Generational differences in current sexual behavior among Georgian reproductive-aged women
Authors Abzianidze T, Butsashvili M, Kajaia M, DeHovitz JA, Kamkamidze G
Received 8 December 2018
Accepted for publication 21 February 2019
Published 6 May 2019 Volume 2019:11 Pages 301—308
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Ms Justinn Cochran
Peer reviewer comments 2
Editor who approved publication: Dr Everett Magann
Tinatin Abzianidze,1 Maia Butsashvili,1 Maia Kajaia,1 Jack A DeHovitz,2 George Kamkamidze1
1Health Research Union (HRU), Tbilisi, Georgia; 2Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA
Background: Following the collapse of the Soviet Union, there was a pronounced change in the availability of modern contraceptive methods and an accompanying shift in the knowledge and attitudes of Georgian women related to sexual behaviors. This study describes differences in sexual behaviors, condom use and family planning practices among several generations of reproductive-aged Georgian women.
Methods: Study participants were recruited from three large cities in Georgia. Women >25 years were recruited from the Cervical Cancer Screening National Program by consecutive sampling; those <25 years were recruited from universities using random sampling. Data collection included self-administered, anonymous surveys. Bivariate analyses were conducted and adjusted prevalence ratios (PR) with 95% confidence intervals were computed.
Results: Among the 350 participants, independent predictors of age at first sexual intercourse were age (aPR 0.27; 95% CI 0.12–0.57), level of education (aPR 0.23; 95% CI: 0.11–0.44), marital status (aPR 2.8;95% CI:1.3–6.0) and religion (aPR 4.01; 95% CI:1.17–13.68). Younger women were more likely to have a premarital sexual relationship compared to older women (RR=0.85; 95% CI: 0.80–0.89); older women were also significantly more likely to use family planning methods with a current partner (RR=2.15; 95% CI: 1.48–3.13). Similarly, advanced education was associated with family planning (RR=1.66; CI: 1.13–2.45).
Conclusions: This study describes clear generational differences in current sexual behavior among Georgian women of reproductive age and these differences, especially in age at first sexual intercourse, premarital sexual relationship and use of contraceptive methods, are influenced by age, level of education, marital status and religion. This information is vital to designing contextually appropriate strategies to prevent sexually transmitted infections.
Keywords: Georgia, generation, sexual behavior, sexual partners contraception, reproductive age, women
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