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A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities

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  • Regina Lai Tong Lee
  • Alice Yuen Loke
  • Tommy Tsz Man Hung
  • Howard Sobel

Abstract

Aims and objectives To review literature on identifying the risk factors associated with early sexual coerced debut with the aim to facilitate the healthcare workers' planning of relevant health services to improve intervention strategies for delaying of early coerced sexual debut or forced sexual debut (CSD/FSD) in the communities. Background Identifying the risk factors associated with coercion at first sex is crucial for developing appropriate sexual and reproductive health information and health promotion in response. However, current knowledge about the risk factors associated with coercion, sexual debut (SD) and delayed SD among young people is limited. Health information programmes are important during adolescence, when young people are developing their values and beliefs about sexual activity and sexual norms. However, little is known about those risk factors on initiation of early sexual debut to plan relevant interventions that can delay SD and prevent CSD/FSD in this population. Design A systematic review. Methods An extensive literature search using MEDLINE (PubMed), Nursing Journals (PubMed), Web of Science, PsychINFO and CINAHL. Results The search generated 39 published studies that met our inclusion and exclusion criteria. Thirty‐two articles passed the quality appraisal and were selected. This review identified six domains of risk factors, categorised as: (1) the individual domain, (2) the family domain, (3) the partner/peer domain, (4) the school domain, (5) the community domain and (6) the cultural domain. These factors highlight the influences on sexual decision‐making among adolescents and young people and the timing of their first sexual intercourse. Conclusion It is important to use the outcome of this review's categorisation of identified risk factors to facilitate the healthcare workers and plan relevant sexual and reproductive health programmes more accessible to adolescents, especially young females and their parents. There is a need to evaluate the impact of these programmes that can delay SD and prevent CSD/FSD in this population. Relevance to clinical practice The results of this study could provide guidance on the planning of effective interventions for delaying of early CSD/FSD in the communities.

Suggested Citation

  • Regina Lai Tong Lee & Alice Yuen Loke & Tommy Tsz Man Hung & Howard Sobel, 2018. "A systematic review on identifying risk factors associated with early sexual debut and coerced sex among adolescents and young people in communities," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 478-501, February.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:3-4:p:478-501
    DOI: 10.1111/jocn.13933
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    References listed on IDEAS

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    1. Jordahl, Tina & Lohman, Brenda J., 2009. "A bioecological analysis of risk and protective factors associated with early sexual intercourse of young adolescents," Children and Youth Services Review, Elsevier, vol. 31(12), pages 1272-1282, December.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    1. Berezin, McKenzie N. & Javdani, Shabnam & Godfrey, Erin, 2022. "Predictors of sexual and reproductive health among girls involved in the juvenile legal system: The influence of resources, race, and ethnicity," Children and Youth Services Review, Elsevier, vol. 136(C).

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