Prevalence of Premarital Sex in Bangladesh: A Systematic Review and Meta-Analysis

Abstract

Introduction: Premarital sex in Bangladesh is a sensitive and culturally complex topic influenced by social, religious, and traditional norms. This study aimed to find the pooled prevalence of premarital sex in Bangladesh. Methods: We comprehensively searched multiple electronic databases and carefully selected 11 studies for inclusion in the analysis. We used a random-effects model to estimate the pooled prevalence of premarital sex in Bangladesh, assessing heterogeneity with the Q-test and I2 statistic. Subgroup analyses, meta-regression, and sensitivity analysis were performed to explore sources of heterogeneity and assess the robustness of the test results. Publication bias was evaluated using Egger's test and funnel plots. All analyses were performed using STATA 17. Results: The estimated pooled prevalence of premarital sex in Bangladesh was 31.87% (95% CI: 18.55–45.18). Males showed a higher prevalence at 37.75%, whereas younger individuals (≤19 years) had a prevalence of 10.29%. The prevalence increased with age, reaching 39.71% for those aged 15 and older and 43.98% for those aged 18 and above. Regarding partner types, most premarital sex occurred with boyfriends or girlfriends (39.87%), followed by commercial sex workers (16.70%), relatives or cousins (18.09%), and teachers or house tutors (5.97%). Conclusion: This study reveals a significant prevalence of premarital sex in Bangladesh, with higher rates among males and older individuals. Culturally relevant sexual education and community support can promote responsible behavior and improve reproductive health awareness in Bangladesh. This approach helps reduce stigma and empowers young individuals to make informed decisions.