Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-14T01:32:24.926Z Has data issue: false hasContentIssue false
  • English
  • Français

Social and individual factors associated with condom use among single youths: an analysis of the 2018 Cameroon Demographic and Health Survey

Published online by Cambridge University Press:  17 February 2021

Jean-Robert Mburano Rwenge Open the ORCID record for Jean-Robert Mburano Rwenge [Opens in a new window] ,
Franklin Bouba Djourdebbe Open the ORCID record for Franklin Bouba Djourdebbe [Opens in a new window]  and
Emmanuel Ekambi Ekambi
Get access Rights & Permissions [Opens in a new window]

Abstract

In Cameroon, two-fifths of the population is between the age of 15 and 24. Adolescents and youths are an important social group for the development of the country and the realization of the demographic dividend. The promotion of sexual and reproductive health will enable youth to transform their potential into development. This study aimed to identify the determinants of condom use at last sexual intercourse among single youths, highlight gender differences in the factors associated with condom use and identify the characteristics of youths who were less likely to use condoms. Data were taken from the 2018 Cameroon Demographic and Health Survey. The study sample comprised 1464 single females and 989 single males age 15–24. Multivariate logistic regression analysis was used to test the study hypotheses. Overall, 51% of the female and 66% of the male youths reported using condoms at last sexual intercourse. For both sexes, the protective factor was not having children. Among the females, belonging to the Bamileke or Mbo ethnic groups and delaying first sexual intercourse were also protective, while working in the modern or service sectors was the main risk factor. Among male youths, residing in households whose heads had a higher educational level was protective and household poverty was the main risk factor. These findings support Cameroon’s multi-sectoral approach to HIV/AIDS prevention among youths, and emphasize the importance of involving parents, teachers and youths in prevention strategies.

