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These indicators of sexual activity and reproduction among young people in Côte d'Ivoire raise particular interest for in-depth analysis of the possible determinants of age at sexual the abc's of kinky sex debut. In the developing world, the influence of peers and parents on youths' attitudes and behaviors regarding sexuality and reproduction has been documented.12 However, information on the influence of siblings is scarce, and the abc's of kinky sex the debate is ongoing. METHODS This study involves a secondary analysis of data the abc's of kinky sex collected in November and December 2001 to provide baseline information for a multimedia health communication campaign on youth behavior regarding sexually transmitted infections (STIs), including HIV/AIDS.*13 By using multistage sampling techniques, representative samples of youth aged 15–24 were drawn independently from Abidjan, the commercial and administrative center of Côte d'Ivoire, and two other major cities, Bouaké and Korhogo.

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Consequently, premarital childbearing is becoming increasingly common, particularly in urban areas. In a 2001 chartbook on youth sexual experience and reproductive health in 11 Sub-Saharan African countries,11 Côte d'Ivoire had the highest proportion of sexually experienced, never-married women aged 15–19 years (45%); it also had the biggest difference between the proportion of women brava theater aged 20–24 who brava theater had had sex before brava theater age 18 and the proportion who had been married before age 18 (82% vs. 44%). Moreover, despite declining birthrates over the previous five years among 15–19-year-old females, 30% of unmarried 18-year-old women in Côte d'Ivoire were mothers or were pregnant with their first child—again, the highest proportion among the countries examined.

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