Rwenge Jean-Robert Mburano
Institut de Formation et de Recherche Démographiques (IFORD), Yaoundé, Cameroun.
Afr J Reprod Health. 2013 Mar;17(1):49-66.
This study has as specific objective to analyze the prevalence of risky sexual behaviors and their social factors in Francophone sub-Saharan African countries among young people by highlighting the differences between countries. The data used are those of the national Demographic and Health Surveys. The following are the main results of the study: 1) Among males, the average age at first sex is lower in two Central African countries, the Congo and DRC and in Benin than in Burkina Faso, and in strongly Islamized countries such as Chad, Senegal and Mali; 2) Among girls, an opposite schema has, to some extent, been observed; 3) In the countries studied, multi-partner sexual activity persists, but Cameroon, Congo, Cote-d'Ivoire, Benin and Guinea are more affected by this problem than other countries; 4) the rate of condom use at last sex has improved but some countries like Burkina Faso, Cote-d'Ivoire, Senegal and Cameroon are more advanced than others; 5) Several family, extra-family and individual factors influence risky sexual behaviors in the countries studied but the intensity and direction of observed statistical relations do not necessarily converge. Therefore, the global explanation approach of young people's sexual behaviors is relevant in the countries studied, but the weight of its various dimensions in the explanation varies according to the country. These results should be considered in the orientation of strategies of the fight against HIV/AIDS in these countries.
本研究的具体目标是,通过突出各国之间的差异,分析撒哈拉以南非洲法语国家年轻人中危险性行为的流行情况及其社会因素。所使用的数据来自各国的人口与健康调查。以下是该研究的主要结果:1)在男性中,刚果、刚果民主共和国这两个中部非洲国家以及贝宁的初次性行为平均年龄低于布基纳法索,也低于乍得、塞内加尔和马里等伊斯兰化程度较高的国家;2)在女孩中,在一定程度上观察到了相反的模式;3)在所研究的国家中,多伴侣性行为持续存在,但喀麦隆、刚果、科特迪瓦、贝宁和几内亚受此问题的影响比其他国家更大;4)最近一次性行为时使用避孕套的比例有所提高,但布基纳法索、科特迪瓦、塞内加尔和喀麦隆等一些国家比其他国家更为领先;5)几个家庭、家庭外和个人因素影响着所研究国家中的危险性行为,但观察到的统计关系的强度和方向不一定一致。因此,年轻人性行为的整体解释方法在所研究的国家中是相关的,但其各个维度在解释中的权重因国家而异。在这些国家制定防治艾滋病毒/艾滋病战略时应考虑这些结果。