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Étude des déterminants socio-familiaux associés aux comportements sexuels à risque des adolescents de Lubumbashi : Une contribution à la théorie socio-psychologique de la santé

Abstract : Sexual is main transmission mode of HIV/AIDS, unsustainable macabre current global pandemic; approximately 40 million worldwide infected in 2011, more than two-thirds in sub-Saharan Africa, annual new infections estimated by thousands, orphan's number in explosion... Given its alarming rate in the DRC (4.1 - 4.9% AIDS; 6-7% in urban centers such as Lubumbashi), several prevention partner's are forced them selves to denounce some unusual behaviors (e.g. inappropriate uses of condoms). Purpose's study is to identify family and social factors related to SRB of Lubumbashi's adolescents. It prioritizes these factors according their association's strength with SRB and determines the influence mechanisms. Study consists of a series of questionnaire surveys, semi-structured interviews and observation conducted over seven hundred youth and others Lubumbashi's sex workers. Medical care costs management's issues; and socials anchorages perceived; in faults and failures of exercise of parental and other adults authority (as deficiency parenting); parental abuse, other adults as guardian, tutors or fact of social anchors harmful and poisonous atmosphere in the family, sometimes expressed through family violence leading to complex situations such as incentives subtle; were mentioned as major referents. It proves ultimately an obvious, indiscriminate sexual activity and worrying in the target population. Models from logistic regressions are based on disputes (violence, conflicts, fights) in family; care costs health and the close friend primary confidant. Whatever might have been their school situations, confidants or type of climate in the family of origin, the teenagers who were supported by their own parents were almost twice (OR = 0.46 (0.25 -0.86)) fewer sexually active compared to those who did not decline the identity of the person who supported this type of expense. In addition, adolescents supported by their parents have easily reported signs (symptoms) of STD than other "unanswered". They were nearly four times (OR = 3.72 (1.21 to 11.07)) more likely to report at least one STD other's signs. Whatever were their level education; supported by their parents or not and whatever were their confidant, the teenagers who refused to answer the question about family squabble or fights were nearly two times (OR = 1.89 (1.13 to 3.16)) more sexually active than those who claimed observe them; which is not without raising questions about coaching and social climate in family but also outside of it to the extent that the adolescents who reported having used a condom during their last sexual intercourse were less likely to report signs of STD. Problems are due to deficiency parenting commitments; child foster's care. Study is a plea for a good social and family coaching of youth in distress situation. Should be part of the response effort, given the low level of education, young character in the target population, accountability, alternative / opportunity, including the costs of emergency medical assistance to young; their parents and guardians.
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https://tel.archives-ouvertes.fr/tel-00862001
Contributor : Jean-Marie Kalau Mutej <>
Submitted on : Sunday, September 15, 2013 - 12:10:27 PM
Last modification on : Friday, October 23, 2020 - 4:36:25 PM
Long-term archiving on: : Thursday, April 6, 2017 - 8:19:21 PM

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Jean-Marie Kalau Mutej. Étude des déterminants socio-familiaux associés aux comportements sexuels à risque des adolescents de Lubumbashi : Une contribution à la théorie socio-psychologique de la santé. Santé publique et épidémiologie. Université de Lubumbashi, 2013. Français. ⟨tel-00862001⟩

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