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Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

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Age differences and protected first heterosexual intercourse in Ghana.

Joshua Amo-Adjei¹

¹Department of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Ghana. kjamoadjei@yahoo.com

African Journal of Reproductive Health

|March 1, 2013

Summary

Large age gaps in relationships, especially when women are much younger, significantly reduce condom use during first sex. This increases risks of unplanned pregnancies and sexually transmitted infections (STIs).

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Area of Science:

Reproductive Health
Sociology
Demography

Background:

Age differences in partnerships can create power imbalances.
These imbalances may affect safe sex negotiations and outcomes like unplanned pregnancies and STI transmission.

Purpose of the Study:

To examine the impact of age differentials on condom use during first sexual intercourse.
To identify specific age gap thresholds associated with unprotected sex.

Main Methods:

Analysis of data from 925 women from the Ghana Demographic and Health Survey (GDHS).
Application of a complementary log-log model to estimate probabilities.

Main Results:

Females being 10 or more years younger than their male partners significantly indicated non-protection during first sex.
Smaller age gaps (1-4 and 5-9 years) were associated with a significantly higher probability of protected sex.

Conclusions:

Substantial age disparities between partners are a major barrier to protection during first sex.
Strategies are needed to address perceptions surrounding intergenerational sex, particularly in African contexts with prevalent gerontocratic norms.