Objective: To study the sexual risk behaviors and their determining role in sexually transmissible infection (STI) and HIV among students of the University of Ouagadougou. Methodology: It was a descriptive and analytical single pass cross-sectional study from June 22 to July 21 2010 at the University of Ouagadougou. A cluster sampling in two stages was adopted to form a population of 762. Data were collected using a standardized written questionnaire completed by individual interview after informed consent. Results: The average age of students was 24.2 ± 2 years old for men and 23.7 ± 2 years old women. Singles represented 95.1% of students. The students were not scholarship grantees in 90.6% of the sample. Knowledge about STIs was average in 60.2% of cases. In total 33.65% of the students admitted to having had multiple sexual partners, 19.57% had sex with prostitutes, 34.62% had unprotected sex, 4% practiced sodomy without condoms and 3.1% of students had sex in group with one partner. In multivariate analysis, male gender was the determining factor associated with multiple sexual partner (OR = 3.30 95% CI = 2.19 to 4.95) and relations with prostitutes with an odds ratio of 16.13 (95 = 6.87% to 37.8%). The female gender was the determining factor associated with not using a condom with odds ratio of 1.5 (95% CI = 1.01 to 2.16). Conclusion: There are many risk behaviors for HIV transmission among students of the University of Ouagadougou. The urgent implementation of specific prevention programs to benefit this population is essential.
HIV infection is a disease that poses to humanity an unprecedented [
It was a descriptive and analytical single pass cross-sectional study which lasted from June 22, 2010 to July 21, 2010. It involved seven (07) units of training and research (UTR) and the Burkinabe arts and crafts Institute (IBAM) of the University of Ouagadougou. All the students of the 1st and 2nd cycle enrolled for the academic year 2009-2010 constituted our study population. The 3rd cycle students who performed practical training outside the University were not included in our sample. We conducted a two stages cluster sampling. The first level was made from a list of all classes by simple random sampling. The second level was made by a systematic sampling where the number of students selected was proportional to the size of the class. The sample size of 762 students was calculated from the prevalence in the general population and an accuracy of 95%. We used a standardized written questionnaire completed by individual interview after informed consent. We recorded 9 nonrespondents, the response rate was of 98.82%. Ten investigators were trained on technical approach, maintenance as well as the interest of the investigation. The administration of the questionnaire was made outside of school hours. Data were entered using EPI Data software version 3.1 and analyzed in SPSS 17.0. We used a chi 2 test to compare variables with a significance level of 5%.
・ Sex
Considering a total of 753 students, 454 were males and 299 were females. The sex ratio was 1.52 in favor of males.
・ Age
The average age of students was 23.8 ± 3 years old. Median was 24 years old. For males the average age was 24.2 ± 2 years old and 23.7 ± 2 years old for females. Extreme ages in our sample were 18 and 54 years old.
・ Marital status
Students were single in 95.1% of cases (n = 716), cohabiting in 2.2% of cases (n = 17) and 2.7% in couple (n = 20).
・ Housing mode
Students living in their parental family were 42.9% of cases (n = 323), 19% of cases lived with a guardian (n = 143). In 19.8% of cases (n = 149) with their friends, alone in 12.2% of cases (n = 91) and campus dormitory in 6.1% cases (n = 47).
・ Student status
The students were not scholarship grantees in 90.6% of cases (n = 682), scholarship grantees in 6.4% of cases (n = 48), civil servants in 1.7% (n = 13) and foreign scholarship grantees in 1.3% of cases (n = 10).
・ Level of knowledge of STIs
In our series, 27.8% of students had low knowledge about HIV/STI, 60.20% had average knowledge and 12% of students had deep knowledge.
・ Sexual Experience
In total 618 students, or 82.10% had sex, 60.20% were males and 39.80% females. It was noted that 81.93% of men and 82.27% of women had ever had a sexual experience (p > 0.05).
・ Age at first sex
The average age at first intercourse was 19 ± 2 years old. It was 19.14 ± 2 years old for females and 18 9 ± 2 years old for males. Extreme age at first intercourse was 11 years old and 32 years old.
・ Frequency of sex
The students had sex on average 2.61 times per week. Weekly frequency of sexual intercourse by gender is presented in
・ Details of last sexual intercourse
The last sex that students had was consenting in 88.1% and in 11.9% of cases was imposed by the partner. The condom was used in 45% of cases.
