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RISKY SEXUAL BEHAVIOUR AMONG UNMARRIED YOUNG PEOPLE IN CAMEROON: ANOTHER LOOK AT FAMILY ENVIRONMENT

Published online by Cambridge University Press:  07 December 2010

ZACHARIE TSALA DIMBUENE  and
BARTHELEMY KUATE DEFO
ZACHARIE TSALA DIMBUENE
Affiliation:
Department of Demography, University of Montreal, Quebec, Canada
BARTHELEMY KUATE DEFO
Affiliation:
PRONUSTIC Research Laboratory, University of Montreal, Quebec, Canada
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Summary

Most studies of the association between family structure and risky sexual behaviour among adolescents and young adults have employed a risk perspective which assumes that, compared with other types, two-parent families are protective. Drawing from a positive-oriented approach in this study, it is hypothesized that within each family type some influential factors may mitigate such anticipated deleterious effects of non-intact families and decrease sexual risk-taking. The paper examines specifically the effects of risk and protective factors with an emphasis on family processes associated with resilience, using data from a pooled sample of 1025 females and males aged 12–24 years from Bandjoun (West Cameroon). Findings show that the quality of parent/guardian–youth relationships significantly decreases the odds of risky sexual behaviour by 36%, 65% and 50% in neither-, one- and two-parent families, respectively. For two-parent families only, parental control acts as a significant protective factor; it decreased by 41% the odds of risky sexual behaviour. Programmatically, protective family factors such as parent/guardian–youth interactions need to be promoted to improve the efficiency of reproductive health and HIV interventions in sub-Saharan Africa.

Type
Research Article
Information
Journal of Biosocial Science , Volume 43 , Issue 2 , March 2011 , pp. 129 - 153
Copyright
Copyright © Cambridge University Press 2010

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References

Adair, T. (2008) HIV status and age at first marriage among women in Cameroon. Journal of Biosocial Science 40, 743–760.CrossRefGoogle ScholarPubMed
Adu-Mireku, S. (2003) Family communication about HIV/AIDS and sexual behaviour among senior secondary school students in Accra, Ghana. African Health Sciences 3, 7–14.Google ScholarPubMed
Agha, S., Hutchinson, P. & Kusanthan, T. (2006) The effects of religious affiliation on sexual initiation and condom use. Journal of Adolescent Health 38, 550–555.CrossRefGoogle ScholarPubMed
Akwara, P. A., Madise, N. J. & Hinde, A. (2003) Perception of risk of HIV/AIDS and sexual behaviour in Kenya. Journal of Biosocial Science 35, 385–411.CrossRefGoogle ScholarPubMed
Babalola, S. (2004) Perceived peer behavior and the timing of sexual debut in Rwanda: a survival analysis of youth data. Journal of Youth and Adolescence 33, 353–363.CrossRefGoogle Scholar
Bagley, S. C., White, H. & Golomb, B. A. (2001) Logistic regression in medical literature: standards for use and reporting, with particular attention to one medical domain. Journal of Clinical Epidemiology 54, 979–985.CrossRefGoogle ScholarPubMed
Benzies, K. & Mychasiuk, R. (2009) Fostering family resiliency: a review of the key protective factors. Child and Family Social Work 14, 103–114.CrossRefGoogle Scholar
Bronfenbrenner, U. (1979) The Ecology of Human Development: Experiments by Nature and Design. Harvard University Press, Cambridge, MA.CrossRefGoogle Scholar
Bureau Central des Recensements et Études de Population (BUCREP) (2010) Rapport de Présentation des Résultats Définitifs, 3e Recensement Général de la Population et de l'Habitat du Cameroun. BUCREP, Yaoundé.Google Scholar
Clark, S. (2004) Early marriage and HIV risks in sub-Saharan Africa. Studies in Family Planning 35, 149–160.CrossRefGoogle ScholarPubMed
Cleland, J., Boerma, J. T., Carael, M. & Weir, S. S. (2004) Monitoring sexual behaviour in general populations: a synthesis of lessons of the past decade. Sexually Transmitted Infections 80, ii1–7.CrossRefGoogle ScholarPubMed
