Saturday, November 7, 2015

Prevalence & Correlates of HIV-Risky Sexual Behaviors among Students Attending the Medical & Social Welfare Center of the University of Maroua, Cameroon

Data on sexual behaviors in Cameroonian youths are needed to design and implement effective preventive strategies against HIV/AIDS. This study aimed at assessing sociodemographic and religious factors associated with sexual behaviors among university students in Cameroon.

In 2011, 411 university students were surveyed by a self-administered questionnaire at the Medical and Social Welfare Center of the University of Maroua. Logistic regression analyses were used to determine correlates of sexual behaviors.

80.8 % of students were sexually active. The mean age at sexual debut was 18.1 years. The frequency of premarital sex was 92.8 %. Pornography viewing and an increased age of 1 year were significantly associated with having previously had sex. The likelihood to have a lower (<18) age at sexual debut was increased by male gender, and urban origin. The probability to have a high number (#3) of lifetime sexual partners was increased by age, pornography viewing, an early sexual debut, having had occasional sexual partners, and was decreased by Muslim religious affiliation. Having had casual sexual partners was associated with less inconsistent condom use.

Our findings indicate that there is an alarming level of risky sexual behaviors among the study population. Strong and efficient measures should be undertaken to handle such harmful behaviors, this for the prevention and control of HIV/AIDS and other STIs in this vulnerable population.

Table 3

Adjusted correlates of having previously had sex, low age at sexual debut, high number of lifetime sexual partners and inconsistent condom use
Explanatory variables (referent)Dependent variables aOR (95 % CI)
Having previously had sex (n = 411)Low age at sexual debut (n = 332)High number of lifetime sexual partners (n = 332)Inconsistent condom use (n = 332)
Age (increase by 1 year)1.3 (1.2–1.4)****1.0 (0.9–1.0)1.1 (1.0–1.2)***1.0 (0.9–1.1)
Female (male)1.3 (0.7–2.5)0.4 (0.2–0.6)***1.0 (0.6–1.9)
Collocation accommodation (in family)1.5 (0.7–3.2)1.6 (0.8–3.2)
Single accommodation (in family)1.8 (1.8–3.6)*1.7 (0.9–3.3)
Unmarried (married)0.3 (0.2–0.8)*
Urban (rural)2.9 (1.5–5.7)**0.5 (0.3–1.0)
Polygamous (monogamous)a
Single parent (monogamous)a
Low educational level of head of household (high)0.6 (0.3–1.0)
Academic level (undergraduate)
Types of studies (sciences)
Catholic affiliation (Pentecostal)0.7 (0.2–2.2)
Muslim affiliation (Pentecostal)0.2 (0.1–0.9)*
Protestant affiliation (Pentecostal)0.8 (0.2–2.8)
Had sexual education at school (yes)1.4 (0.9–2.5)1.1 (0.6–1.9)
Had ever discussed with parent about sexuality (yes)0.8 (0.5–1.3)1.5 (0.9–2.6)
Had ever watched pornography (no)3.4 (1.8–6.4)****4.3 (1.9–9.5)***0.7 (0.3–1.3)
Age at sexual debut (high)2.8 (1.6–5.0)***0.9 (0.6–1.5)
Previously had casual sexual partners (no)7.0 (3.7–13.1)****0.5 (0.3–0.9)*
Number of lifetime sexual partners (low)0.6 (0.4–1.0)*
Inconsistent condom use (no)0.7 (0.4–1.3)
The best model selected based on the Akaike Information Criterion is presented for each outcome variable
aOR adjusted odds ratio
a Marital status of parents of household during childhood
p < 0.05; ** p < 0.01; *** p < 0.001; **** p < 0.0001

Full article at: http://goo.gl/WyC1Se

Department of Medicine, Groote Schuur Hospital and University of Cape Town, 7925 Observatory, Cape Town, South Africa
Medical Diagnostic Center, Yaoundé, Cameroon
Intensive Care Unit, Mother and Child Centre, Chantal Biya Foundation, Yaoundé, Cameroon
Guidiguis Health District, Guidiguis, Cameroon
Medical and Social Welfare Center of the University of Maroua, Maroua, Cameroon
Department of Population Health, Division of Biostatistics, New York School of Medicine, New York, USA
Department of Internal Medicine and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
Department of Epidemiology and Public Health, Pasteur Center of Cameroon, PO Box 1274, Yaounde, Cameroon
Clinical Research Education, Networking & Consultancy (CRENC), Douala, Cameroon
Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
Jean Jacques N. Noubiap, Phone: +27 73 803 6352, Email: rf.oohay@jjpaibuon.
   


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