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Comportements sexuels à risque au temps du VIH/Sida : le cas des jeunes en Côte d'Ivoire

Abstract : The prevalence of HIV/AIDS in Ivory Coast remains considerably high compared to the levels observed in other West African countries. Most new HIV infections cases occur among young people of age 15-24 years. The hopes of reversing the trend of this epidemic lie in this age group. This dissertation aims at examining sexual risk behaviors among young people in a changing social and economic context. The objective is to understand factors that could explain the evolution of risky sexual behavior. The data used in this dissertation is from five complementary sources: The Demographic and Health Surveys of 1998 and 2012, the AIDS Indicator Survey of 2005, the context of youth sexuality survey as part of West Africa Agricultural Productivity Program (WAAPP), 2015 and a qualitative survey we organized in the city of Abidjan (Côte d'Ivoire), 2015.Our findings reveal a lack of compliance with traditional norms of sexuality in Africa. Sexual intercourse formerly exclusive in marriage, especially among girls, tends to fade while premarital sex is on the rise. Traditional methods of social control are weakening, an early emancipation of young people from their families is being observed and a decline in the involvement of extended family members in socialization, resulting in high-risk sexuality for sexually transmitted infections including HIV / AIDS. Moreover, this sexuality of young singles often comes at an early age insofar as a lack of physical immaturity and a lack of information on AIDS puts them at greater risk.This study shows that the timing of premarital sexual initiation determines whether or not condoms are used. Thus, young people who start their sexual life early are more likely not to use condoms at the time of this occurrence. By looking at multiple sex partnerships, the results show that the adoption of such behavior emanates from individual decisions influenced mainly by the family environment and the socio-economic context. A comprehensive analysis of multi-partnership based on a qualitative survey highlights aspects that are not sufficiently taken into account in standardized quantitative surveys. In addition, it appears that the disarticulation of socialization or the breakdown of social and emotional ties has an influence on the use of multiple partners. Finally, we note that preventive practices among young people have made significant progress between 1998 and 2012. From a programmatic point of view, this result is rather encouraging because it proves that the fight against AIDS is progressing in the country. However, between 2005-2012, the proportion of youth who didn’t use condoms remained stable. As young urban residents and the most educated have contributed more to the maintenance of risky behavior, it is necessary to redefine the objectives and reform the STI prevention programs in Côte d'Ivoire.
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Elise Amoin Kacou. Comportements sexuels à risque au temps du VIH/Sida : le cas des jeunes en Côte d'Ivoire. Sociologie. Université Panthéon-Sorbonne - Paris I, 2018. Français. ⟨NNT : 2018PA01H086⟩. ⟨tel-02978732⟩

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