{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T14:16:53Z","timestamp":1785766613130,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,5,18]],"date-time":"2012-05-18T00:00:00Z","timestamp":1337299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold>To describe the sexual and reproductive behaviour of adolescents in sub\u2010Saharan Africa, particularly 15\u2010 to 19\u2010year\u2010olds.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold>Using DHS\/AIS data (2000\u20132010), nine indicators of adolescent behaviour and one of adult attitudes towards condom education for adolescents were described for 24 countries. Indicators were disaggregated by gender, urban\/rural residency and educational status, and time trends were described.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold>Up to 25% of 15\u2010 to 19\u2010year\u2010olds reported sex before age 15; this proportion shrank over time in many countries. In most countries, \u22655% of females reported marriage before age 15, and &gt;20% had commenced childbearing. Early sexual debut and childbearing were more common among the least educated and\/or rural females. Reporting of multiple sexual partnerships was more common among males than among females, but decreases over time were more common among males. Urban males and females, and females with higher education, were more likely to report multiple partnerships. Urban youth and those with higher education also reported more condom use. Adult support for condom education for 12\u2010 to 14\u2010year\u2010olds has increased over time to 60\u201365%.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold>Many 15\u2010 to 19\u2010year\u2010olds are at risk of HIV\/STIs and unplanned pregnancies because of multiple partnerships and insufficient condom and other contraceptive use. In many countries, trends are moving in a favourable direction. To better inform prevention programmes in this important area, we recommend routine collection of sexual and reproductive behaviour data for adolescents aged &lt;15\u2003years, expanding the data collected for 15\u2010 to 19\u2010year\u2010olds to include detailed information on sexual behaviour within partnerships, and disaggregating data according to sociodemographic variables.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2012.03005.x","type":"journal-article","created":{"date-parts":[[2012,5,18]],"date-time":"2012-05-18T05:44:33Z","timestamp":1337319873000},"page":"796-807","source":"Crossref","is-referenced-by-count":170,"title":["The sexual behaviour of adolescents in sub\u2010Saharan Africa: patterns and trends from national surveys"],"prefix":"10.1111","volume":"17","author":[{"given":"Aoife M.","family":"Doyle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue Napierala","family":"Mavedzenge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary L.","family":"Plummer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/25549740"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2009.03.014"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.108.3.339"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69738-9"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.011650"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2008.00173.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-008-9376-2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.010462"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2008.00176.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.013250"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988307301341"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121003758465"},{"key":"e_1_2_6_14_1","volume-title":"DHS Comparative Reports","author":"Khan S","year":"2008"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.17226\/11174","volume-title":"Growing Up Global: The Changing Transitions to Adulthood in Developing Countries: Executive Summary","author":"Lloyd CB","year":"2005"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9583-5"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-008-9433-x"},{"key":"e_1_2_6_18_1","volume-title":"Trends and Differentials in Adolescent Reproductive Behavior in Sub\u2010Saharan Africa","author":"Mahy M","year":"2002"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69662-1"},{"key":"e_1_2_6_20_1","first-page":"1","volume-title":"Policy Research Division\u2010 Working Papers","author":"Mensch BS","year":"2005"},{"key":"e_1_2_6_21_1","volume-title":"Changes in HIV\u2010Related Knowledge and Behaviors in Sub\u2010Saharan Africa","author":"Mishra V","year":"2009"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-009-9639-6"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2003.10.031"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60877-5"},{"key":"e_1_2_6_25_1","doi-asserted-by":"crossref","DOI":"10.5771\/9780739135808","volume-title":"Young People\u2019s Lives and Sexual Relationships in Rural Africa: Findings From a Large Qualitative Study in Tanzania","author":"Plummer ML","year":"2011"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-13-34"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000230527.17459.5c"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2004.011635"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.034009"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-006-9112-8"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.044933"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)62040-7"},{"key":"e_1_2_6_33_1","unstructured":"United Nations(2001)UNGASS goals. 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