Prevalence and Factors Associated with Risky Sexual Behaviors Among Sexually Active Female Adolescents in Zambia

Sserwanja, Quraish; Mwamba, Daniel; Poon, P.W.F.; Kim, Jean H.

doi:10.1007/s10508-022-02385-6

Cited by 12 publications

(11 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Place of residence was also associated with HIV risk factors where women residing in urban areas had higher odds of risk factors for HIV infection compared to those in rural areas. The study ndings are consistent with studies in Sierra Leone [20] and China [33] which reported that women in urban areas had a greater association with HIV infection risk factors. This may be because women in urban areas are exposed to a high population density with risky populations like long-distance truck drivers inclusive hence a high likelihood of indulging in risky sexual behaviour [34,41].…”

Section: Discussionsupporting

confidence: 90%

“…The study results showed that 25.4% of the women had early sex debuts, 12.1% had multiple sexual partners, 9.8% did not use condoms yet were unmarried, and 4.4% had an STI history in the last 12 months. These study ndings are supported by other studies done in Zambia [20] and Sierra Leone [1] which reported women having multiple sexual partners as a risk factor for HIV. On the other hand, these studies conducted in Zambia [20] and Sierra Leone [1] found that 37.8% and 27.4% of sexually active women respectively had not used condoms at last sexual intercourse which was higher than the 9.8% non-condom use prevalence in Rwanda.…”

Section: Discussionsupporting

confidence: 89%

“…Sexually active women aged 25-34 years and 35-44 years had lower odds of risk factors for HIV infections compared to the young age group of 15-24 years. The ndings are similar to other studies in Swaziland [32], Sierra Leone [1], Zambia [20] and China [33]. This may be because older women 25-34 and 34-44 years were probably more informed about sexual matters and more knowledgeable about HIV [19] whereas younger women are generally explorative and easily fall victim to peer pressure hence easily indulging in risky sexual behaviours [1,33].…”

Section: Discussionsupporting

confidence: 86%

“…On the other hand, these studies conducted in Zambia [20] and Sierra Leone [1] found that 37.8% and 27.4% of sexually active women respectively had not used condoms at last sexual intercourse which was higher than the 9.8% non-condom use prevalence in Rwanda. The reported 12.1% prevalence of multiple sexual partners in this study is higher than that in Sierra Leone (4.8%) [1], but, lower than the one reported in Zambia (1.9%) [20].…”

Section: Discussionmentioning

confidence: 99%

“…Based on the review of existing literature on risk factors for HIV [1,[20][21][22][23][24], we included possible determinants at individual, household and community levels. Place of residence (categorized into rural and urban), and region (Kigali, South, West, East, North) were the community-level factors included.…”

Section: Independent Variablesmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

Nuwabaine

Kawuki

Namulema

et al. 2023

Preprint

View full text Add to dashboard Cite

Background The Human Immunodeficiency Virus (HIV) remains a global health burden and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for acquisition of HIV among sexually active women in Rwanda. Methods Secondary data from the 2020 Rwanda Demographic Health Survey comprising 10,684 sexually active women was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors, using the SPSS (version 25). Results Of the 10,684 sexually active women, 28.7% (95% Confidence Interval (CI): 27.5–29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16–6.16), being unmarried (AOR = 4.50, 95%CI: 2.47–8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42–2.15), Protestant (AOR = 1.28, 95%CI: 1.09–1.50) and other religions (AOR = 1.99, 95%CI: 1.41–2.80), not having health insurance (AOR = 1.34, 95%CI: 1.09–1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01–2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14–2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07–1.58) were associated with higher odds of risk factors for HIV acquisition. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 (AOR = 0.62, 95%CI: 0.48–0.80) years, rural residence (AOR = 0.63, 95%CI: 0.49–0.81) and being from western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of risk factors for HIV acquisition. Conclusion More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers would also be vital strategies in successful HIV prevention programs.

show abstract