Factors associated with sexual initiation and condom use among adolescents on Santiago Island, Cape Verde, West Africa

The current study focuses on factors associated with sexual initiation and condom use among teenagers on Santiago Island, Cape Verde, according to gender. This was a representative, probabilistic sample of 13-to-17-year-olds (n = 768) attending public secondary schools on Santiago Island in 2007. As...

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Bibliographic Details
Published inCadernos de saúde pública Vol. 25; no. 9; pp. 1969 - 1980
Main Authors Tavares, Carlos Mendes, Schor, Néia, França, Jr, Ivan, Diniz, Simone Grilo
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 01.09.2009
Subjects
Adolescent
Adolescent Behavior
Alcohol Drinking
Cabo Verde
Condoms - statistics & numerical data
Epidemiologic Methods
Female
Health Policy & Services
Health Promotion
HIV Infections - prevention & control
Humans
Male
Public Policy
Religion
Reproductive Medicine
Safe Sex - psychology
Safe Sex - statistics & numerical data
Sex Distribution
Sexual Partners
Socioeconomic Factors
Saúde Sexual e Reprodutiva
Preservativos
Condoms
Sexual and Reproductive Health
Adolescente
Adolescent
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Summary:The current study focuses on factors associated with sexual initiation and condom use among teenagers on Santiago Island, Cape Verde, according to gender. This was a representative, probabilistic sample of 13-to-17-year-olds (n = 768) attending public secondary schools on Santiago Island in 2007. Associations were tested by test of proportion, Pearson's chi-square, or Fisher's exact test and logistic regression. Factors related to sexual initiation among boys were: age over 14 years, Catholic religion, and alcohol consumption. For girls, the factors included: > 9 years of schooling and involvement in an affective-sexual relationship. Unlike other Sub-Saharan countries, this study showed a high prevalence of condom use during initial sexual activity. Adolescents are able to safely begin sexually active life if they have access to information, sex education, and other STD prevention and contraceptive methods. This study provides insights on the development of policies to reduce the vulnerability of the young population to STD/AIDS and the limits and challenges related to the promotion of condom use and sex education, focusing on unequal gender relations.
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ISSN:0102-311X
1678-4464
1678-4464
0102-311X
DOI:10.1590/S0102-311X2009000900011