Statut de la Femme et Utilisation des Condoms au Cameroun
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Abstract
The woman's status and condom use in Cameroun. The reasons for the high prevalence of STDs/HIV/AIDS among women are biological, economical and social. It is therefore necessary to carry out studies on the status of women and condom use in order to elucidate the mechanism through which the first variable affects the second. Such studies will also identify the elements to be taken into consideration in the prevention programmes of these diseases in women. In the year 2000, a survey on culture, gender, social behaviour and STDs/AIDS was conducted in Cameroun at Mbalmayo (Central Province) and at Bafoussam (Western Provience) among 1679 men and women of 15-49 years old. Multivariate logistic regression models were used, among others, to show that the woman's status has direct and indirect effects on condom use via age disparity between partners, frequency of discussion among couples on sexuality and the process of decision-making. Results obtained confirm this hypothesis. Communication among couples as well as women empowerment should, therefore, be improved as a strategy for considerably increasing the use of condom among Camerounian women. One of the ways to achieve this is to improve their status. Another way is to assist them during enlightenment campaigns to improve their self-perfection. (Afr J Reprod Health 2003; 7[2]: 74-88)
Keywords: Women, condom use, educational level, empowerment, Cameroon, sub-Saharan Africa
References
Dozon JP et Guillaume A. Contextes, conséquences socio-économiques et coût du Sida. Collection recherches édition la Découverte, CEPED, Paris, 1994, 179-223.
AIDSCAP, Franxois-Xavier Bagnoud Center for Health and Human Rights of the Harvard School of Public Health and UNAIDS. L'état et les tendances de la pandémie mondiale de VIH/SIDA. Rapport final, XI è conférence internationale sur le sida, Vancouver 7-12 juillet, 1996.
FHI. Les jeunes sont confrontés à des graves risques de MST. Network en français 2000; 20(3): 4B5.
Desgrées Du Loû A, et al. Le sida, révélateur des disparités de genre en Afrique. Communication présentée au colloque international genre, population et développement en Afrique, UEPA/ INED/ENSEA/IFORD, Abidjan, 16-21 juillet 2001.
OMS. Les femmes et le VIH/sida. Aide-mémoire 2000; 242(juin): 5.
Caraël M. Women vulnerability to STD/HIV in sub-Saharan Africa: an increasing evidence. Communication présentée au séminaire women and demographic change in sub-Saharan Africa, Commission de l'UIESP sur le statut de la femme et la population, Dakar, 6B13 mars 1993.
Ngoule D. Les infections VIH et les femmes au Cameroun: enquête sur les connaissances, attitudes, croyances et pratiques dans les localités de Yaoundé et Ebolowa. Thèse de doctorat en médecine, CUSS, Yaoundé, octobre 1989, 55.
Kamgno H. Rôle et statut de la femme et sida: cas du village de Mindourou dans l'Est-Cameroun. Ann l'IFORD 11993; 6(1- 2): 33-58.
Rwenge M. Statut de la femme, comportements sexuels et sida en Afrique subsaharienne: le cas du Cameroun. Séminaire sur les aspects socio-économiques et démographiques du HIV/SIDA en Afrique, Abidjan, 25-28 octobre 1995, 19p.
Awusabo-Asare, et al. Women's control over their sexuality and spread of STDs and HIV/AIDS in Ghana. Health Trans Rev 1993; 3(Supp.): 69-92.
Wolf Brent and Blanc Ann. The role of gender balance in decision-making on condom use in high and low risk settings in Uganda. Paper presented at the seminar on gender inequalities and reproductive health: changing priorities in an era of social transformation and globalisation, Campos do Jordao, November 16-19, 1998.
Evina Akam. Infécondité et sous-fécondité: evaluation et recherche des facteurs. Le cas du Cameroun. Cahiers de l' IFORD n01, Février 1990, 281.
Bledsoe C. The cultural meaning of AIDS and condoms for stable heterosexual relations in Africa: recent evidence from the local print media. Paper presented at the seminar on population policy in sub-Saharan Africa: drawing on international experience, Hotel Okapi, Kinshasa, Zaïre, 27 February-2 March 1989, 27.
Rwenge M. Culture, relations de genre et comportements procréateurs au Cameroun. UEPA, troisième Conférence Africaine de Population, Afrique du Sud, 6-10 décembre 1999, 429-446.
Rwenge M. Facteurs contextuels de la transmission sexuelle du sida en Afrique subsaharienne: une synthèse. In: Becker C, Dozon JP, Obbo C and Touré M (eds). Vivre et penser le sida en Afrique, Codesria-Karthala: IRD, 1999b, 216-236.
Rwenge M. Facteurs contextuels des comportements sexuels: le cas des jeunes de la ville de Bamenda (Cameroun). Union pour l'Etude des Populations Africaines (UEPA), Programme de Petites Subventions, Rapport d'étude n0 40, Octobre 1999, 164.
Holland J, Ramazanoglu C, Scharpe S and Thomson R. Pressure, resistance, empowerment: young women and the negotiation of safer sex. In: Aggleton P, Davies P and Hart G (Eds.). AIDS, Rights, Risk and Reason. London: Falmer Press, 1992, 142-162.
Odebiyi IA. Impact of AIDS on the patterns of AIDS-related risk and preventive behaviours among married men in a Nigerian town. Scand J Dev Alter 1992; XI(2): 5B14.
