Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon

Elvis Enowbeyang Tarkang; Luchuo Engelbert Bain

doi:doi:10.11648/j.ajhr.20140204.14

| Peer-Reviewed

Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon

Elvis Enowbeyang Tarkang, Luchuo Engelbert Bain

Published in American Journal of Health Research (Volume 2, Issue 4)

Received: 2 July 2014 Accepted: 15 July 2014 Published: 30 July 2014

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self-efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.

Published in	American Journal of Health Research (Volume 2, Issue 4)
DOI	10.11648/j.ajhr.20140204.14
Page(s)	125-133
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Female Condom Use, Health Belief Model (HBM), HIV/AIDS, Senior Secondary School Female Students, Urban Cameroon

References

[1]	UNAIDS, Global Report on the global HIV epidemic, Geneva, Switzerland, 2013.
[2]	G. Vijayakumar, Z. Mabude, J. Smit, and M. Beksinska, Lurie, A review of female-condom effectiveness: patterns of use and impact on protected sex acts and STI incidence, Int J STD AIDS, vol. 17(10), pp. 652-9, 2006.
[3]	C. El Bcheraoui, M. Y. Sutton, F. P. Hardnett, and S. B. Jones, Patterns of condom use among students at historically Black colleges and universities: implications for HIV prevention efforts among college-age young adults, AIDS Care, vol. 25(2), pp. 186-93, 2013.
[4]	F. M. Guerra, and L. C. Simbayi, Prevalence of knowledge and use of the female condom in South Africa, vol. 18(1), pp. 146-58, 2014.
[5]	D. Mehra, P. O. Östergren, B. Ekman, and A. Agardh, Inconsistent condom use among Ugandan university students from a gender perspective: a cross-sectional study, Glob Health Action, vol. 7, pp. 229-42, 2014.
[6]	I. Teva, M. P. Bermudez, M. T. Ramiro, and T. Ramiro-Sanchez, Analysis of sexual behavior in adolescents, Curr HIV Res, vol. 11(7), pp. 512-9, 2013.
[7]	T. Kavinya, Have Malawian women embraced the female condom? Malawi Med J, vol. 25(3), pp. 95, 2013.
[8]	J. Lammers, S. J. van Wijnbergen, and D. Willebrands, Condom use, risk perception, and HIV knowledge: a comparison across sexes in Nigeria, HIV AIDS (Auckl), vol. 21(5), pp. 283-93, 2013.
[9]	M. Sobze Sanou, J. Fokam, R. Guetiya Wadoum, G. Russo, J. F. Onohiol, D. B. Djeunang, P. P. Nkamedjie, N. F. Zambou, Y. Zefack, A. Galletta, M. Arduini, E. Franca, A. Panà, and V. Colizzi, Condom perception and prevention of HIV/AIDS infection in Cameroon: appraisal of knowledge, attitudes and practices among level one students of the University of Dschang, Ig Sanita Pubbl, vol. 69(2), pp. 183-94, 2013.
[10]	UNAIDS, 2010 Report on the Global AIDS Epidemic, Geneva, Switzerland, UNAIDS, 2010.
[11]	L. K. Bartholomew, G. Parcel, G. Kok, and N. H. Gottlieb, Behavior oriented theories used in health promotion. In J. Allegrante., & K. McLeroy (eds). Planning Health Promotion Programs, 81-135. San Francisco: Jossey-Bass, 2006.
[12]	University of Twente, Health Belief Model. Unpublished online information, Netherlands. From http://www.utwente.nl/cw/theorieenovericht/Theory%20clusters/Health (Accessed on 12/11/2011), 2010.
[13]	Bureau Central des Recensements et des etudes de Population (BCREP), Livre “Rapport de Presentation, Cameroon, 2010.
[14]	Kumba Urban Council (KUC), Kumba Urban Council Statistical Year Book, Buea. The National Printing Press, 2000.
[15]	N. Burns, and S. K. Grove, The practice of nursing research: conduct, critique and utilization; 5th edition. St Louis, ELSEVIER, 2005.
[16]	H. I. Brink, C. Van der Walt, and G. Van Rensburg, Fundamentals of research methodology for health care professionals, 2nd edition. Cape Town, Juta, 2006.
[17]	S. L. Levy, and S. Lemeshow, Sampling of populations: Methods and applications, third edition. New York, John Wiley & Sons, 1999.
[18]	A. Agresti, An Introduction to categorical Data Analysis, New York, Wiley, 2007.
[19]	D. Meekers, and K. Richter, Factors associated with use of the female condom in Zimbabwe, International Family Planning Perspectives, vol. 31(1), pp. 30-37, 2005.
[20]	N. Pandya, U. A. Siddiqi, and S. A. R. Naqvi, Prevalence and predictors of female condom use amongst South American Women, The Health, vol. 2(2), pp. 41-44, 2011.
[21]	S. Napierala, M. S. Kang, T. Chipato, N. Padian, and A. Van der Straten, Female condom uptake and acceptability in Zimbabwe, AIDS Educ Prev, vol. 20, pp. 121–134, 2008.
[22]	K. H. Choi, C. Hoff, S. E. Gregorich, O. Grinstead, C. Gomez, and W. Hussey, The Efficacy of the Female Condom Skills Training in HIV Risk Reduction among Women: a Randomized Controlled Trial, Am J Public Health, vol. 98(10), pp. 1841-8, 2008.
[23]	O. Eziro, O. Oluigbo, V. Archibong, O. Ifeanyi, and J. Anyanti, Barriers to repeated use of female condom among women and men of reproductive age in Nigeria, Journal of AIDS and HIV Research, vol. 5(6), pp. 206-213, 2013.
[24]	L. Holmes Jr., G. O. Ogungbade, D. D. Ward, O. Garri-Son, R. J. Peters, S. C. Kalichman, J. Lahai-Momohe, and E. J. Essien, Potential markers of female condom use among inner city African-American Women, AIDS Care, vol. 20(4), pp. 470-7, 2008.

