| Predictors of Human Immunodeficiency Virus High-Risk Sexual Behaviors among Unmarried Women |
| Authors: |
Paddy Ssentongo, Metahan Traore , and Djibril M. Ba |
| Source: |
Journal of HIV & Retro Virus , 4(2): 11; DOI: 10.21767/2471-9676.100043 |
| Topic(s): |
HIV/AIDS
Sexual behavior
|
| Country: |
Africa
Cote D'Ivoire
|
| Published: |
JUL 2018 |
| Abstract: |
Rationale: Human immunodeficiency virus (HIV) incidence in Ivory Coast is the
highest in West Africa, yet factors associated with high-risk sexual behaviors are
not well understood. In this study, we report predictors that are dependently
and independently associated with high-risk sexual behaviors among Ivory Coast
unmarried women aged 15-49 using Demographic and Health Survey (DHS) data.
Methods: This study used DHS data conducted in 2012 in Ivory Coast. Univariate
and multivariable logistic regression models were used to determine factors
associated with high-risk sexual behaviors among unmarried women. High-risk
sexual behaviors examined were non-use of condoms during sexual intercourse
and having multiple sexual partners.
Results: A total of 10,060 women aged 15-49 participated in the survey. Of these,
3607 (36%) were single women. Among factors independently associated with
non-use of a condom during sexual intercourse were: the use of contraceptives
aOR=2.95, 95% CI (2.35-3.70, p<0.0001, living in a poor household aOR=1.71, 95%
CI (1.09-2.69, p=0.019), and older age groups: 25-34, aOR=1.44, 95% CI (1.12-1.86,
p=0.005), and 35-49, aOR=1.96, 95% CI (1.37-2.81, p<0.0001) compared to the
15-24 age group. Conversely, secondary and higher education aOR=0.65, 95% CI
(0.48-0.90, p=0.008) and being exposed to the radio aOR=0.68, 95% CI (0.52-0.90,
p=0.008), were independent protective determinants. In addition, independent
risk factors contributing to having multiple sexual partners included: animist
religion aOR=1.88, 95% CI (1.04-3.36, p=0.034), TV exposure aOR=2.31, 95% CI
(1.17-4.55, p=0.015), geographical location: Abidjan aOR=2.02, 95% CI (1.16-3.56,
p=0.014), South aOR=2.54, 95% CI (1.41-4.61, p=0.002), West aOR=2.19, 95% CI
(1.19-1.02, p=0.011) and a higher education level aOR=2.26, 95% CI (1.25-4.06,
p=0.007).
Conclusion: Social, regional, economic and institutional factors influence the highrisk
sexual behaviors among unmarried women in Ivory Coast. Health education
programs should develop a holistic outreach programs that target the social
ecological model of determinants of sexual health in Ivory Coast.
Keywords: Sub-Saharan Africa; Human immunodeficiency virus/Acquired immune
deficiency syndrome (HIV/AIDS); High-risk sexual behavior; DHS; Ivory Coast |
|