Date of Conferral
Doctor of Public Health (DrPH)
Risky sexual behavior (RSB) is a major public health concern due to health outcomes, such as HIV/AIDS, sexually transmitted infections, and unwanted pregnancies. RSB has been identified as 1 of the main components contributing to the high HIV incidence rate in sub-Saharan Africa. The purpose of the current research was to investigate RSB and its association with education and economic status among men and women in 3 sub-Saharan African countries (i.e., Rwanda, Zimbabwe, and Cameroon) while controlling for gender, age, religion, and place of residence. The social cognitive theory provided the framework for this cross-sectional study that included data from the Demographic Health Survey (2011–2015), with a total combined sample size of 39,052 participants. Regression analysis revealed that the odds of people engaging in high RSB was greater for Cameroon (OR = 1.518, 95% CI = 1.267-1.913) and for rural areas (OR = 1.373, 95% CI = 1.150-1.639), while the odds of engaging in RSB was lower for the richest (OR = 0.702, 95% CI = 0.545-0.904), for those with higher education (OR = 0.214, 95% CI = 0.119-0.387), and for 35–49 age group (OR = 0.380, 95% CI = 0.310-0.465). The findings of this study can be used to provide a better understanding of RSB determinants, contributing to HIV/AIDS prevention practice, and estimating the socio-economic gap in RSB. Policy makers should design programs for specific countries that are aimed at enabling communities to limit RSB and make healthier choices in their sex lives.
Tende, Frida, "Socio-Economic Determinants of Risky Sexual Behavior in sub-Saharan Africa" (2020). Walden Dissertations and Doctoral Studies. 9275.