Curran, P., Hussong, A. M., Cai, L., Huang, W., Chassin, L., Sher, K. J. & Zucker, R. A. (2008) Pooling data from multiple longitudinal studies: the role of item response theory in integrative data analysis. Developmental Psychology 44, 365–380.CrossRefGoogle ScholarPubMed
Davis, E. C. & Friel, L. V. (2001) Adolescent sexuality: disentangling the effects of family structure and family content. Journal of Marriage and the Family 63, 669–681.CrossRefGoogle Scholar
Deković, M. (1999) Risk and protective factors in the development of problem behavior during adolescence. Journal of Youth and Adolescence 28, 667–685.CrossRefGoogle Scholar
De Walque (2007) Sero-discordant couples in five African countries: implications for prevention strategies. Population and Development Review 33, 501–523.CrossRefGoogle Scholar
DiClemente, R. J., Wingood, G. M., Crosby, R., Sionean, C., Cobb, B. K. & Harrington, K. (2003) Parental monitoring: association with adolescents' risk behaviors. Pediatrics 107, 1363–1368.CrossRefGoogle Scholar
Fergus, S. & Zimmerman, M. A. (2005) Adolescent resilience: a framework for understanding healthy development in the face of risk. Annual Review of Public Health 26, 399–419.CrossRefGoogle ScholarPubMed
Frauenglass, S., Routh, D. K., Pantin, H. M. & Mason, C. A. (1997) Family support decreases influence of deviant peers on Hispanic adolescents' substance use. Journal of Clinical Child Psychology 26, 15–23.CrossRefGoogle ScholarPubMed
Gage, A. J. (1998) Sexual activity and contraceptive use: the components of the decision-making process. Studies in Family Planning 29, 154–166.CrossRefGoogle Scholar
Gebhardt, W. A., Kuyper, L. & Greunsven, G. (2003) Need for intimacy in relationships and motives for sex as determinants of adolescent condom use. Journal of Adolescent Health 33, 154–164.CrossRefGoogle ScholarPubMed
Gill, I. K., Sharma, D. & Verma, S. (2003) Adolescents in single parent families. Journal of Family Welfare 49, 10–20.Google Scholar
Hallett, T., Lewis, J., Lopman, B. A., Nyamukapa, C. A., Mushati, P., Wambe, M. et al. (2007) Age at first sex and HIV infection in rural Zimbabwe. Studies in Family Planning 38, 1–10.CrossRefGoogle ScholarPubMed
Harrison, A., Cleland, J., Gouws, E. & Frohlich, F. (2005) Early sexual debut among young men in rural South Africa: heightened vulnerability to sexual risk? Sexually Transmitted Infection 81, 259–261.CrossRefGoogle ScholarPubMed
Hubbs-Tait, L. (1995) The relationship of moral reasoning and AIDS knowledge to risky sexual behavior. Adolescence 30, 549–564.Google ScholarPubMed
Institut National de la Statistique (INS) & ORC Macro (2004) Enquête démographique et de santé du Cameroun 2004. INS & MACRO Calverton, MD.Google Scholar
Kabiru, C. W. & Orpinas, P. (2008) Factors associated with sexual activity among high-school students in Nairobi, Kenya. Journal of Adolescence 32, 1023–1039.CrossRefGoogle ScholarPubMed
Karim, A. M., Magnani, R. J., Morgan, G. T. & Bond, K. C. (2003) Reproductive health risk and protective factors among unmarried youth in Ghana. International Family Planning Perspectives 29, 14–24.CrossRefGoogle ScholarPubMed
Kinsman, S. B., Romer, D., Furstenberg, F. F. & Schwarz, D. F. (1998) Early sexual initiation: the role of peer norms. Pediatrics 102, 1185–1192.CrossRefGoogle ScholarPubMed
Kouinche, A. & Tagne, E. (1998) Traditional norms, beliefs and practices regarding adolescent sexuality in Bandjoun (western Cameroon). In Kuate Defo, B. (ed.) Sexuality and Reproductive Health during Adolescence in Africa with a Special Attention to Cameroon. University of Ottawa Press, Ottawa, pp. 109–117.Google Scholar
Kuate Defo, B. (2004) Young people's relationships with sugar daddies and sugar mummies: what do we know and what do we need to know? African Journal of Reproductive Health 8, 13–37.CrossRefGoogle ScholarPubMed
Kuate Defo, B. (2006) Interactions between socioeconomic status and living arrangements in predicting gender-specific health status among the elderly in Cameroon. In Cohen, B. & Menken, J. (eds) Aging in Sub-Saharan Africa: Recommendations for Furthering Research. The National Academies, Washington, DC, pp. 276–313.Google Scholar