・ Number of sexual partners
The number of sexual partners by gender was presented in
・ Having sex with sex workers
In our study, 121 students, or 19.57% (121/618) of sexually active students had sexual contact with prostitutes. In this group, 95% were male and 5% were women (p < 0.001]. During the last twelve months prior to the survey, 54.78% of those who frequented prostitutes had only one sexual contact, and 45.22% had more than one sexual contact.
・ Sexual intercourse with a partner using drugs intravenously
According to the survey, 10 students, or 1.61% (10/618) had had sex with a partner using drugs intravenously.
・ Drunk sexual intercourse
In our study, 50 students or 8.1% (50/618) of sexually active students had already had sex while drunk. We noted 76% men and 24% women (p < 0.01).
・ Fellation practice
At the time of the survey, forty-eight women, or 19.51% (48/246) of sexually active women practiced fellation. This practice was recurrent among women who maintained sex with multiple sexual partners (78%).
・ Cunnilingus practice
Weekly | Men (n = 247) | Women (n = 209) |
---|---|---|
one | 73 | 49 |
two | 79 | 76 |
Tree | 40 | 43 |
for | 25 | 24 |
Five and more | 30 | 17 |
P = 0.07.
Number of partners | Males | Females | Total |
---|---|---|---|
0 | 30 | 8 | 38 |
1 | 180 | 192 | 372 |
>1 | 162 | 46 | 208 |
Total | 372 | 246 | 618 |
At the time of the survey, 27 men, 7.25% (27/372) of sexually active men practiced cunnilingus. Also, it was found that 84% of men who practiced cunnilingus were in the age group of 15 - 24 years old. But no statistically significant difference had been found.
・ Practice of sodomy
Sodomy was practiced by 22 students, 6% (22/372) of sexually active men. In this population, 60% practiced without condoms and 40% with condom. Anal sex without a condom was mainly practiced by men (70%) who had multiple sexual partners.
・ Practice of homosexuality
In our study, 4 statements about homosexuality were noted, 1.07% (4/372) of sexually active men. Students who had homosexual behavior were all male and in 50% of cases they had not used condoms.
・ Concept of sexual assault
In our series, 04 students, or 1.62% of sexually active women reported having been sexually assaulted and 4 males students, representing 1.07% of sexually active men reported having committed a sexual assault.
・ Unprotected sex
In our study, 203 students, or 32.84% of sexually active students had not used a condom during their last sexual intercourse. Among them, 48.06% were male and 51.94% were women (p < 0.01). Also, 31.94% of men who had multiple sexual partners have had unprotected sex during their last sexual intercourse.
・ Sexual intercourse by simultaneous multiple partners
In our series, 20 students, or 3.23% (20/618) of sexually active students had sexual relations with several partners at once. It was noted that 75% were men and 15% women.
・ Not using a condom
The determinants of no condom use after multivariate analysis by logistic regression were shown in
・ Determinants of multiple sexual partnerships
Determinants of multi sexual partnership after multivariate analysis by logistic regression were shown in
・ Determinants of sex with prostitutes
The study of factors associated with having sex with prostitutes is presented in
Variable | Number | OR [95%CI] | P-value |
---|---|---|---|
Sex | <0.041 | ||
・ Male | 288 | 1 | |
・ Female | 229 | 1.48 [1.01 - 2.16] | |
Marital Status | 0.167 | ||
・ Single | 485 | 1 | |
・ Married | 17 | 0.4 [0.14 - 1.14] | |
・ Cohabitation | 15 | 0.62 [0.21 - 1.77] | |
Housing mode | 0.358 | ||
・ Family | 240 | 1 | |
・ Guardian | 95 | 1.15 [0.70 - 1.89] | |
・ University dormitory | 29 | 0.59 [0.27 - 1.31] | |
・ Rent alone | 59 | 1.50 [0.80 - 2.5] | |
・ Rental with friends | 94 | 1.18 [0.7 - 2.01] |
Variable | Number | OR [95% CI] | P-value |
---|---|---|---|
Sex | 0.000 | ||
・ Male | 343 | 3.29 [2.19 - 4.95] | |
