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Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey.
Jean Simon, David; Paul, Bénédique; Kiragu, Ann; Olorunsaiye, Comfort Z; Joseph, Fanor; Joseph, Ghislaine; N'Gou, M'Boh Delphin.
Afiliação
  • Jean Simon D; Bureau d'Etudes et de Recherche en Statistiques Appliquées, Suivi et Evaluation (BERSA-SE), Port-au-Prince, Haiti.
  • Paul B; Department of Agro-socio-economics, Chibas, Université Quisqueya, Port-au-Prince, Haiti. benedique.paul@uniq.edu.ht.
  • Kiragu A; Groupe d'Etude sur les Sciences de la Durabilité, Université Quisqueya, Port-au-Prince, Haiti. benedique.paul@uniq.edu.ht.
  • Olorunsaiye CZ; Department of Law and Political and Social Sciences, University of Sorbonne Paris Nord, Paris, France.
  • Joseph F; Department of Public Health, Arcadia University, Glenside, PA, USA.
  • Joseph G; Bureau d'Etudes et de Recherche en Statistiques Appliquées, Suivi et Evaluation (BERSA-SE), Port-au-Prince, Haiti.
  • N'Gou MD; Doctoral School of Social and Human Sciences, University of Antananarivo, Antananarivo, Madagascar.
BMC Womens Health ; 23(1): 146, 2023 03 29.
Article em En | MEDLINE | ID: mdl-36991441
BACKGROUND: Young women in Haiti remain vulnerable to sexually transmitted infections and unintended pregnancy. However, little is known about condom use among this population. This study examined the prevalence and the factors associated with condom use among sexually active young women in Haiti. METHODS: Data from the 2016/17 Haiti demographic and health survey were used. The prevalence and the factors associated with condom use among sexually active young women in Haiti were assessed using descriptive statistics and binary logistic regression model. RESULTS: The prevalence of condom use was 15.4% (95% CI 14.0-16.8). Being teenage (AOR = 1.34; 95% CI: 1.04-1.74), living in urban areas (AOR = 1.41; 95% CI = 1.04-1.90), having higher education level (AOR = 2.39; 95% CI: 1.44-4.00), being in the middle or rich category of household wealth index (AOR = 2.32; 95% CI: 1.53-3.53 and AOR = 2.93; 95% CI: 1.90-4.52), having correct knowledge of ovulatory cycle (AOR = 1.65; 95% CI: 1.30-2.10), having 2-3 lifetime sexual partners and one lifetime sexual partner (AOR = 2.04; 95% CI: 1.36-3.06 and AOR = 2.07; 95% CI: 1.35-3.17) had significantly higher odds of using condom. In addition, sexually active young women whose last partner was their boyfriend (AOR = 4.38; 95% CI: 2.82-6.81), and those whose last partner was a friend/casual acquaintance/commercial sex worker (AOR = 5.29; 95% CI: 2.18-12.85) were associated with increased likelihood of using condom compared with their counterparts whose partner was their spouse. CONCLUSION: The Haitian government as well as institutions involved in sexual health should consider these factors when designing sexual and reproductive health interventions targeting young women. More specifically, to increase condom use and reduce risky sexual behaviors, they should combine efforts to raise awareness and induce sexual behavioral changes at two levels. In the education system, they should reinforce sexual education in primary and secondary schools while paying special attention to rural areas. In the whole society, it is important to deepen efforts toward increased awareness on family planning and condom use, through mass media and local organizations including religious ones. Priority should be given to the poorer households, young people and women, and rural areas, in order to maximize reduction in early and unintended pregnancy, and sexually transmitted infections. Interventions should include a condom price subsidy and a campaign to destigmatize condom use which is actually a "male affair".
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Sexualmente Transmissíveis / Preservativos Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male / Pregnancy País/Região como assunto: Caribe / Haiti Idioma: En Revista: BMC Womens Health Assunto da revista: SAUDE DA MULHER Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Haiti País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções Sexualmente Transmissíveis / Preservativos Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Female / Humans / Male / Pregnancy País/Região como assunto: Caribe / Haiti Idioma: En Revista: BMC Womens Health Assunto da revista: SAUDE DA MULHER Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Haiti País de publicação: Reino Unido