Keywords

DemographyReproductive HealthHIV/AIDS
Type
Research Article
Information
Journal of Biosocial Science , Volume 54 , Issue 2 , March 2022 , pp. 295 - 321
Copyright
© The Author(s) 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Amon, E, Lutambi, AM, Mubyazi, GM, Kweka, K, Mbaruku, G and Masanja, H (2011) Multiple sexual partners and condom use among 10–19 year-olds in four districts in Tanzania: what do we learn? BMC Public Health 11, 490.https://doi.org/10.1186/1471-2458-11-490.Google Scholar
Bankole, A, Biddlecom, A, Guiella, G, Singh, S and Zulu (2007) Sexual behavior, knowledge and information sources of very young adolescents in four sub-Saharan African countries. African Journal of Reproductive Health 11(3), 28–43.CrossRefGoogle ScholarPubMed
Barrere, M (2012) Connaissance, Attitudes et Comportements Vis-A-Vis des IST/SIDA. Enquête Démographique et de Santé et à Indicateurs Multiples du Cameroun 2011. INS & ICF International, Calverton, MD. URL: https://dhsprogram.com/pubs/pdf/FR163/15chapitre15.pdf (accessed 15th November 2019).Google Scholar
Bessinger, R, Katende, C and Gupta, N (2004) Multi media campaign exposure effects on knowledge and use of condoms for STI and HIV/AIDS prevention in Uganda. Evaluation and Program Planning 27(4), 397–407.CrossRefGoogle Scholar
Billong, SC, Messeh, A, Penda, C, Anoubissi, JDD, Fokam, J, Moutapam, RP et al. (2020) Les flux financiers dans la lutte contre le sida au Cameroun en 2016/2017: inadéquation entre les ressources, l’orientation des dépenses et les tendances epidémiologiques. Health Sciences and Diseases 21(1), 137–145.Google Scholar
Bingenheimer, J, Asante, E and Ahiadeke, C (2015) Peer influences on sexual activity among adolescents in Ghana. Studies in Family Planning 46(1), 1–19.CrossRefGoogle ScholarPubMed
Boileau, C (2006) Déterminants des comportements sexuels a risque pour le VIH/SIDA chez les jeunes femmes et hommes de Bamako (Mali). Paper presented at the Département de Médecine Sociale et Préventive, Faculté de Médecine, Université de Montréal, September 2006. URL: http://hdl.handle.net/1866/17767 (accessed 17th November 2019).Google Scholar
Breuner, C, Mattson, G, AAP Committee on Adolescence and AAP Committed on Psychosocial Aspects of Child and Family Health (2016) Sexuality education for children and adolescents. Pediatrics 138(2), e20161348.CrossRefGoogle ScholarPubMed
Cerqueira-Santos, E and Koller, S (2016) Sexual risk-taking behavior: the role of religiosity among poor Brazilian youth. Universitas Psychologica 15(4), https://doi.org/10.11144/Javeriana.upsy15-4.srbr.Google Scholar
Estrin, D (1999) In Ghana, young men’s condom use is linked to lack of barriers, perceived susceptibility to HIV infection. International Family Planning Perspectives 25(2), 106–107.CrossRefGoogle Scholar
Evina, A (1989) Infécondité et sous-fécondité: Evaluation et recherche de facteurs. Le cas du Cameroun. PhD Thesis, Catholic University of Louvain, Institute of Demography, Louvain-la-Neuve.Google Scholar
Fearon, E, Wiggins, RD, Pettifor, A and Hargreaves, JR (2015) Is the sexual behaviour of young people influenced by their peers? A systematic review. Social Science & Medicine 146(2015), 62–74.CrossRefGoogle ScholarPubMed
Fotso, M, Ndonou, R, Libité, PR, Tsafack, M, Wakou, R, Ghapoutsa, A et al. (1999) Enquête Démographique et de Santé, Cameroun 1998. Bureau Central des Recensements et des Études de Population and Macro International, Calverton, MD. URL: https://dhsprogram.com/publications/publication-FR7-DHS-Final-Reports.cfm (accessed 15th November 2019).Google Scholar
Gavin, G, Maughan-Brown, B, Beckett, S, Evans, M, Cawood, C, Khanyile, D et al. (2018) Coital frequency and condom use in age-disparate partnerships involving women aged 15 to 24: evidence from a cross-sectional study in KwaZulu-Natal, South Africa. BMJ Open 9(3), e024362.Google Scholar
Guiella, G (2012) Comportements Sexuels Chez Les Adolescents En Afrique Subsaharienne: L’exemple Du Burkina Faso, Du Ghana, Du Malawi Et De l’Ouganda. PhD Thesis, Department of Demography, University of Montreal.Google Scholar
Haley, T, Puskar, K, Terhorst, L, Terry, M and Charron-Prochownik, D (2012) Condom use among sexually active rural high school adolescents personal, environmental, and behavioral predictors. Journal of School Nursing: The Official Publication of the National Association of School Nurses 29(3).Google ScholarPubMed
Hindin, MJ, Sigurdson, CC and Ferguson, BJ (2012) Setting research priorities for adolescent sexual and reproductive health on low and middle-income countries. Bulletin of the World Health Organization 91(1), 10–18.CrossRefGoogle ScholarPubMed
INS and ICF International (2012) Enquête Démographique et de Santé et à Indicateurs Multiples du Cameroun 2011. Institut National de la Statistique (INS) and ICF International, Calverton, MD.Google Scholar