・ Female | 238 | 1 | |
Religion | 0.347 | ||
・ Catholic | 274 | 1 | |
・ Muslim | 246 | 1.22 [0.83 - 1.79] | |
・ Protestant | 48 | 0.68 [0.34-1.38] | |
・ Traditional | 13 | 1.45 [0.44 - 4.7] | |
Housing mode | 0.213 | ||
・ Family | 262 | 1 | |
・ Guardian | 105 | 1.01 [0.61 - 1.69] | |
・ University dormitory | 37 | 1.56 [0.74 - 3.26] | |
・ Rent alone | 64 | 1.42 [0.78 - 2.5] |
Variable | Number | OR [95% CI] | P-value |
---|---|---|---|
Sexe | <0.000 | ||
・ Male | 375 | 16.13 [6.87 - 37.8] | |
・ Female | 245 | 1 | |
Religion | 0.213 | ||
・ Catholic | 293 | 1 | |
・ Muslim | 257 | 1.42 [0.90 - 2.25] | |
・ Protestant | 56 | 0.83 [0.37 - 1.84] | |
・ Traditional | 14 | 0.49 [0.10 - 2.39] | |
Housing mode | 0.24 | ||
・ Family | 281 | 1 | |
・ Guardian | 110 | 1.06 [0.57 - 1.98] | |
University dormitory universitaire | 42 | 0.8 [0.32 - 2.04] | |
・ Rent alone | 68 | 1.62 [0.83 - 3.18] | |
・ Rent with friends | 119 | 1.20 [0.73 - 2.26] |
The data collected were they sincere? The problem arises in all investigations, manipulating politics, sports practices or sexuality. Despite these limitations, the results we have achieved have allowed to make comments and lead a discussion.
・ Multiple sexual partners
In our series, among sexually active students, 33.65% reported having multiple sexual partners. This frequency is lower than those of other African authors. Sepou Bangui [
・ Sexual intercourse with sex workers
In our series, 19.57% of students had sex with prostitutes in the past twelve months. Ditri in Togo [
・ No use of condoms
In our study, 34.95% of students had not used a condom during their last sexual intercourse. Yao in Abidjan [
・ Homosexuality
Four students, representing 1.07% of sexually active men had sex with men. Ditri had reported a rate of 1.3% in Togo [
・ Oral sex
Oral sex was practiced by 19.27% of sexually active students. Similar results are reported by other African studies [
・ Drunk sex
In our series, 8.1% of students had sex while drunk. According to Tiembre in Côte d'Ivoire, 20.4% of students reported having had sexual intercourse in the same conditions [
・ No use of condoms
Non-use of condom during sex is a risky behavior that persists among students. In multivariate analysis, only the female appeared to be the demographic factor significantly associated with not using a condom for sexual intercourse among students [OR = 1.5, 95% CI 1.01 to 2.16]. In fact, the females are 1.5 times more likely than men of not using condom during sex. Our results are comparable to those reported by Mondieli in Niger [
・ Multi sexual partnership
In multivariate analysis, only male gender was associated with this practice and the men were 3.3 times more likely to have multiple sexual partners than women. Talman in Côte d’Ivoire [
・ Sex with prostitutes
In multivariate analysis, only gender was statistically associated with having sex with prostitutes and males were 16.3 times more likely to have sex with prostitutes than females. According to some African beliefs, the man would value its sexual experiences and attendance of sex professionals, there could find it as a way of self- exploration of unsuspected pleasures areas, to raise strong emotions [
There are many risk behaviors for HIV transmission among students of the University of Ouagadougou. The fight for the development of our society must go with the urgent implementation of specific prevention programs in this population. Further studies will explain more this subject which is a national interest.
C. M. R.Ouedraogo,F. D. MillogoTraore,A.Ouattara,A.Ouedraogo,X.Kaboré,D. P.Kain,B.Yaméogo,E.Komboigo,M.Guinko,J.Lankoandé, (2016) Epidemiology of Sexual Behaviour with Risk of Sexually Transmissible Infection (STI) among Students in Africa: The Case of the University of Ouagadougou. Open Journal of Obstetrics and Gynecology,06,219-231. doi: 10.4236/ojog.2016.64028
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