142nd APHA Annual Meeting and Exposition

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308902
Unraveling data on the sexual practices, values and perceptions of university youth from the Arab World: The Case of Lebanon

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Lilian Ghandour, PhD, MPH , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Noura El Salibi, MPH , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Rola Yasmine, RN, MS , Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Faysal El Kak, MD, MS , Health Promotion and Community Health Department, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
Youth sexuality is a tabooed topic in the Arab world, particularly among the unmarried. Using a secured online survey, this study is the first to investigate the sexual behaviors, attitudes and perceptions of private university students from Lebanon. Of those who responded to ever having had oral or anal or vaginal sex (n=1838), half (n=943) were sexually active, a third of which reported having had anal and/or oral sex particularly to avoid hymen-breaking (higher percentages among females). Penetrative sexual practices with an unfamiliar partner were 8 times more likely in males (p<0.0001). Female students, however, were twice more likely to report engaging in sexual practices when they did not really want to, and having been in a relationship where they felt things were moving too fast physically (p-value<0.0001). About 1 in 5 female students reported nonconsensual sex at sexual debut compared to 13% of males (p=0.013); again, 20% of the females reported ever having been sexually abused versus 7% of the males (p<0.0001). Males were twice more likely to be drinking or using drugs at sexual debut. Common socio-cultural concerns about sexual initiation are gaining a bad reputation (60%), social rejection (69%), religion (75%) and parental disapproval (76%), feeling guilty afterwards (70%), and losing self-respect (69%), all more commonly reported by females. Establishing baseline estimates of youth sexual values and practices, while examining gender differences, is fundamental for directing research and implementing effective youth programs.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Epidemiology
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe sexual behaviors of youth and how these practices differ by gender Differentiate how reasons behind postponing sexual debut contribute to a sexist discourse

Keyword(s): Sexuality, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an Obstetrician- Gynecologist, public health practitioner and a reproductive sexual health professional involved in clinical and academic work. I work with national, regional and various international agencies and organizations as a consultant and advisor including UNFPA and WHO. I am the co-principal investigator of the study from which the data for this abstract emanated
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.