Mental health, childhood abuse and HIV sexual risk behaviour among university students in Ivory Coast
Identifieur interne : 002571 ( Main/Exploration ); précédent : 002570; suivant : 002572Mental health, childhood abuse and HIV sexual risk behaviour among university students in Ivory Coast
Auteurs : Karl Peltzer [Afrique du Sud, Thaïlande] ; Supa Pengpid [Afrique du Sud, Thaïlande] ; Issaka TiembreSource :
- Annals of General Psychiatry [ 1744-859X ] ; 2013.
Abstract
Little focus has been paid to the role of poor mental health and childhood abuse among young people with regard to human immunodeficiency virus (HIV) risk behaviour and HIV prevention in Africa. The aim of this study was to determine the association between mental health, childhood abuse and HIV sexual risk behaviour among a sample of university students in Ivory Coast.
A cross-sectional survey was conducted with undergraduate students that were recruited randomly from classes at the Félix Houphouët Boigny University of Cocody. The sample included 824 university students (50% men and 50% women), with a mean age of 23.7 years (SD = 2.7).
Of the 824 university students who completed the survey, 17.6% reported depression, 10.8% screened positive for post-traumatic stress disorder, 8.3% reported at least monthly heavy episodic drinking, 13.5% reported childhood physical abuse and 4.7% sexual abuse, 33.9% had two or more sexual partners in the past 12 months, 66.3% had inconsistent condom use, 23.6% had alcohol use in the context of sex and 16.7% had a history of a sexually transmitted infection In multivariable analysis among men, lack of religiousness and alcohol use in the context of sex were associated with HIV risk behaviour, and among women, poorer family background, experience of sexual and physical partner violence, alcohol use in the context of sex and depression were associated with HIV risk behaviour.
Poor mental health (depression) including alcohol use and partner violence was found to be associated with HIV risk behaviour. Coordinated mental health and sexual and reproductive health services to meet the needs of university students would be desirable.
Url:
DOI: 10.1186/1744-859X-12-18
PubMed: 23758850
PubMed Central: 3682872
Affiliations:
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university students in Ivory Coast</title><author><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name><affiliation wicri:level="1"><nlm:aff id="I1">HIV/AIDS, STI and TB (HAST) Research Programme, Human Sciences Research Council, Private Bag X41, Pretoria, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>HIV/AIDS, STI and TB (HAST) Research Programme, Human Sciences Research Council, Private Bag X41, Pretoria</wicri:regionArea><wicri:noRegion>Pretoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Psychology, University of Limpopo, Turfloop, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychology, University of Limpopo, Turfloop</wicri:regionArea><wicri:noRegion>Turfloop</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, Nakhonpathom 73170, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, Nakhonpathom 73170</wicri:regionArea><wicri:noRegion>Nakhonpathom 73170</wicri:noRegion></affiliation></author><author><name sortKey="Pengpid, Supa" sort="Pengpid, Supa" uniqKey="Pengpid S" first="Supa" last="Pengpid">Supa Pengpid</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Psychology, University of Limpopo, Turfloop, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Psychology, University of Limpopo, Turfloop</wicri:regionArea><wicri:noRegion>Turfloop</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, Nakhonpathom 73170, Thailand</nlm:aff><country xml:lang="fr">Thaïlande</country><wicri:regionArea>ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, Nakhonpathom 73170</wicri:regionArea><wicri:noRegion>Nakhonpathom 73170</wicri:noRegion></affiliation></author><author><name sortKey="Tiembre, Issaka" sort="Tiembre, Issaka" uniqKey="Tiembre I" first="Issaka" last="Tiembre">Issaka Tiembre</name><affiliation><nlm:aff id="I4">Institut National d'Hygiène Publique, Université Félix Houphouët Boigny de Cocody, Abidjan, Bp V 14, Ivory Coast</nlm:aff><wicri:noCountry code="subfield">Ivory Coast</wicri:noCountry></affiliation></author></analytic><series><title level="j">Annals of General Psychiatry</title><idno type="eISSN">1744-859X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Little focus has been paid to the role of poor mental health and childhood abuse among young people with regard to human immunodeficiency virus (HIV) risk behaviour and HIV prevention in Africa. The aim of this study was to determine the association between mental health, childhood abuse and HIV sexual risk behaviour among a sample of university students in Ivory Coast.</p></sec><sec><title>Methods</title><p>A cross-sectional survey was conducted with undergraduate students that were recruited randomly from classes at the Félix Houphouët Boigny University of Cocody. The sample included 824 university students (50% men and 50% women), with a mean age of 23.7 years (SD = 2.7).</p></sec><sec><title>Results</title><p>Of the 824 university students who completed the survey, 17.6% reported depression, 10.8% screened positive for post-traumatic stress disorder, 8.3% reported at least monthly heavy episodic drinking, 13.5% reported childhood physical abuse and 4.7% sexual abuse, 33.9% had two or more sexual partners in the past 12 months, 66.3% had inconsistent condom use, 23.6% had alcohol use in the context of sex and 16.7% had a history of a sexually transmitted infection In multivariable analysis among men, lack of religiousness and alcohol use in the context of sex were associated with HIV risk behaviour, and among women, poorer family background, experience of sexual and physical partner violence, alcohol use in the context of sex and depression were associated with HIV risk behaviour.</p></sec><sec><title>Conclusions</title><p>Poor mental health (depression) including alcohol use and partner violence was found to be associated with HIV risk behaviour. 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uniqKey="Jewkes R">RK Jewkes</name></author><author><name sortKey="Dunkle, K" uniqKey="Dunkle K">K Dunkle</name></author><author><name sortKey="Nduna, M" uniqKey="Nduna M">M Nduna</name></author><author><name sortKey="Shai, N" uniqKey="Shai N">N Shai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, E" uniqKey="Wu E">E Wu</name></author><author><name sortKey="El Bassel, N" uniqKey="El Bassel N">N El-Bassel</name></author><author><name sortKey="Witte, Ss" uniqKey="Witte S">SS Witte</name></author><author><name sortKey="Gilbert, L" uniqKey="Gilbert L">L Gilbert</name></author><author><name sortKey="Chang, M" uniqKey="Chang M">M Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meade, Cs" uniqKey="Meade C">CS Meade</name></author><author><name sortKey="Sikkema, Kj" uniqKey="Sikkema K">KJ Sikkema</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agardh, A" uniqKey="Agardh A">A Agardh</name></author><author><name sortKey="Tumwine, G" uniqKey="Tumwine G">G Tumwine</name></author><author><name sortKey="Ostergren, Po" uniqKey="Ostergren P">PO Östergren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koffi, Ak" uniqKey="Koffi A">AK Koffi</name></author><author><name sortKey="Kawahara, K" uniqKey="Kawahara K">K Kawahara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Masvawure, T" uniqKey="Masvawure T">T Masvawure</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Thaïlande</li></country></list><tree><noCountry><name sortKey="Tiembre, Issaka" sort="Tiembre, Issaka" uniqKey="Tiembre I" first="Issaka" last="Tiembre">Issaka Tiembre</name></noCountry><country name="Afrique du Sud"><noRegion><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name></noRegion><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name><name sortKey="Pengpid, Supa" sort="Pengpid, Supa" uniqKey="Pengpid S" first="Supa" last="Pengpid">Supa Pengpid</name></country><country name="Thaïlande"><noRegion><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name></noRegion><name sortKey="Pengpid, Supa" sort="Pengpid, Supa" uniqKey="Pengpid S" first="Supa" last="Pengpid">Supa Pengpid</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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