| Literature DB >> 35698147 |
David P Lindstrom1, Ida Sahlu2, Tefera Belachew3, Mulusew Gerbaba3.
Abstract
BACKGROUND: Raising the median age at first sexual intercourse and first marriage among females is a policy goal of the Ethiopian government. Education figures prominently in the government's plans for achieving its goals, including primary and secondary schools; higher education; and out-of-school interventions such as youth centers, peer clubs, and youth associations In this study, we tested whether adolescents and youth who had high educational and occupational expectations at younger ages were at a lower risk of first sexual intercourse and marriage during adolescence and early adulthood.Entities:
Keywords: Ethiopia; First marriage; First sexual intercourse; Schooling
Mesh:
Year: 2022 PMID: 35698147 PMCID: PMC9195193 DOI: 10.1186/s12978-021-01239-z
Source DB: PubMed Journal: Reprod Health ISSN: 1742-4755 Impact factor: 3.355
Response rates for baseline household and wave 1–3 adolescent surveys, JLFSY, 2005–2010
| Household survey | Adolescent surveys | |||
|---|---|---|---|---|
| Wave 1 2005–2006 | Wave 1 2005–2006 ages 13–17 | Wave 2 2006–2007 ages 14–18 | Wave 3 2009–2010 ages 17–21 | |
| Respondents | 99.9% | 98.9% | 91.8% | 72.7% |
| Nonrespondents | 0.1% | 6.2% | 25.4% | |
| Refusals | 0.1% | 1.0% | 2.0% | 1.9% |
| Total | 100.0% | 100.0% | 100.0% | 100.0% |
| Effective sample size | 3700 | 2107 | 2104 | 2102 |
Effective sample size excludes subjects who were disabled or died
Variable definitions, JLFSY 2005–2010
| Dependent variables (wave 3) |
| First sex = 1 if first sex in a given life year and 0 otherwise |
| First marriage = 1 if first marriage in a given life year and 0 otherwise |
| Independent variables |
| Life expectations (wave 1, age 13–17) |
| Career expectations: Standard normal index based on factor analysis of highest expected years of schooling and expected occupation coded according to the Standard International Occupational Prestige Scale |
| Expected age at first marriage: Age at which respondents expected to marry |
| Personal autonomy: Standard normal index based on factor analysis of responses to four questions regarding ability to make life decisions: 1. Could you decide to have a job that your parents do not approve of? 2. Could you marry a person whom your parents did not approve of? 3. Do you think you will decide who your future spouse will be? 4. If your parents chose a partner for you whom you did not want to marry, would you tell them so? High values correspond to greater influence over decisions |
| Gender equality: Standard normal index based on factor analysis of responses to 10 statements on women and men’s roles: 1. A woman should always listen to her husband. 2. A husband should have the final say in all major family matters. 3. Marriage by abduction is acceptable. 4. There is nothing a woman can do if her husband has a mistress. 5. Female circumcision is a practice that should continue. 6. Normally a man should not have to do housework. 7. A woman could be mayor. 8. A wife should be allowed to request a divorce. 9. A women should be allowed to marry a man of her choice. 10. It is acceptable for females to buy condoms. In wave 1, the responses were agree or disagree. High values of the index correspond to more gender egalitarian attitudes |
| School participation |
| In school (time varying, waves 1, 2, and 3) = 1 if student in a given life year and 0 otherwise |
| Membership in youth clubs (wave 1, age 13–17) = 1 if member of a youth club and 0 otherwise |
| Family and community environment (wave 1, age 13–17) |
| Religiosity: Standard normal index based on factor analysis of responses to five questions on religious practices: 1. In the last year, on religious days in which you should attend church/mosque, how often did you go? 2. In the last year, on religious days of fasting, how often did you fast? 3. Do you or have you ever received religious instruction outside of your home, for example Koranic school or Bible classes? 4. How often do you pray? 5. How important is religion to you? High values of the index correspond to higher levels of religious observance |
| Parents’ desired age of daughter’s marriage: Average of the age at which the respondent thinks her father and her mother want her to marry |
| Parents’ highest year of schooling: Highest year of schooling completed by father or mother |
| Household wealth: Standard normal index based on factor analysis of ten household measures: owns radio, television, electric stove, bicycle, motorcycle, home; has electricity, protected source of drinking water, toilet, and non-dirt floor |
