Reviewer’ s report
Title: Determinants of early sexual initiation among female youth in Ethiopia: A multilevel
analysis of 2016 Ethiopian Demographic and Health Survey
Version: 0Date: 28 Jun 2020
Reviewer's report:
This is a valuable report about young women's early sexual performances in Ethiopia. However I
have few recommendations to strengthen it from a sexologist's standpoint:- I am so much confused with various concepts authors have used all through the manuscript suchas 'early sexual initiation', 'sexual act' or 'sexual intercourse'. Page 4 line 18 "...early sexualinitiation..." has focused on women's age than their performance! |I do recommend to keepconsistency in using sexual concepts, sexual act, intercourse so on are defined differently and itneeds to be described contextually. In other word the authors need to define sexual behavior(Zohreh Ghorashi, Effat Merghati-Khoei, Alireza Yousefy, 2014 Measuring Iranian women'ssexual behaviors: Expert opinion)
in general and specified sexual performances in the Ethiopian context including gender schema.
- Discussion on findings need to be in depth; I would like to see why and how these findings areinterpreted in the Ethiopian culture? otherwise I would question the novelty of findings! e.g howwould "community level of wealth" could prevent the young women from early sexual initiationwhile it is a predictive variable for youths' sexual performances in other societies?! page16 line 16-19 contradictory discussion "Educational coverage,improvement of youth friendly health servicethrough time might be the responsible factor for thedifference in the two age group cohorts." surely, age group of 19-24 has higher education that 15-18! how come they had initiated their sexual performance then?!
- This manuscript needs native writer's edition, so many mistakes e.g page 11 line 42 "Female
youth who were no attend school weretimes more likely initiate early sexual intercourse when compared with attending highereducation"-I do suggest these references to be included to strengthen the discussion part: "Noroozi et al,Premarital sexual relationships: Explanation of the actions.Iran J Nurs Midwifery Res. 2014 Jul-Aug; 19(4): 424-431"; " Noroozi at al, How Does a Group of Iranian Youth Conceptualize TheirRisky Sexual Experiences? Iran Red Crescent Med J. 2015 Feb; 17(2); Rahmani at al. TheViewpoints of Sexually Active Single Women About Premarital Sexual Relationships: AQualitative Study in the Iranian Context. Int J High Risk Behav Addict. 2016 Mar; 5(1); Rahmaniet al. Development and psychometric evaluation of the Premarital Sexual Behavior AssessmentScale for Young Women (PSAS-YW): an exploratory mixed method study.Reproductive Healthvolume 11, Article number: 43 (2014); Rahmani et al. Perceived Advantages and Disadvantagesof Sex Education in Young. Int J High Risk Behav Addict. 2018 June; 7(2):Women: A Qualitative Study
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