Early sexual debut is associated with drug use and decreased educational attainment among males and females in Kisumu County, Kenya

Table 3 Interaction effect between drug use and education as factors associated with early sexual debut

Education level	Non-injectable drug use	Prevalence Ratio (95% Confidence Interval)	P
No education	No	Ref.
No education	Yes	1.00 (0.76, 1.31)	0.986
Some secondary or less	No	0.72 (0.61, 0.85)	0.0001
Some secondary or less	Yes	0.94 (0.74, 1.18)	0.577
Completed secondary or more	No	0.51 (0.42, 0.62)	< 0.0001
Completed secondary or more	Yes	0.77 (0.60, 1.01)	0.055

Table 3 shows fully-adjusted prevalence ratios and 95% confidence intervals from a robust Poisson regression model with self-reported early sexual debut as the outcome. Interaction effects between education and drug use indicate that the association between ESD and education may be mediated by drug use. When drug use was present, there was no independent association between education and ESD. Drug use removed the protective effect of education. Statistically significant prevalence ratios, 95% confidence intervals, and p-values (p ≤ 0.05) are in bold

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