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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adolescent, Adult, Age Factors, Child, Coitus, Condoms, Humans, Male, Multivariate Analysis, Sexual Behavior, Sexual Partners, South Africa, Unsafe Sex.
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Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk? Context: This report examines early sexual debut (<age 15) among young men in rural South Africa including (1) risk behaviours at first sexual experience, and (2) age at first sex as a predictor of later sexual risk. Analysis of sexual behaviour data for men 15-24 years (n = 314) from representative cross sectional household survey. 13.1% of 15-24 year old men experienced sexual debut before age 15. Men with sexual debut at less than age 15 were more likely to report risk behaviours at first sexual experience: no condom use (19%), a casual partner (26.8%), and not feeling they had been "ready and wanted to have sex" (19.5%). In multivariate analysis, early sexual debut was strongly associated with>or = 3 partners in the past 3 years (OR = 10.26, p<0.01).
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Men who initiate sex before age 15 form a distinct risk group in this setting. Specific interventions are needed for young men in the pre-teen years, before sexual debut.