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Research Article Volume 11 Issue 4
Adolescent sexuality: practices and contraceptive problems in Douala (Cameroon)
Essome Henri, Eposse Ekoube Charlotte, Kedy Koum DC, Egbe Obinchemti Thomas, Halle Ekane Gregory, Nana Njamen Théophile, Boten Merlin, Tocki Toutou Grace, Penda Ida Calixte, Foumane Pascal
Faculty of Medicine and Pharmaceutical Sciences of Douala, University of Douala, Cameroon
Laquintinie Hospital of Douala, Cameroon
Faculty of Health Sciences of Buea, University of Buea, Cameroon
Yaoundé Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
Received: July 15, 2020 | Published: August 12, 2020
Citation: Henri E, Charlotte EE, Kedy KDC, et al. Adolescent sexuality: practices and contraceptive problems in Douala (Cameroon). Obstet Gynecol Int J. 2020;11(4):267-273. DOI: 10.15406/ogij.2020.11.00521
Abstract
Introduction: According to the World Health Organization (WHO), adolescence is the period of growth between 10 and 19years of age. Complications from pregnancy are the second leading cause of death for adolescent girls aged 15 to 19 worldwide.
Objective: Our objective was to study the sexual practices of adolescent girls in secondary schools in the Douala 3rd district as well as their contraceptive attitudes towards precocious pregnancies.
Methodology: We conducted a case-control analytical study from November 8th, 2018 to June 26th, 2019 in ten secondary schools in the Douala 3rd district. We matched, around the obstetric variable, a case group with this history to a control group who declared not to have had one and studied the different strategies used to avoid the occurrence of pregnancy. Data analysis was done using SPSS 20.0 software. The significance threshold was set at p<0.05.
Results: A total of 445 consenting adolescent girls were selected, including 89 cases and 356 controls. The multivariate analysis of the results showed that the factors associated with the occurrence of teenage pregnancies were: an age greater than 17years (aOR=1.91; CI=1.64-2.33), being single with a boyfriend (aOR=6.48; CI=3.33-12.60), the use of the male condom and the after pill (aOR=6.73; CI=3.53-12.83, aOR=4, 34; CI=1.86-10.11), find out about sexuality from your sexual partner or on social networks (aOR=2.24; IC=1.11-4.54, aOR=1.78; IC=1.01-3.13), do not ask your parents (aOR 2.20; IC=1.31-3.70), alcohol consumption (aOR=2.01; IC=1, 23-3.29), multi sexual partnership (aOR=2.89; CI=1.24-6.69), an age difference of more than 5years with partner (aOR=2.24; CI=1.16-4.35).
Conclusion: The teenager of the 3rd district of Douala is subject to early and unsafe sexuality and underuses family planning services which lead to precocious pregnancy.
Keywords: Sexuality, Adolescence, Pregnancy, Associated factors, Douala third
©2020 Henri, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.