Cite This Article

Plain Text BibTeX RIS

APA Style

Elvis Enowbeyang Tarkang, Luchuo Engelbert Bain. (2014). Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. American Journal of Health Research, 2(4), 125-133. https://doi.org/10.11648/j.ajhr.20140204.14

Copy | Download

ACS Style

Elvis Enowbeyang Tarkang; Luchuo Engelbert Bain. Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. Am. J. Health Res. 2014, 2(4), 125-133. doi: 10.11648/j.ajhr.20140204.14

Copy | Download

AMA Style

Elvis Enowbeyang Tarkang, Luchuo Engelbert Bain. Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. Am J Health Res. 2014;2(4):125-133. doi: 10.11648/j.ajhr.20140204.14

Copy | Download

@article{10.11648/j.ajhr.20140204.14,
  author = {Elvis Enowbeyang Tarkang and Luchuo Engelbert Bain},
  title = {Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {4},
  pages = {125-133},
  doi = {10.11648/j.ajhr.20140204.14},
  url = {https://doi.org/10.11648/j.ajhr.20140204.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140204.14},
  abstract = {The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self-efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon
AU  - Elvis Enowbeyang Tarkang
AU  - Luchuo Engelbert Bain
Y1  - 2014/07/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140204.14
DO  - 10.11648/j.ajhr.20140204.14
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 125
EP  - 133
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140204.14
AB  - The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self-efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.
VL  - 2
IS  - 4
ER  -

Copy | Download

Author Information

Elvis Enowbeyang Tarkang

HIV/AIDS Prevention Research Network, Cameroon, Opposite Premier Pharmacy, Commonwealth Avenue, Kumba, Cameroon
Luchuo Engelbert Bain

Department of Military Health, Ministry of Defence, Cameroon

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Elvis Enowbeyang Tarkang, Luchuo Engelbert Bain. (2014). Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. American Journal of Health Research, 2(4), 125-133. https://doi.org/10.11648/j.ajhr.20140204.14

Copy | Download

ACS Style

Elvis Enowbeyang Tarkang; Luchuo Engelbert Bain. Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. Am. J. Health Res. 2014, 2(4), 125-133. doi: 10.11648/j.ajhr.20140204.14

Copy | Download

AMA Style

Elvis Enowbeyang Tarkang, Luchuo Engelbert Bain. Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon. Am J Health Res. 2014;2(4):125-133. doi: 10.11648/j.ajhr.20140204.14

Copy | Download

@article{10.11648/j.ajhr.20140204.14,
  author = {Elvis Enowbeyang Tarkang and Luchuo Engelbert Bain},
  title = {Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon},
  journal = {American Journal of Health Research},
  volume = {2},
  number = {4},
  pages = {125-133},
  doi = {10.11648/j.ajhr.20140204.14},
  url = {https://doi.org/10.11648/j.ajhr.20140204.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140204.14},
  abstract = {The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self-efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Factors that Influence Utilization of the Female Condom among Senior Secondary School Female Students in Urban Cameroon
AU  - Elvis Enowbeyang Tarkang
AU  - Luchuo Engelbert Bain
Y1  - 2014/07/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajhr.20140204.14
DO  - 10.11648/j.ajhr.20140204.14
T2  - American Journal of Health Research
JF  - American Journal of Health Research
JO  - American Journal of Health Research
SP  - 125
EP  - 133
PB  - Science Publishing Group
SN  - 2330-8796
UR  - https://doi.org/10.11648/j.ajhr.20140204.14
AB  - The female condom is a proven effective female controlled HIV prevention device. Sociocultural and biological factors predispose women to a heavier burden of HIV/AIDS than men. In Cameroon, with a high prevalence of HIV/AIDS, no study has investigated the factors influencing use of the female condom. This study was aimed to identify the factors influencing utilization of the female condom among senior secondary school female students in Kumba, Cameroon, using the Health Belief Model (HBM) as the framework. A cross-sectional correlational design was adopted using a stratified simple random sample of 398 senior secondary school female students to respond to a pretested self-administered questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) software version 20.0. Binomial logistic regression analyses were conducted at the 0.05 significance level. The proportion of the sexually active female students who reported ever used the female condom was very low, 8.0%. None of the components of the HBM was statistically associated with female condom use in binomial logistic regression analysis. However, female students who disagreed that youths are prone to HIV; that a healthy looking person can be HIV positive (perceived susceptibility); that the consequences of having HIV/AIDS are so serious that they may want to avoid them (perceived severity); that correct and consistent use of the female condom can prevent HIV transmission (perceived benefit); that they feel confident that they can convince their partners to use the female condom during sexual intercourse (perceived self-efficacy) were associated with lower odds of using the female condom during sexual intercourse: OR=0.44; 0.94; 0.43; 0.59; and 0.60 respectively. Conversely, female students who disagreed that the female condom makes sexual intercourse less enjoyable; that due to religious beliefs they would feel guilty using the female condom; that they lack knowledge on the correct use of the female condom; and that distance to the nearest female condom supply point is far (perceived barriers) were associated with higher odds of using the female condom during sexual intercourse: OR=1.20; 1.57; 1.16 and 1.49 respectively. Also, female students who perceived that they were at high risk of contracting HIV were at higher odds of using the female condom during sexual intercourse 1.87. Interventions to increase the perception of risk of contracting HIV among female students and strategies to empower them with female condom negotiation skills and to overcome tangible and psycho-social barriers to female condom use are highly needed.
VL  - 2
IS  - 4
ER  -

Copy | Download