Objectives: To describe levels and differentials in risk behavior and condom use among youth in Butare, Rwanda and illustrate the need for targeted reproductive health programs.
Data and Methods: Data stem from a reproductive health survey conducted in October-November 2000 among a representative sample of 3,143 youth aged 15-24. We focus on gender differentials in sexual behavior and condom use, but also examine differentials by age, socio-economic status, and education.
Results: Only 31% of males and 22% of females aged 15-24 were sexually experienced (c2=31.6;p=.000). Life table analyses show a median age at first intercourse of 23.0 for females and 22.9 for males. 11% of females and 5% of males were married. Only 9% of males and 4% of females reported having one or more regular or casual partners in the past year (c2=38.2;p=.000). Among sexually experienced youth, 73% of females and 47% of males report abstaining in the past year (c2=57.6;p=.000).
Condom use in last sex with regular partners was 35% for males and 29% for females (c2=.9;p=.342). Only 30% used a condom in last sex with casual partners (n=23). Of those sexually experienced, only 24% of males and 11% of females had ever used condoms (c2=21.8;p=.000).
Conclusions: Levels of sexual activity among Rwandan youth are exceptionally low. This low risk behavior is partially offset by low condom use. These findings illustrate the need for youth-targeted reproductive health programs that address the specific situations of Rwandan youth.
Learning Objectives: At the conclusion of the session, the learner will be able to: 1. Discuss the nature and extent of HIV risk behavior among youth in Rwanda, 2. Discuss the extent of condom use among youth, and 3. Recognize the need for HIV prevention programs that specifically target youth.
Keywords: Sexual Risk Behavior, Condom Use
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.