Hiv Status and Age at First Marriage Among Women in Cameroon

Adair, Tim

doi:10.1017/s0021932007002556

Cited by 13 publications

(11 citation statements)

References 16 publications

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“…(2) formerly in union (widowed or divorced) women aged 25-29; (3) young women (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) formerly in union who are the head of the household and (4) formerly in union women living in the poorest household and aged 15-24, 30-34 or 40-49 years.…”

Section: Hiv Risk Groups In Malawimentioning

confidence: 99%

Identifying HIV most-at-risk groups in Malawi for targeted interventions. A classification tree model

et al. 2013

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ObjectivesTo identify HIV-socioeconomic predictors as well as the most-at-risk groups of women in Malawi.DesignA cross-sectional survey.SettingMalawiParticipantsThe study used a sample of 6395 women aged 15–49 years from the 2010 Malawi Health and Demographic Surveys.InterventionsN/APrimary and secondary outcome measuresIndividual HIV status: positive or not.ResultsFindings from the Pearson χ2 and χ2 Automatic Interaction Detector analyses revealed that marital status is the most significant predictor of HIV. Women who are no longer in union and living in the highest wealth quintiles households constitute the most-at-risk group, whereas the less-at-risk group includes young women (15–24) never married or in union and living in rural areas.ConclusionsIn the light of these findings, this study recommends: (1) that the design and implementation of targeted interventions should consider the magnitude of HIV prevalence and demographic size of most-at-risk groups. Preventive interventions should prioritise couples and never married people aged 25–49 years and living in rural areas because this group accounts for 49% of the study population and 40% of women living with HIV in Malawi; (2) with reference to treatment and care, higher priority must be given to promoting HIV test, monitoring and evaluation of equity in access to treatment among women in union disruption and never married or women in union aged 30–49 years and living in urban areas; (3) community health workers, households-based campaign, reproductive-health services and reproductive-health courses at school could be used as canons to achieve universal prevention strategy, testing, counselling and treatment.

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Section: Hiv Risk Groups In Malawimentioning

confidence: 99%

Identifying HIV most-at-risk groups in Malawi for targeted interventions. A classification tree model

et al. 2013

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“…However, further research is needed to enhance our understanding of parent-youth interactions that reinforce youths' abilities to negotiate protected sexual onset. This is particularly important in the context of an increasing gap between age at first sex and marriage currently observed in sub-Saharan Africa (Mensch et al, 2006) and Cameroon (Adair, 2008).…”

Section: What Are the Risk And Protective Factors At The Individual Lmentioning

confidence: 99%

Risky Sexual Behaviour Among Unmarried Young People in Cameroon: Another Look at Family Environment

Dimbuene

Defo

2010

J. Biosoc. Sci.

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Most studies of the association between family structure and risky sexual behaviour among adolescents and young adults have employed a risk perspective which assumes that, compared with other types, two-parent families are protective. Drawing from a positive-oriented approach in this study, it is hypothesized that within each family type some influential factors may mitigate such anticipated deleterious effects of non-intact families and decrease sexual risk-taking. The paper examines specifically the effects of risk and protective factors with an emphasis on family processes associated with resilience, using data from a pooled sample of 1025 females and males aged 12-24 years from Bandjoun (West Cameroon). Findings show that the quality of parent/guardian-youth relationships significantly decreases the odds of risky sexual behaviour by 36%, 65% and 50% in neither-, one- and two-parent families, respectively. For two-parent families only, parental control acts as a significant protective factor; it decreased by 41% the odds of risky sexual behaviour. Programmatically, protective family factors such as parent/guardian-youth interactions need to be promoted to improve the efficiency of reproductive health and HIV interventions in sub-Saharan Africa.

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“…As such, first sex remains a major social problem and a serious public health issue (Clark, 2004;Cleland, Boerma, Carael, & Weir, 2004;Gage, 1998;Kuate Defo, 1998a). Whereas age at first sex is almost stalling, recent estimates indicate that age at marriage is increasing (Mensch, Grant, & Blanc, 2006), yielding a lag of 2 years for women (Adair, 2008) and up to 8 years for men (Bankole, Singh, Woog, & Wulf, 2004) between sexual onset and first marriage. This is likely to be detrimental for youth, especially in a context of low levels of condom use and contraception.…”

Section: Introductionmentioning

confidence: 99%

Family Environment and Premarital Intercourse in Bandjoun (West Cameroon)

Dimbuene

Defo

2011

Arch Sex Behav

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Family environment is one of the most influential factors on youth sexual behavior but has received little investigation in sub-Saharan Africa. Yet, a comprehensive understanding of family influences could improve the efficiency of reproductive health (RH) interventions. Using retrospective data from a population-based survey, life-table analysis was utilized to compute the median age at premarital intercourse among 1,182 youth aged 12-24 years. Discrete-time hazard models were used in multivariate analysis to estimate the effects of family structures and parent-child interactions on premarital intercourse. Overall, 42% of participants had a premarital intercourse, and the median age at first sex was 16.9 years. Participants in nuclear two-parent families had the highest median (17.7) compared with those in nuclear one-(16.7), extended one-(16.5), extended two-parent families (16.9) or other relatives (16.8). Youth from monogamous families had the highest median (16.9) compared to those from polygamous (16.3) and other families (16.0). Orphans and youth reporting family transitions were more likely to initiate first sex at an earlier age compared with non-orphans and non-movers, with a median of 16.1 and 16.9 years, respectively. Multivariate results showed that living in extended families, being orphaned, and family transitions significantly increased the risk of premarital intercourse. Polygamy showed marginal effects. Stronger parent-child relationships and higher levels of parental control decreased the risk of premarital intercourse. Unexpectedly, parent-child communication was significantly associated with a higher risk of sexual debut. Programmatically, family environment is an important resource that needs to be promoted when designing RH interventions in sub-Saharan Africa.

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Hiv Status and Age at First Marriage Among Women in Cameroon

Cited by 13 publications

References 16 publications

Identifying HIV most-at-risk groups in Malawi for targeted interventions. A classification tree model

Identifying HIV most-at-risk groups in Malawi for targeted interventions. A classification tree model

Risky Sexual Behaviour Among Unmarried Young People in Cameroon: Another Look at Family Environment

Family Environment and Premarital Intercourse in Bandjoun (West Cameroon)

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