DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200929

Awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth in Chaungzone township, Mon State, Myanmar (2018)

Tun W. Lat, Yan Aung, Min Thu, Thandar Tun, Kyaw S. Mya

Abstract


Background: Premarital sexual practices among youth and adolescents have been highly recognized and are increasing worldwide. This study aimed to assess the awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth.

Methods: The study used mixed method approach among 404 youth of equal number of male and female youth from urban and rural community using guided self-administered questionnaire and in-depth interview among 12 youth and key informant interview among 6 health professionals.

Results: The study found that 11.4% (95% CI: 8.3, 14.5) of youth had premarital sex practice. After adjusting the covariates, the odds of practicing premarital sex were higher among 18 years and above (AOR=3.5, 95% CI: 1.2, 9.6), low education (AOR=3.3, 95% CI: 1.1, 10.7), youth having relationship (AOR=8.0, 95% CI: 3.0, 21.2) and youth who accepted premarital sex practice (AOR=10.9, 95% CI: 3.6, 33,1), having friends who had experience in premarital sex (AOR=3.9, 95% CI: 1.3, 11.4), compared to their counterparts. The qualitative findings revealed that most of youth and service providers did not accept premarital sex among youth because of its contradiction to traditional norms. Health care providers and youth suggested that privacy was the most critical thing in accessibility of reproductive health services among youth. All levels of providers pointed out that there were insufficient resources for provision of effective reproductive health services.

Conclusions: Youth-friendly reproductive health services should be implemented to prevent unwanted pregnancy, abortions and sexually transmitted diseases to ensure safer sex practices among youth. 


Keywords


Premarital sex, Sexual and reproductive health, Traditional norms, Youth, Youth-friendly service

Full Text:

PDF

References


United Nations, The Global situation of young people, Report: World Youth Report, 2003. Available at https://www.un.org/esa/socdev/unyin/documents/worldyouthreport. pdf. Accessed on 8th July 2018.

Hurissa BF, Tebeje B, Megersa H. Prevalence of premarital sexual practices and associated factors among Jimma teacher training college students in Jimma Town, South West Shoa Zone, Oromiya Region, Ethiopia-2013. J Women’s Health Care 2014;4:221.

WHO Regional Office for Europe. Adolescence: building solid foundations for lifelong flourishing. Fact sheet: UNFPA, Estern Europe and Centaral Asia. Available at: https://eeca.unfpa.org/en/publications/ adolescence-building-solid-foundations-lifelong flourishing. Accessed on 13th August 2018.

James S, Montgomery SB, Leslie LK, Zhang J. Sexual risk behaviours among youth in the child welfare system. National Institute Health. 2009;31:9.

Htay SS, Oo M, Yoshida Y, Harun-Or-Rashid M, Sakamoto J. Sexual risk behaviours and associated factors among medical students and community youth in Myanmar. Nagoya J Med Sci. 2012;72:71-7

Hitke NW. Premarital sexual practice and its associated factors among distance education students at University of Magway, Magway Region, Myanmar. 2017.

Kay-Khine. Scientific scribble: Myanmar youth: Sex before or after marriage?. 2016. Available at: https://blogs.unimelb.edu.au/sciencecommunication/ 2016/08/09/myanmar-youth-sex-before-or-after-marriage/. Accessed on 21st July 2018.

Min-Myo-Kyi. Knowledge and attitude on sexual risk behaviours and self-reported sexual practice among rural youth of Mon State, Myanmar. 2016.

Yared A, Sahile Z, Mekuria M. Sexual and reproductive health experience, knowledge and problems among university students in Ambo, central Ethiopia. Reproductive Health. 2017;14(1):41.

de Sousa BC, dos Santos RS, Santana KC, Souzas R, Leite AJM, de Medeiros DS. Sexual behaviour and associated factors in rural adolescents. Revista de Saude Publica. 2018;52:39.

Powwattana A, Ramasoota P. Differences of sexual behaviour predictors between sexually active and non-active female adolescents in congested communities, Bangkok metropolis. J Med Assoc Thailand (Chotmaihet Thangphaet). 2008;91(4):542-50.

Pyae-Phyo-Chain. Reproductive Health and Sexual Behaviour among Commercial Motorcycle Drivers in Meikhtila Township, Myanmar. 2017. Available at: http://www.uph-myanmar.gov.mm/wp-content/up loads/2019/03/Pyae-Phyo-Chein-2017.pdf. Accessed on 13th August 2018.

Sychareun V, Thomsen S, Faxelid E. Concurrent multiple health risk behaviours among adolescents in Luangnamtha Province, Lao PDR. BMC Pub Health. 2011;11:36.

Nagamatsu M, Yamawaki N, Sato T, Nakagawa A, Saito H. Factors influencing attitudes toward sexual activity among early adolescents in Japan. J Early Adolesce. 2013;33(2):267-88.

Ghaffari M, Gharghani ZG, Movahed M, Ramezankhani A, Mehrabi Y. Premarital sexual intercourse-related individual factors among Iranian adolescents: a qualitative study. Iran Red Crescent Med J. 2016;18:2.

Ofori C, Dodoo FN. Young People’s Perceptions about Premarital Sex, Perceived Parent Values about Sex and Premarital Sexual Behaviour in Ghana. Publication of Population Association of America. 2016.

Tilahun M, Mengistie B, Egata G, Reda AA. Health workers’ attitudes toward sexual and reproductive health services for unmarried adolescents in Ethiopia. Reproduct Health. 2012;9(19):1-7.

Onokerhoraye, Andrew G, Dudu JE. Perception of adolescents on the attitudes of providers on their access and use of reproductive health services in Delta State, Nigeria. Scientific Res. 2017;9:88-105.

Ahanonu, Loretta E. Attitudes of healthcare providers towards providing contraceptives for unmarried adolescents in Ibadan, Nigeria. J Family Reprod Health. 2014;8(1):33-40.