Comparison of survival analysis approaches to modelling age at first sex among youth in Kisesa Tanzania (Record no. 28032)

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000 -LEADER
fixed length control field 03056nam a22003017a 4500
001 - CONTROL NUMBER
control field 20240610155544.0
003 - CONTROL NUMBER IDENTIFIER
control field 20240610155544.0
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240610160611.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240610b |||||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Transcribing agency ddc
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
100 ## - MAIN ENTRY--PERSONAL NAME
Fuller form of name Jacqueline Materu
245 ## - TITLE STATEMENT
Title Comparison of survival analysis approaches to modelling age at first sex among youth in Kisesa Tanzania
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania :
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS-Bugando] :
Date of publication, distribution, etc. 2023
300 ## - PHYSICAL DESCRIPTION
Extent Pages 01-18
Extent Includes References
490 ## - SERIES STATEMENT
Volume/sequential designation PLoS ONE 18(9): e0289942.
520 ## - SUMMARY, ETC.
Summary, etc. Abstract :<br/><br/>Background : Many studies analyze sexual and reproductive event data using descriptive life tables. Survival analysis has better power to estimate factors associated with age at first sex (AFS), but proportional hazards models may not be right model to use. This study used accelerated failure time (AFT) models, restricted Mean Survival time model (RMST) models, with semi and non-parametric methods to assess age at first sex (AFS), factors associated with AFS, and verify underlying assumptions for each analysis.<br/><br/>Methods : Self-reported sexual debut data was used from respondents 15–24 years in eight cross-sectional surveys between 1994–2016, and from adolescents’ survey in an observational community study (2019–2020) in northwest Tanzania. Median AFS was estimated in each survey using non-parametric and parametric models. Cox regression, AFT parametric models (exponential, gamma, generalized gamma, Gompertz, Weibull, log-normal and log-logistic), and RMST were used to estimate and identify factors associated with AFS. The models were compared using Akaike information criterion (AIC) and Bayesian information criterion (BIC), where lower values represent a better model fit.<br/><br/>Results : The results showed that in every survey, the Cox regression model had higher AIC and BIC compared to the other models. Overall, AFT had the best fit in every survey round. The estimated median AFS using the parametric and non-parametric methods were close. In the adolescent survey, log-logistic AFT showed that females and those attending secondary and higher education level had a longer time to first sex (Time ratio (TR) = 1.03; 95% CI: 1.01–1.06, TR = 1.05; 95% CI: 1.02–1.08, respectively) compared to males and those who reported not being in school. Cell phone ownership (TR = 0.94, 95% CI: 0.91–0.96), alcohol consumption (TR = 0.88; 95% CI: 0.84–0.93), and employed adolescents (TR = 0.95, 95% CI: 0.92–0.98) shortened time to first sex.<br/><br/>Conclusion : The AFT model is better than Cox PH model in estimating AFS among the young population.
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Sexual
General subdivision Reproductive
700 ## - ADDED ENTRY--PERSONAL NAME
Fuller form of name Eveline T. Konje
Fuller form of name Mark Urassa
Fuller form of name Milly Marston
Fuller form of name Ties Boerma
Fuller form of name Jim Todd
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://doi.org/10.1371/journal.pone.0289942">https://doi.org/10.1371/journal.pone.0289942</a>
Link text https://doi.org/10.1371/journal.pone.0289942
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type RESEARCH ARTICLES
Suppress in OPAC
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
          MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO 06/10/2024   20240610155544.0 06/10/2024 06/10/2024 RESEARCH ARTICLES
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