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

Received: 2 July 2014     Accepted: 15 July 2014     Published: 30 July 2014
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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
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[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.
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[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.
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[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.
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[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.
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[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.
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  • 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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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Author Information
  • HIV/AIDS Prevention Research Network, Cameroon, Opposite Premier Pharmacy, Commonwealth Avenue, Kumba, Cameroon

  • Department of Military Health, Ministry of Defence, Cameroon

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