Sexual Practices at Risk of Sexually Transmitted Infections among Students at the University of Parakou in 2022: A Cross-sectional Survey

Aims: The aim was to study sexual practices at risk of sexually transmitted infections among students.

Study Design: This was a descriptive cross-sectional study with analytical aims.

Place and Duration of Study: University of Parakou, from June 06 to 26, 2022.

Methodology: The sampling technique used was simple random sampling, in which five entities were selected from the eleven basic campus entities. Data were collected using a self-administered questionnaire distributed electronically to students via the KoBoToolbox server. The dependent variable was condom use. The independent variables were sociodemographic, cultural, environmental, behavioral and sexually transmitted infection (STI) history. Data were entered into KoboCollect. Data analysis was performed using Epi-Info software version 7.1.3.3. The difference was statistically significant for a p-value of less than 0.05.

Results: A total of 420 students were surveyed out of the 2626 who had read the link on the forums, giving a participation rate of 15.99%. Of the 420 students surveyed, 220 (52.38%) were male and 200 (47.62%) females, giving a sex ratio (M/F) of 1.09. The mean age of the students was 21.8 ± 2.8 years, with extremes of 17 and 35 years. Sexually active students accounted for 73.57%. Condom use was 32.04%. In 45.16% of cases, students had contracted an STI in the previous three months. Vaginal penetration was practiced in 93.20% of cases. Factors associated with condom use in univariate analysis were gender (p=0.002), vaginal penetration (p<0.001) and types of sexual penetration practiced during the last sexual intercourse (p=0.002).

Conclusion: The relatively low frequency of condom use among students at the University of Parakou suggests high-risk sexual relations for STIs. There is a need to raise awareness among students of the importance of condom use.