ArticleBMC infectious diseases2023
Polygamy and safe sex negotiation among married women: evidence from Cameroon.
Article in BMC infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- A multilevel analysis of the predictive effects of internal migration and region of residence on women's empowerment in Nigeria.BMC women's health · 2026Article
- New multidimensional scale of men's gender egalitarian attitudes and its socio-demographic correlates in Nigeria: results from a psychometric analysis.BMJ public health · 2026Article
- Exploring the multifaceted correlates of household decision-making autonomy among married women in Cameroon.BMC women's health · 2025Article
- The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15-24: Evidence from Cameroon.Archives of sexual behavior · 2025Article
- Toward Ending Violence Against Women: The Association of Intimate Partner Violence With Food Security Status Among Ever-Married Women in Cameroon.Journal of interpersonal violence · 2025Article
- 'They went for the test together but came back separately': a constructivist grounded theory perspective on male engagement in antenatal HIV testing in Bamenda, Cameroon.BMC pregnancy and childbirth · 2025Article
- Factors associated with Myanmar women's attitudes toward negotiating safer sexual relations.Frontiers in public health · 2025Article
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Authors and funding
6 authors.
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Abstract
backgroundResearch indicates that women in polygamous relationships may be exposed to unique sexual and reproductive health challenges. However, there are very few studies that examine whether polygamy is associated with safe sex negotiation among married women in sub-Saharan Africa, including Cameroon.
methodsUsing the 2018 Cameroon Demographic and Health Survey, we apply logistic regression analysis to compare two indicators of safe sex negotiation (i.e., the ability to ask for condom use and refuse sex against their partner) between polygamous (n = 1,628) and monogamous (n = 5,686) women aged 15-49 years old.
resultsWe find that 67% and 50% of married women can ask for condom use and refuse sex against their partner, respectively. Multivariate analysis further reveals that women in polygamous relationships are less likely to report they can ask for condom use (OR = 0.71, p < 0.001) and refuse sex (OR = 0.64, p < 0.001) in comparison to their monogamous counterparts.
conclusionsOur analysis found that in Cameroon, women in polygamous relationships, Muslim women, married women with inadequate HIV knowledge, those who had never been tested for HIV and women with lower socioeconomic status are less likely to negotiate for safe sex. Based on these findings, we discuss several implications for policymakers, including the establishment of a comprehensive family planning educational program and the deployment of community health workers to disseminate educational initiatives pertaining to safe sex negotiation to community members.
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