Early sexual initiation is linked to an increased risk of HIV/AIDS and other STIs among teenagers, as well as having multiple partners, not using contraception, unintended pregnancy, and illegal abortions. Aim. To identify the correlates and psychological effects of early sexual debut among not-in-union women in Ghana. A descriptive cross-sectional survey was used for this study using data from Ghana Multiple Indicator Cluster Survey (MICS) for the year 2017/2018. SPSS software was used for data analysis, bivariate analysis for association was done using chi-square, and the prediction was done using a binary logistic regression model. The national prevalence of nonmarital early sexual initiation this current study recorded was 56.9%. Predictors variables were age, 15-24/≥35 years (, 1.28-1.78), ever educated (, 0.43-0.60), urban address (, 0.74-0.98), married/single (, 1.07-1.42), cohabitation/single (, 1.19-1.72), Greater Accra Region/Upper West Region (, 0.49-0.92), and health insurance (, 0.79-0.998). As the wealth indices of the woman decrease from the richest to poorest, the likelihood of early sexual debut inversely increases: fourth/richest (, 1.04-1.45), middle/richest (, 1.09-1.58), second/richest (, 1.11-1.72), and poorest/richest (, 1.12-1.86); use of the internet (, 0.50-068); substance use and alcohol ever use (, 1.17-1.49); cigarette ever use (, 1.44-4.64); contraceptive use (, 1.16-1.49); and ever heard of HIV (, 0.42-0.82). In conclusion, the prevalence of early sexual debut is still high in Ghana, especially among the northern regions. Several factors predicted early sex debut, and low life satisfaction and happiness were related to early sexual debut.

中文翻译：

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加纳女性的早期性行为：相关性和心理影响

早期性行为与青少年感染艾滋病毒/艾滋病和其他性传播感染的风险增加有关，以及拥有多个伴侣、不使用避孕措施、意外怀孕和非法堕胎。瞄准。确定加纳非同居女性早期性行为的相关性和心理影响。本研究使用了 2017/2018 年加纳多指标类集调查 (MICS) 的数据进行了描述性横断面调查。数据分析采用SPSS软件，关联分析采用卡方，预测采用二元逻辑回归模型。目前这项研究记录的非婚早期性行为的全国流行率为 56.9%。预测变量是年龄，15-24/≥35 岁（, 1.28-1.78), 受过教育 (, 0.43-0.60), 城市地址 (, 0.74-0.98), 已婚/单身 (, 1.07-1.42), 同居/单身 (, 1.19-1.72), 大阿克拉地区/上西部地区 (, 0.49-0.92) 和健康保险 (, 0.79-0.998)。随着女性的财富指数从最富有下降到最贫穷，过早首次性生活的可能性反向增加：第四/最富有（, 1.04-1.45), 中等/最富有 (, 1.09-1.58), 第二/最富有 (, 1.11-1.72) 和最贫穷/最富有的 (, 1.12-1.86); 使用互联网（, 0.50-068); 物质使用和酒精曾经使用过（, 1.17-1.49); 曾经使用过的香烟（, 1.44-4.64); 避孕药使用（, 1.16-1.49); 听说过艾滋病毒（, 0.42-0.82)。总之，在加纳，尤其是北部地区，早期性行为的流行率仍然很高。有几个因素可以预测早期性生活，低生活满意度和幸福感与早期性生活有关。