Citation

Wiles M, Agustin S, Narasimhan S, Gipson JD. Health Care Women Int. 2018; ePub(ePub): 1-18.

Affiliation

d Fielding School of Public Health , Department of Community Health Sciences , University of California - Los Angeles, 650 Charles E. Young Dr. South, 46-071B Center for Health Sciences , Los Angeles , CA 90095-1772.

Copyright

(Copyright © 2018, Informa - Taylor and Francis Group)

DOI

10.1080/07399332.2018.1464574

PMID

29667518

Abstract

The circumstances surrounding sexual debut influence subsequent sexual and reproductive outcomes. We analysed longitudinal data from 397 women who participated in the Cebu Longitudinal Health and Nutrition Survey in Cebu, Philippines to examine associations between unwanted first sex and number of pregnancies, unintended pregnancy, and use of modern contraception. 72% of women reported unwanted first sex. Women whose first sex was unwanted had increased odds of unintended pregnancy compared to women whose first sex was wanted (aOR = 2.2, 95% CI 1.3, 3.6). Nationally-representative surveys should include culturally-relevant questions about sexual debut to inform public health programmes aimed at improving sexual/reproductive health.

Language: en

Keywords

Philippines, young women, reproductive health, pregnancy, sexual violence; Pregnancy, public health, reproductive health, violence