Lenciauskiene, I. & Zaborskis, A. (2008) The effects of family structure, parent–child relationship and parental monitoring on early sexual behaviour among nine European countries. Scandinavian Journal of Public Health 36, 607–618.CrossRefGoogle ScholarPubMed
Lohman, B. J. & Billings, A. (2008) Protective and risk factors associated with adolescent boys' early sexual debut and risky sexual behaviors. Journal of Youth and Adolescence 37, 723–735.CrossRefGoogle Scholar
McBride, D. C., Freier, M. C., Hopkins, G. L., Babikian, T., Richardson, L., Helm, H. et al. (2005) Quality of parent–child relationship and adolescent HIV risk behaviour in St. Marten. AIDS Care 17, S45–54.CrossRefGoogle Scholar
Madise, N., Zulu, E. & Ciera, J. (2007) Is poverty a driver for risky sexual behaviour? Evidence from national surveys of adolescents in four African countries. African Journal of Reproductive Health 11, 83–98.CrossRefGoogle ScholarPubMed
Mashamba, A. & Robson, E. (2002) Youth reproductive health services in Bulawayo, Zimbabwe. Health & Place 8, 273–283.CrossRefGoogle ScholarPubMed
Mashegoane, S., Moalusi, K. P., Ngoepe, M. A. & Peltzer, K. (2002) Sexual sensation seeking and risky sexual behavior among South African University students. Sexual Behavior and Personality 30, 475–484.CrossRefGoogle Scholar
Meekers, D. (1994) Sexual initiation and premarital childbearing in sub-Saharan Africa. Population Studies 48, 47–67.CrossRefGoogle Scholar
Meekers, D. & Ahmed, G. (2000) Contemporary patterns of adolescent sexuality in urban Botswana. Journal of Biosocial Science 32, 467–485.CrossRefGoogle ScholarPubMed
Meekers, D. & Calvès, A. E. (1997) ‘Main’ girlfriends, girlfriends, marriage, and money: the social context of HIV risk behaviour in sub-Saharan Africa. Health Transition Review 7 (Supplement), 361–375.Google ScholarPubMed
Mensch, B. S., Grant, M. J. & Blanc, A. K. (2006) The changing context of sexual initiation in sub-Saharan Africa. Population and Development Review 32, 699–724.CrossRefGoogle Scholar
Miller, B. C., Benson, B. & Galbraith, K. A. (2001) Family relationships and adolescent pregnancy risk: a research synthesis. Developmental Review 21, 1–38.CrossRefGoogle Scholar
Mullin, W. J. & Arce, M. (2008) Resilience of families living in poverty. Journal of Family Social Work 11, 424–440.CrossRefGoogle Scholar
Newcomer, S. & Udry, R. J. (1987) Parental marital status effects on adolescent sexual behavior. Journal of Marriage and the Family 49, 235–240.CrossRefGoogle Scholar
Ngom, P., Magadi, M. A. & Owuor, T. (2003) Parental presence and adolescent reproductive health among the Nairobi urban poor. Journal of Adolescent Health 33, 369–377.CrossRefGoogle ScholarPubMed
Njikam Savage, O. M. (2005) Risky sexual behavior, sexually transmitted infections, HIV/AIDS and health promotion among students in the University of Douala. African Population Studies 20, 53–67.Google Scholar
Nsamenang, A. B. (2000) Fathers, Families, & Child Well-Being in Cameroon: A Review of Literature. National Center on Fathers and Families, Philadelphia, PA.Google Scholar
Odimegwu, C. O., Solanke, L. B. & Adedokum, A. (2002) Parental characteristics and adolescent sexual behavior in Bida local government area of Niger state. African Journal of Reproductive Health 6, 95–106.CrossRefGoogle ScholarPubMed
Ott, M. A., Millstein, S. G., Ofner, S. & Halpern-Felsher, B. L. (2006) Greater expectations: adolescents' positive motivations for sex. Perspectives on Sexual and Reproductive Health 38, 84–89.CrossRefGoogle ScholarPubMed
Parsons, J. T., Halkitis, P. N., Bimbi, D. & Borkowski, T. (2000) Perceptions of the benefits and costs associated with condom use and unprotected sex among late adolescent college students. Journal of Adolescence 23, 377–391.CrossRefGoogle ScholarPubMed
Patterson, J. M. (2002) Understanding family resilience. Journal of Clinical Psychology 58, 233–246.CrossRefGoogle ScholarPubMed
Pettifor, A. E., van der Straten, A., Dumbar, M. S., Shiboski, S. C. & Padian, N. S. (2004) Early age of first sex: a risk factor for HIV infection among women in Zimbabwe. AIDS 18, 1435–1442.CrossRefGoogle ScholarPubMed
