PriMera Scientific Surgical Research and Practice (ISSN: 2836-0028)

Research Article

Volume 8 Issue 5

Determinants of Non-Protection during First Sex among Secondary School Students in Cameroon’s Capital City, Yaoundé

Teke Johnson Takwa*

November 03, 2026

DOI : 10.56831/PSSRP-08-345

Abstract

The practice of unprotected sex is a very serious issue as it can result to sexually transmitted infections and unwanted pregnancies. The non-protection during first sexual intercourse can result to habitual practice of subsequent unprotected sex. This study seeks to find out the key determinants of non-protection during first sex among secondary school students aged 14-19 in Cameroon’s capital city Yaoundé as way of providing information that can be useful for the promotion of safe sex. Information for this study was collected through a self-administered questionnaire administered to 2405 students in public, lay private and confessional schools. This study revealed that 49% of these students had started sexual activity. At first sex, 35% of students used no measure of protection against STDs or unwanted pregnancies. A binary logistic regression shows that the main determinants of non-protection during first sex are the age at first sex, circumstance of the first sex and the student’s mother’s educational level. Students who started sex at 10, 11 and 12 are close to six (6) times more likely than whose started sex after 16 to undergo it unprotected. Students whose first sex was non-voluntary are 4.4 times more likely to go into it unprotected than students whose first sex was voluntary. Students whose mothers have tertiary education are 40% less likely to go into first sex unprotected than students with mothers with lower educational levels. There is need for comprehensive sex education for children to start before the reach 10, to promote female education and equip parents especially mothers with skills to teach their children how to abstain from sex or practice safe sex and to prevent forced sex.

Keywords: first sex; unsafe sex; STDS; unwanted pregnancies

References

  1. Adebayo AM and Olusola AO. “Access to Contraceptives and Sexual Behaviour among Adolescents in Nigeria”. Journal of Adolescent Health 64.2 (2019): 234-240.
  2. Anarfi JK. “Under-reaction to sexual behavioural change among the youth in Ghana in the era of AIDS”. In: Agyei-Mensah S, Casterline JB and Agyeman DK (eds), “Reproductive Change in Ghana: Recent Patterns and Future Prospects”. Department of Geography and Resource Development, University of Ghana, Legon (2005): 225-242.
  3. Awusabo-Asare K and Annim SK. “Wealth status and risky sexual behaviour in Ghana and Kenya”. Applied Health Economics and Health Policy 6 (2008): 27-39.
  4. Baldo M., et al. “Does Sex Education Lead to Earlier Sex or Increased Sexual Activity in Youths?” Berlin, International Conference on HIV/AIDS (1993).
  5. Bessinger R, Katende C and Gupta N. “Multi-media Campaign Exposure Effects on Knowledge and Use of Condoms for STI and HIV/AIDS Prevention in Uganda”. MEASURE Evaluation Project, ORC Macro, Calverton, USA (2004).
  6. Bosompra K. “Determinants of condom use intentions of university students in Ghana: An application of the theory of reasoned action”. Social Science & Medicine 52 (2001): 1057-1069.
  7. Centre for Population Option. “Sex Education and Personal Involvement: The Facts”. Washington, D.C (1994).
  8. Chin D. “HIV-related sexual risk assessment among Asian/Pacific Islander American women: An inductive model”. Social Science & Medicine 49 (1999): 241-251.
  9. Coast E. “Wasting semen: Context and condom use among the Maasai”. Culture, Health and Sexuality 9 (2007): 387-401.
  10. Heike B. “The rise of occult powers, AIDS and the Roman Catholic Church in Western Uganda”. Journal of Religion in Africa 37 (2007): 41-58.
  11. Morris JT and Tchouaket E. “The Role of Sexual Education Promoting Safe Sex among Young People in Cameroon”. International Journal of Sexual Health 32.1 (2020): 272-280.
  12. Rosenstock IM, Strecher VJ and Becker MH. “The Health Belief Model and HIV risk behaviour change”. In: DiClemente RJ and Peterson JL (eds), Preventing AIDS: Theories and Methods of Behavioral Interventions. Plenum Press, New York (1994): 5-24.
  13. Smith DJ. “Imagining HIV/AIDS: Morality and perceptions of personal risk in Nigeria”. Medical Anthropology 22 (2003): 343-372.
  14. Tchouaket E and Njimoluh J. “Cultural Attitudes Towards First Sex among Young People in Cameroon”. BMC Public Health 22.1 (2022): 1234.
  15. Zaba B., et al. “Age at first sex: Understanding recent trends in African demographic surveys”. Sexually Transmitted Infections 80 (2004): 28-35.