Perceived Risk and Condom Use among Adolescents in SubSaharan Africa: A Latent Class Analysis

Julie A. Cederbaum, Tamika D. Gilreath, Anamika Barman-Adhikari

Abstract

While studies have examined factors associated with condom use behaviors, few have assessed risk perception and condom use among SSA adolescents. This work sought to fill this gap. Data for this study are derived from the National Survey of Adolescents (2004-2005), a survey of 12-19 year olds in Burkina Faso, Ghana, Malawi, and Uganda. Latent class analysis was conducted. Two risk profiles emerged in the data. Percent of adolescents in the high perceived risk sub-groups ranged from 49.6% - 90.8% and moderate risk from 29.1-83.8%. Those in the high perceived risk class were 2.26 to 5.10 times more likely to report condom use. The findings provide additional information about the factors that influence condom use among adolescents in these four countries. Because an individual’s development is influenced by his/her settings and systems, expanded views of behavior must be included in prevention efforts. (Afr J Reprod Health 2014; 18[4]: 26-33).

 

Keywords: Condom Use, Knowing Someone with HIV/AIDS, Perceived Risk, Health Belief, sub-Saharan Africa 

 

Résumé

Alors que des études ont étudié les facteurs associés aux comportements de l’utilisation du préservatif, il n’y en a que très peu qui ont évalué la perception du risque et l'utilisation du préservatif chez les adolescents d'Afrique subsaharienne. Ce travail a cherché à combler cette lacune. Les données pour cette étude sont tirées de l'Enquête nationale auprès des adolescents (2004-2005), une enquête auprès des adolescents âgés  de 12 à 19 ans au Burkina Faso, au Ghana, au Malawi et en Ouganda. L’analyse de structure latente a été menée. Deux profils de risque sont apparus dans les données. Le pourcentage des adolescents dans les sous-groupes à risque élevé perçus variait de 49,6% - 90,8% et un risque modéré de 29,1 à 83,8%. Ceux de la classe de risque perçu élevé étaient  2.26 à 5.10 fois plus susceptibles de déclarer l'utilisation du préservatif. Les résultats fournissent des informations supplémentaires sur les facteurs qui influencent l'utilisation du préservatif chez les adolescents dans ces quatre pays. Parce que le développement d'un individu est influencé par ses paramètres et ses systèmes, il faut inclure des vues élargies de comportement dans les efforts de prévention. (Afr J Reprod Health 2014; 18[4]: 26-33).

 

Mots-clés: utilisation du préservatif, connaissance d'une personne atteinte du VIH / sida, risque perçu, croyance à la santé, Afrique sub-saharienne

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