Oyekanmi FAD. Issues in women's health organization in Nigeria. Paper presented at the International Conference on Gender Conflict: the African and European Perspectives, University of Lagos, May 30-June 2, 1994.
Bhende A. Evolving a model for AIDS prevention education among underprivileged adolescent girls in urban India. Report series of the Women and AIDS Program Research, International Center for Research on Women, Washington, 1995.
Mhloyi. Sociocultural milieu, women's status and family planning. Proceedings of the United Nations Expert Group Meeting on Family Planning, Health and Family Well-Being, Bangalore, India, 26-30 October 1992. Department for Economic and Social Information and Policy Analysis, Population Division, New York, 1996: 61-68, ST/ESA/SER.R/131.
Ezeh AC. Contraceptive practice in Ghana: does partner's attitude matter? Presented at the annual meeting of the Population Association of America, Denver, Colorado, April 30BMay 2, 1992, 36.
Dodoo F. The couple KAP-gap: implications for family planning. Paper presented at the annual meetings of the Population Association of America, Cincinnati, Ohio, 1993.
George A and Jaswal S. Understanding sexuality: an ethnographic study of poor women in Bombay. Women and AIDS Program Research Report Series, International Center for Research on Women, Washington, 1995.
Locoh T and Labouré-Racapé. Genre et démographie: nouvelles problématiques ou effet de mode? Communication présentée à la Chaire Quetelet 1997: théories, paradigmes et courants explicatifs en démographie, Louvain-La- Neuve, 26B28 novembre 1997, 24p.
Djangone R. Relations de genre au sein du couple: et besoins satisfaits en matière de planification familiale en Côte d'Ivoire, Mémoire de DESS, IFORD, Yaoundé, Septembre 1999, 121p.
Kritz M and Makinwa-Adebusoye P. Spousal agreement, women's status and family planning in Nigeria. Unpublished working paper No. 95-07, 1995, 22p.
Kritz M, Makinwa-Adebusoye P and Gurak DT. Wife's empowerment and fertility in Nigeria: the role of context. Working paper series No. 97-05 of the Department of Rural Sociology, Population and Development Program Corneil University, New York, 1997, 5p.
Blank AK, Gage AJ, Ezeh AC, Neema S and Ssekamatte- Ssebulba J. Negotiating reproductive outcomes in Uganda. Demo Health Survey 1996; xxiii: 215.
Govindasamy P and Malhotra A. Women's position and family planning in Egypt. Stud Fam Plann 1996; 27(6): 328-340.
Gage AJ. Women's socioeconomic position, contraceptive use and fertility preferences in Togo. Presented at the annual meeting of the Population Association of America, Miami, Florida, May 5-7, 1994, 41p.
Norr K. Knowledge about AIDS among urban Botswana women: complexities hidden by surveys. Abstract book of the VIII International Conference on AIDS, Amsterdam, The Netherlands, 1992.
Standing H and Kisekka M. Sexual Behaviour in sub-Saharan Africa. A Review and Annotated Bibliography. London: Overseas Development Administration, 1989.
Basset MT and Mhloyi M. Women and AIDS in Zimbabwe: the making of an epidemic. Inter J Health Serv 1991; 21(1): 143-156.
Abéga SC, Tamba LM, Balla C, Anaba Etomo FN, Angah M et Nama N. Apprentissage et Vécu de la Sexualité chez les Jeunes Camerounais de 15 à 30 ans. Deuxième Rapport (Mai-juin). Genève: Organisation Mondiale de la Santé (OMS) et Yaoundé, 1995.
Adomako Ampofo A. Nice guys, condoms, and other forms of STDs protection in West Africa. In: Becker C, Dozon JP, Obbo C and Touré M (Eds.). Experiencing and Understanding AIDS in Africa. Codesria-Karthala, IRD, 1999, 559- 588.
Ankomah A and Ford N. Pre-marital sexual behaviour and its implications for HIV prevention in Ghana. University of Exeter: Institute of Population Studies, 1993.
Adomako Ampofo A. Women and AIDS in Ghana: `I control my body (or do I)?' Ghanaian sex workers and susceptibility to STDs, especially AIDS. In: Makinwa-Adebusoye PK and Jensen A (Eds.). Women's Position and Demographic Change in sub-Saharan Africa. Liège, Derouaux-Ordina, 1995, 233-251.
Anarfi JK and Fayorsey CK. The male protagonists in the `commercialization' of aspects of female life cycle in Ghana. Paper prepared for the seminar on fertility and the male life cycle in the era of fertility decline, Zacatecas, Mexico, 13-16 November 1995.
Heise L, Moore K and Toubia N. Sexual Coercion and Reproductive Health: A Focus on Research. New York: The Population Council, 1995, 59p.
Dixon-Mueller R. Female empowerment and demographic processes: moving beyong Cairo. IUSSP contributions to gender research, IUSSP, Paris, 89-108.
Oyenkanmi FAD. Socio-cultural relations in the Nigerian family: implications for AIDS in Africa. In: Becker C, Dozon JP, Obbo C and Touré M. Experiencing and Understanding AIDS in Africa. Codesria -Karthala: IRD, 1999, 493-507.
Worth D. Sexual decision-making and AIDS: why condom promotion among vulnerable women is likely to fail. Stud Fam Plann 1989; 20(6): 297-307.
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