INS and ICF International (2020) Enquête Démographique et de Santé du Cameroun 2018. INS and ICF International, Yaoundé, Cameroun and Rockville, MD, USA.Google Scholar
INS and ORC Macro (2004) Enquête Démographique et de Santé du Cameroun 2004. INS and ORC Macro, Calverton, MD.Google Scholar
Kwankye, O and Augustt, E (2007) Media exposure and reproductive health among young females in Ghana. African Population Studies 22(2), 77–106.Google Scholar
Lloyd, C (2010) Role of schools in promoting sexual and reproductive health among adolescents in developing countries. In Malarcher, S (ed.) Social Determinants of Sexual and Reproductive Health: Informing Future Research and Programme Implementation. World Health Organization, Geneva, pp. 113–132.Google Scholar
MINSANTE (Ministère de la Santé Publique) (2000) Plan Stratégique National de Lutte contre le Sida au Cameroun 2000–2005. PNLS, 2000.Google Scholar
MINSANTE (Ministère de la Santé Publique) (2006) Plan Stratégique National de Lutte contre le VIH/Sida 2006-2010. CNLS, 2006. http://www.ilo.org/wcms_126706.pdf (accessed 25th November 2019).Google Scholar
MINSANTE (Ministère de la Santé Publique) (2016) Rapport annuel 2016 des activités de lutte contre le VIH, le SIDA et les IST. CNLS, mars 2016. URL:http://www.cnls.cm/sites/rapport_annuel_cnls_2016.pdf (accessed 25th November 2019).Google Scholar
Muli, I and Lawoko, S (2014) The relationship between access to mass media and HIV/AIDS related knowledge, beliefs and behaviours in Kenya. Psychology 5(7), 736–743.CrossRefGoogle Scholar
Ntshiga, T, Musekwa, A, Mlotshwa, M, Mangold, K, Reddy, C and Williams, S (2018) Predictors of male condoms among sexually active heterosexual young women in South Africa, 2012. BMC Public Health 18(1), 1137.CrossRefGoogle Scholar
Oladeji, D and Anyangunna, JA (2017) Media influence as predictors of adolescents’ sexual risky behavior in Nigeria. MOJ Women’s Health 5(1), 192–196.Google Scholar
Peltzer, K (2000) Factors affecting condom use among senior secondary school pupils in South Africa. Central African Journal of Medicine 46(11), 302–308.CrossRefGoogle ScholarPubMed
Pop, MV and Rosu, A (2015) The role of parents in shaping and improving the sexual health of children - lines of developing parental sexual education programmes. Procedia – Social and Behavioral Sciences 209(2015), 395–401.CrossRefGoogle Scholar
Rugigana, E, Birungi, F and Nzayirambaho, M (2014) HIV knowledge and risky sexual behavior among men in Rwanda. DHS Working Paper No. 105. ICF International, Rockville, MD. URL: https://dhsprogram.com/pubs/pdf/WP105/WP105.pdf (accessed 22nd May 2020).CrossRefGoogle Scholar
Rwenge, M (2004) Les différences ethniques des comportements sexuels: l’exemple des Béti et Bamiléké. Etude de la Population Africaine 19(2), 160–191.Google Scholar
Rwenge, M (2012) Déterminants des comportements sexuels a risque parmi les adolescents et jeunes à Mbalmayo au Cameroun. Cahiers de l’IFORD 30(1).Google Scholar
Sala-Diakanda, MD (1980) Approche ethnique des phénomènes démographiques: le cas du Zaïre. Edition Cabay.Google Scholar
Salla Ntounga, R (1993) Processus du deuxième plan a moyen terme de lutte contre le sida (1994–1998) en République du Cameroun. Bulletin de Liaison de l’OCEAC XXIV 26(4), 163.Google Scholar
Steele, ME, Simmons, LE, Sutton, TE and Gibbons, FX (2020) Family context and adolescent risky sexual behaviour: an examination of the influence of family structure, family transitions and parenting. Journal of Youth and Adolescence 49(6), 1179–1194.CrossRefGoogle ScholarPubMed
Tsala, DZ (2010) Influence des Structures Familiales sur les Connaissances et Comportements de Prévention du VIH/SIDA chez les Adolescents et les Jeunes au Cameroun. PhD Thesis, Department of Demography, University of Montreal. URL: http://hdl.handle.net/1866/4072 (accessed 30th December 2019).Google Scholar
Tsala Tsala, J-P (2004) L’ascenseur et l’escalier: la lutte contre le vih/sida au Cameroun. Journal of Social Aspects of HIV/AIDS 1(3), 139–156.CrossRefGoogle Scholar
Wamoyi, J, Wight, D and Remes, P (2015) The structural influence of family and parenting on young people’s sexual and reproductive health in rural Northern Tanzania. Culture, Health and Sexuality 17(6), 718–732.CrossRefGoogle Scholar
Yode, M and LeGrand, T (2008) Influence de l’environnement familial sur l’entrée en sexualité prémaritale des adolescents au Burkina Faso. Paper presented at the Annual Conference of the Population Association of America (PAA), New Orleans, Louisiana, 17–19th April 2008.Google Scholar
Yode, M and LeGrand, T (2012) Association between age at first sexual relation and some indicators of sexual behavior among adolescents. African Journal of Reproductive Health 16(2), 173–188.Google ScholarPubMed