Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Sexual Activity of Adolescent School Girls in an Urban Secondary School in Cameroon

Authors
1 Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Gynaeco-Obstetric and Pediatric Hospital, Yaoundé, Cameroon
2 Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé Military Hospital, Yaoundé, Cameroon
3 Department of Pediatrics, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, University Teaching Hospital, Yaoundé, Cameroon
4 Department of Gynecology and Obstetric, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Central Maternity, Yaoundé, Cameroon
Abstract
Background: The objective of this study was to describe the extent of sexual activity in adolescent school girls. Methods: This was a cross-sectional study with prolective collection of data carried out at Lycée General Leclerc, Yaounde (Cameroon), from October 1 to November 30, 2011. Heterosexual coitus was considered as sexual activity. A pretested self-administered questionnaire was proposed to all consenting girl students aged 10 to 19 years. The data were analyzed using Epi Info 3.2.1 and Microsoft Excel 2007 software. Results: Of the 2660 students who responded to the questionnaire, 21.3% (566) admitted being sexually active. Out of these, 64.3% (364) were aged between 10 and 16 years at their first heterosexual contact. The mean age at the first sexual intercourse was 15.3 years. Although 56.4% (319) of the sexually active respondents had only one sexual partner, 43.6% (247) of them had at least two partners. Sexual activity was occasional in 71.4% of those being sexually active. Meanwhile, 52.1% (295) of the sexually active adolescent girls used condoms during sexual intercourse, 41.5% (235) did so occasionally, and 6.4% (36) had regular unprotected sex. Conclusion: More than one-fifth of adolescent girls were sexually active in this study. Sexual intercourse started mostly at the age of 16 or less, and it was mostly occasional. Half of the cases had multiple sexual partners, and half were not using condoms during sexual intercourse. We, thus, recommend the implementation of interventions aimed at delaying the age of the first sexual intercourse and accessibility of condoms to students in this setting.
Keywords

  1. De Muylder X. [The sexual health of adolescent girl]. Louvain Med. 2004;123(2):52-9. French.
  2. Hamada H, Zaki A, Nejjar H, Filali A, Chraibi C, Bezad R, et al. [Pregnancy and delivery in adolescents: characteristics and profile of 311 cases]. J Gynecol Obstet Biol Reprod. 2004;33(7):607-14. French.
  3. Bajos N, Bozon M. [Survey on sexuality in France: practice, gender and health]. 1st ed. Paris: La Decouverte; 2008. p 117-47. French.
  4. Centers for Disease Control and Prevention [Internet]. USA: Centers for Disease Control and Prevention; Trends in the prevalence of sexual behaviors national YRBS: 1991-2007; [cited 2012 Jul 8]; [about 2 screens]. Available from: http://ppt-elect.center-chool.org/providers/304/yrbs07_us_sexual_behaviors_trend.pdf
  5. Buga GA, Amoko DH, Ncayiyana DJ. Sexual behaviour, contraceptive practice and reproductive health among school adolescents in rural Transkei. S Afr Med J. 1996;86(5):523-7.
  6. Courtois R, Mullet E, Malvy D. [Survey on sexual behavior by Congolese and French high-school students in an AIDS context]. Sante. 2001;11(1):49-55. French.
  7. Anochie IC, Ikpeme EE. Prevalence of sexual activity and outcome among female secondary school students in Port Harcourt, Nigeria. Afr J Reprod Health. 2001;5(2):63-7.
  8. Cameroon’s National Institute of Statistics [Internet]. Cameroon: National Institute of Statistics of Cameroon; The population of Cameroon in 2010; [cited 2012 Nov 21]; Available from: http://www.statistics-cameroon.org/
  9. Cameroon’s National Institute of Statistics [Internet]. Cameroon: National Institute of Statistics of Cameroon; Third demographic and health survey, 2004; [cited 2012 May 17]; Available from: http://www.statistics-cameroon.org/
  10. Cameroon’s National Institute of Statistics [Internet]. Cameroon: National Institute of Statistics of Cameroon; Results of the fourth demographic and health survey (DHS) combined with the multiple indicators cluster survey (MICS) of 2011; [cited 2012 May 17]; Available from: http://www.statistics-cameroon.org/
  11. Kamtchouing P, Takougang I, Ngoh N, Yakam I. [Sexuality of adolescent students in Yaounde (Cameroon)]. Contracept Fertil Sex. 1997;25(10): 798-801. French.
  12. Mimbila-Mayi M, Nzame Vierin Y, Biloghe AS, Moussavou A. Connaissances et comportements des adolescents en matière de santé sexuelle au Gabon. Clin Mother Child Health. 2011;8.
  13. Makenzius M, Larsson M. Early onset of sexual intercourse is an indicator for hazardous lifestyle and problematic life situation. Scand J Caring Sci. 2013;27(1):20-6.
  14. Westhoff WW, McDermott RJ, Holcomb DR. HIV risk behaviors: a comparison of U.S. Hispanic and Dominican Republic youth. AIDS Educ Prev. 1996;8(2):106-14.
  15. Bumbuliene Z, Alisauskas J. Sexual behavior and high-risk human papillomavirus in 15- to 22-year-old Lithuanian women. Acta Obstet Gynecol Scand. 2012;91(4):511-3.
  16. Kurewa NE, Mapingure MP, Munjoma MW, Chirenje MZ, Rusakaniko S, Stray-Pedersen B. The burden and risk factors of Sexually Transmitted Infections and Reproductive Tract Infections among pregnant women in Zimbabwe. BMC Infect Dis. 2010;10:127.
  17. Valois RF, Oeltmann JE, Waller J, Hussey JR. Relationship between number of sexual intercourse partners and selected health risk behaviors among public high school adolescents. J Adolesc Health. 1999;25(5):328-35.
  18. Braun-Courville DK, Rojas M. Exposure to sexually explicit Web sites and adolescent sexual attitudes and behaviors. J Adolesc Health. 2009;45(2):156-62.
  19. Langille DB, Asbridge M, Flowerdew G, Allen M. Associations of sexual risk-taking with having intercourse before 15 years in adolescent females in Cape Breton, Nova Scotia, Canada. Sex Health. 2010;7(2):199-204.
  20. Schuster MA, Bell RM, Berry SH, Kanouse DE. Impact of a high school condom availability program on sexual attitudes and behaviors. Fam Plann Perspect. 1998;30(2):67-72.