| Female headed household = 1 if female household head and 0 otherwise |
Sample means for males and females by in-sample and lost to follow-up status, JLFSY 2005–2010
| Males | Females | |||
|---|---|---|---|---|
| In- sample | Lost to follow-up | In- sample | Lost to follow-up | |
| First sex | 0.171 | 0.246 | ||
| First marriage | 0.008 | 0.113 | ||
| Life expectations (age 13–17) | ||||
| Career expectations | 0.066 | 0.214* | 0.122 | − 0.043*** |
| Expected age at marriage | 25.9 | 26.0 | ||
| Personal autonomy | 0.036 | 0.206* | 0.211 | 0.104* |
| Gender equality | − 0.036 | − 0.077 | 0.383 | 0.311 |
| School participation | ||||
| Membership in youth clubs (age 13–17) | 0.600 | 0.633 | 0.574 | 0.534 |
| Family and community environment (age13–17) | ||||
| Religiosity | − 0.131 | − 0.242 | 0.108 | 0.176 |
| Parents’ desired age of daughter’s marriage | 27.5 | 26.8 | 25.0 | 24.6* |
| Parents’ highest year of schooling | 4.277 | 4.889* | 5.114 | 4.911 |
| Household wealth | 0.225 | 0.292 | 0.406 | 0.353 |
| Female headed house | 0.188 | 0.242 | 0.235 | 0.241 |
| City | 0.680 | 0.680 | 0.718 | 0.740 |
| Town | 0.084 | 0.078 | 0.081 | 0.075 |
| Number of observations | 870 | 162 | 651 | 349 |
Significance levels for difference of means/proportions test, sample weights applied
*P < 0.10, **P < 0.05, ***P < 0.01
Parameter estimates from logistic regression models predicting lost to follow-up, males and females, JLFSY 2005–2010
| Males | Females | |
|---|---|---|
| Life expectations (age 13–17) | ||
| Career expectations | 0.169 | − 0.200** |
| Expected age at marriage | 0.028 | |
| Personal autonomy | 0.118 | − 0.100 |
| Gender equality | − 0.102 | − 0.087 |
| School participation | ||
| Membership in youth clubs (age 13–17) | 0.044 | − 0.031 |
| Family and community environment (age 13–17) | ||
| Religiosity | − 0.070 | 0.118 |
| Parents’ desired age of daughter’s marriage | − 0.040* | |
| Parents’ highest year of schooling | 0.037** | − 0.003 |
| Household wealth | 0.033 | − 0.067 |
| Female headed house | 0.354 | − 0.060 |
| City | − 0.437 | 0.515 |
| Town | − 0.451* | 0.324 |
| Rural (ref.) | ||
| Number of observations | 1032 | 1000 |
| Pseudo | 0.016 | 0.016 |
Robust standard errors adjusted for clustering at the community level, sample weights applied
*P < 0.10, **P < 0.05, ***P < 0.01
Parameter estimates from discrete-time hazard models predicting first sexual intercourse and first marriage, JLFSY 2005–2010
| First sex males | First sex females | First marriage females | |
|---|---|---|---|
| Had first sex in a prior year | 2.764*** | ||
| Life expectations (age 13–17) | |||
| Career expectations | − 0.143** | − 0.363*** | |
| Expected age at marriage | − 0.049 | ||
| Personal autonomy | 0.165 | − 0.067 | − 0.288 |
| Gender equality | 0.136 | 0.014 | 0.210 |
| School participation | |||
| In school (time varying) | − 5.002** | − 3.517** | − 0.681* |
| Membership in youth clubs (age 13–17) | 0.092 | 0.025 | 0.139 |
| Family and community environment (age13–17) | |||
| Religiosity | − 0.001 | 0.036 | 0.157 |
| Parents’ desired age of daughter’s marriage | − 0.078** | ||
| Parents’ highest year of schooling | 0.043*** | − 0.025 | − 0.033 |
| Household wealth | − 0.002 | − 0.216 | 0.042 |
| Female headed house | 0.610** | − 0.301 | − 0.588** |
| City | 1.639*** | 1.115** | − 0.581 |
| Town | 1.210** | 0.790* | 0.006 |
| Rural (ref.) | |||
| Duration dependence | |||
| Age (time varying) | 0.302*** | 0.276*** | 0.260*** |
| Age × in school interaction | 0.275** | 0.196*** | |
| Number of life years | 7339 | 5314 | 5504 |
| Number of observations | 870 | 651 | 651 |
| Pseudo | 0.208 | 0.139 | 0.282 |
Robust standard errors adjusted for clustering at the community level, sample weights applied
*P < 0.10, **P < 0.05, ***P < 0.01
Fig. 1Mean predicted probability of first sex, males by student status and career expectations, JLFSY 2005–2010
Fig. 2Mean predicted probability of first sex, females by student status and career expectations, JLFSY 2005–2010
Fig. 3Mean predicted probability of first sex, males by career expectations and parents’ education, JLFSY 2005–2010
Fig. 4Mean predicted probability of first sex, females by career expectations and parents’ education, JLFSY 2005–2010
Fig. 5Mean predicted probability of first sex, females by career expectations and household wealth, JLFSY 2005–2010
Fig. 6Mean predicted probability of first marriage, females by student status and parents’ desires, JLFSY 2005–2010