The health consequences of adolescent sexual and fertility behavior in sub-Saharan Africa
Zabin, L.S.; Kiragu, K.
Studies in Family Planning 29(2): 210-232
1998
ISSN/ISBN: 0039-3665 PMID: 9664633 DOI: 10.2307/172160Document Number: 274612
The paper reviews the literature on health consequences of adolescent sexual behaviour and childbearing in sub-Saharan Africa, and the social and cultural context in which they occur. It suggests that, in addressing the most serious health sequelae, sexual intercourse that occurs in early marriage and premaritally must both be considered. Some limitations of the data are noted. Despite the excess risk to which adolescents are exposed, due both to custom and age-related vulnerability, differences between health effects among adult and adolescent women are often differences in degree. They are attributable to behavioural, social, and biological causes, exist in traditional and non-traditional settings, in union and out of union, and are exacerbated by declining ages at menarche, pressures of HIV/AIDS and STDs, and a dearth of appropriate services - especially for young people. Some current interventions are discussed, and the need for policy as well as medical intervention is stressed.