Résumé
Background: The female condom is useful in empowering women to protect themselves from adverse consequences of sexual intercourse but there is a dearth of information about willingness to use this device by young women in Nigeria. This study assessed sexual practices and willingness to use female condoms among female undergraduate students of the University of Port Harcourt, Rivers State, Nigeria.
Methods: This cross-sectional study conducted among 600 female undergraduate students utilized a cluster sampling technique. Thirty out of 78 off campus hostels were selected by simple random sampling. A pretested, semi-structured, self-administered questionnaire was used. Data were analysed using descriptive and inferential statistics with significance set at p=0.05.
Results: Mean age of respondents was 21.5±2.5years. Majority of the sexually active respondents (285, 81.7%) had multiple sexual partners 92 (26.4%) while 266 (76.2%) had ever used contraceptives. Only 17 (6.3%) of the 270 respondents who had ever seen the female condom had used it. Main reasons for non-use of female condom were unavailability (32.7%), insertion difficulty (20.1%) and discomfort (17.1%). About a quarter, 154 (27.1%) indicated willingness to use a female condom. Predictors of willingness to use the female condom were being in a relationship (OR= 0.49; CI=0.26-0.93) and level of study (OR=1.86; CI=1.2-2.9).
Conclusion: Most respondents were sexually active with evidence of contraceptive use but poor use and a moderate level of willingness to use the female condom. Interventions aimed at improving access and demonstrations of how to use female condoms by health workers can improve use of this method.
Keywords: Sexual practices, female condom, female undergraduates
Résumé
Contexte: Le préservatif féminin est utile pour permettre aux femmes de se protéger contre les conséquences néfastes des rapports sexuels, mais il y a un manque d’informations concernant la volonté d’utiliser ce dispositif chez les jeunes femmes au. Cette étude a évalué les pratiques sexuelles et la volonté d’utiliser des préservatifs féminins parmi les étudiantes en licence de l’Université de Port Harcourt, dans l’État de Rivers, Nigéria.
Méthodes: Cette étude transversale menée auprès de 600 étudiantes en licence a utilisé une technique d’échantillonnage en groupement. Trente des 78 auberges hors campus ont été sélectionnées par simple échantillonnage aléatoire. Un questionnaire pré testé, semi-structuré et auto-administré a été utilisé. Les données ont été analysées à l’aide de statistiques descriptives et d’inférence, avec la signifiance fixée à p = 0,05.
Résultats: L’âge moyen des répondantes était de 21,5 ± 2,5 ans. La majorité des répondantes sexuellement actives (285 ; 81,7%) avaient plusieurs partenaires sexuels 92 (26,4%), tandis que 266 (76,2%) avaient déjà utilisé un moyen de contraception. Seulement 17 (6,3%) des 270 répondants qui avaient déjà vu le préservatif féminin l’avaient utilisé. Les raisons principales de non utilisation du préservatif féminin étaient l’indisponibilité (32,7%), la difficulté d’insertion (20,1%) et le malaise (17,1%). Environ un quart, 154 (27,1%) ont indiqué leur volonté d’utiliser le préservatif féminin. Les prédicteurs de la volonté d’utiliser le préservatif féminin étaient d’être dans une relation (OR = 0,49; IC = 0,26-0,93) et le niveau d’étude (OR = 1,86; IC = 1,2-2,9).
Conclusion: La plupart des répondantes étaient sexuellement actives et présentaient des preuves d’utilisation de contraceptifs, mais faible utilisation et une volonté modérée d’utiliser le préservatif féminin. Les interventions visant à améliorer l’accès et les démonstrations sur l’utilisation des préservatifs féminins par les agents de santé peuvent améliorer l’utilisation de cette méthode.
Mots clés: Pratiques sexuelles, Préservatif
Correspondence: Dr. O.O. Sekoni, Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria. E-mail: t1toyin@yahoo.com
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