dc.subjectyoung adolescent girls
dc.subjectMalawi
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSocio-Ecological Associations of the Development of Sexual Behavior in Young Adolescent Girls in the Rural Southern Region of Malawi
dc.typeartículo
dc.volumen44
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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