Randolph, M. E., Pinkerton, S. D., Bogart, L. M., Cecil, H. & Abramson, P. R. (2007) Sexual pleasure and condom use. Archives of Sexual Behavior 36, 844–848.CrossRefGoogle ScholarPubMed
Regnerus, M. D. & Luchies, L. B. (2006) The parent–child relationships and opportunities for adolescents' first sex. Journal of Family Issues 27, 159–183.CrossRefGoogle Scholar
Rew, L. & Horner, S. D. (2003) Youth resilience framework for reducing health-risk behaviors in adolescents. Journal of Pediatric Nursing 18, 379–388.CrossRefGoogle ScholarPubMed
Rostosky, S. S., Wilcox, B. L., Comer Wright, M. L. & Randall, B. A. (2004) The impact of religiosity on adolescent sexual behaviour: a review of the evidence. Journal of Adolescent Research 19, 677–697.CrossRefGoogle Scholar
Rutter, M. (1987) Psychosocial resilience and protective mechanisms. American Journal of Orthopsychiatry 57, 316–331.CrossRefGoogle ScholarPubMed
Rutter, M. (1993) Resilience: some conceptual considerations. Journal of Adolescent Health 14, 626–631.CrossRefGoogle ScholarPubMed
Rwenge, M. (2003) Poverty and sexual risk behaviour among young people in Bamenda, Cameroon. African Population Studies 18, 91–104.Google Scholar
Sanderson, C. A. & Cantor, N. (1995) Social dating goals in late adolescence: implications for safer sexual activity. Journal of Personality and Social Psychology 68, 1121–1134.CrossRefGoogle ScholarPubMed
Shafii, T., Stovel, K., Davis, R. & Holmes, K. (2004) Is condom use habit forming? Condom use at sexual debut and subsequent condom use. Sexually Transmitted Diseases 31, 366–372.CrossRefGoogle ScholarPubMed
Slap, G. B., Lot, L., Huang, B., Daniyam, C. A., Zink, T. M. & Succop, P. A. (2003) Sexual behaviour of adolescents in Nigeria: cross-sectional survey of secondary school students. British Medical Journal 236, 1–6.Google Scholar
Snelling, D., Rasugu Omariba, D. W., Hong, S., Georgiades, K., Racine, Y. & Boyle, M. H. (2007) HIV/AIDS knowledge, women's education, epidemic severity and protective sexual behaviour in low- and middle-income countries. Journal of Biosocial Science 39, 421–442.CrossRefGoogle ScholarPubMed
Stanton, B., Li, X., Black, M., Ricardo, I., Galbraith, J., Kaljee, L. & Feigelman, S. (1994) Sexual practices and intentions among preadolescent and early adolescent low-income urban African-Americans. Pediatrics 93, 966–973.CrossRefGoogle ScholarPubMed
StataCorp (2005) Stata Statistical Software: Release 9. Stata Corporation, College Station, TX.Google Scholar
Sun, G. W. & Kay, G. L. (1996) Inappropriate use of bivariable analysis to screen risk factors for use in multivariable analysis. Journal of Clinical Epidemiology 49, 907–916.CrossRefGoogle ScholarPubMed
Sussman, S. (2005) The relations of cigarette smoking with risky sexual behavior among teens. Sexual Addiction & Compulsivity 12, 181–199.CrossRefGoogle Scholar
Tschann, J. M., Adler, N. E., Millstein, S. G., Gurvey, J. E. & Ellen, J. M. (2002) Relative power between sexual partners and condom use among adolescents. Journal of Adolescent Health 31, 17–25.CrossRefGoogle ScholarPubMed
Türmen, T. (2003) Gender and HIV/AIDS. International Journal of Gynecology and Obstetrics 82, 411–418.CrossRefGoogle ScholarPubMed
Verhoef, H. (2005) ‘A child has many mothers’. Views of child fostering in Northwestern Cameroon. Childhood 12, 369–390.CrossRefGoogle Scholar
Walsh, F. (2002) Family resilience framework: innovative practice applications. Family Relations 51, 130–137.CrossRefGoogle Scholar
WHO (2007) Helping Developing Countries Improve Adolescents' Health. WHO, Geneva.Google Scholar
Wu, G. H., Chong, M. Y., Cheng, A. T. A. & Chen, T. H. H. (2007) Correlates of family, school, and peer variables with adolescent substance use in Taiwan. Social Science & Medicine 64, 2594–2600.CrossRefGoogle ScholarPubMed
Wu, L. L. & Thomson, E. (2001) Race differences in family experience and early sexual initiation: dynamic models of family structure and family change. Journal of Marriage and the Family 63, 682–696.CrossRefGoogle Scholar