Behavioral Surveillance of Premarital Sex Among Never Married Young Adults in a High HIV Prevalence District in India

Abstract
In a population-based representative sample of 2,475 never married persons aged 15–24 years from Guntur district of Andhra Pradesh state in India, 21.7% (95% CI 18.7–24.7) males and 4.6% (95% CI 2.2–7.0) females reported having had sex. Only 22.3% males and 6.3% females reported consistent condom use for premarital sex in the last 6 months. The strongest associations with premarital sex for males were current use of alcohol and tobacco, and for females were not living with parents currently and being an income earner. These findings can inform HIV prevention efforts among young adults in India.