Original Research

Prevalence of sexual intercourse and risk factors among adolescents in schools in Guinea

Sidikiba Sidibé, Djiba Diakité, Salifou T. Bangoura, Facely Camara, Mory 1 Kourouma, Hadja F. Camara, Lancinè Dramé, Ansoumane Sidibé, Abdoulaye Diallo, Abdoulaye Sow, Alexandre Delamou, Seni Kouanda
Journal of Public Health in Africa | Vol 16, No 1 | a1248 | DOI: https://doi.org/10.4102/jphia.v16i1.1248 | © 2025 Sidikiba Sidibé, Djiba Diakité, Salifou T. Bangoura, Facely Camara, Mory 1 Kourouma, Hadja F. Camara, Lancinè Dramé, Ansoumane Sidibé, Abdoulaye Diallo, Abdoulaye Sow, Alexandre Delamou, Seni Kouanda | This work is licensed under CC Attribution 4.0
Submitted: 27 December 2024 | Published: 22 August 2025

About the author(s)

Sidikiba Sidibé, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea; and National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Djiba Diakité, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Salifou T. Bangoura, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea; and Centre de Recherche et de Formation en Infectiologie de Guinée, Conakry, Guinea
Facely Camara, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Mory 1 Kourouma, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Hadja F. Camara, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Lancinè Dramé, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Ansoumane Sidibé, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Abdoulaye Diallo, Pathfinder International, Conakry, Guinea
Abdoulaye Sow, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea
Alexandre Delamou, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea; and National Training and Research Centre in Rural Health of Maferinyah, Forécariah, Guinea
Seni Kouanda, Institut de Recherche en Sciences de la Santé (IRSS/CNRST), Ouagadougou, Burkina Faso; Institut Africain de Santé Publique (IASP), Ouagadougou, Burkino Faso; and Université Saint Thomas d’Aquin (USTA, Ouagadougou, Burkina Faso

Abstract

Background: Adolescent sexual intercourse in schools is a common phenomenon.
Aim: This study analysed the prevalence and contributing factors of sexual intercourse among adolescents attending school in Guinea.
Setting: This study was conducted in Guinea (Conakry).
Methods: This was an analysis of the secondary data from a survey of adolescents in secondary schools in Guinea. A sex-stratified logistic regression analysis was performed. Adjusted odds ratios (AORs) and its 95% confidence intervals (CIs) were reported. The significance level was set at 0.05.
Results: The overall prevalence of sexual intercourse among adolescents of school-age in Guinea was 35.2%. The sexual intercourse prevalence rate was 42.4% (95% CI: 40.4–44.4) among boys and 32.7% (95% CI: 31.6–33.9) among girls. High school (girls AOR: 1.64; 95% CI: 1.43–1.88 and boys AOR: 1.35; 95% CI: 1.07–1.69), Christian and other (boys AOR: 1.58; 95% CI: 1.22–2.06 and girls AOR: 1.49; 95% CI: 1.27–1.73), having a partner (boys AOR: 7.03; 95% CI: 5.61–6.80 and girls AOR: 6.29; 95% CI: 5.44–7.28), knowledge of family planning (boys AOR: 2.25; 95% CI: 1.83–2.75 and girls AOR: 1.67; 95% CI: 1.47–1.89) and age (boys AOR: 1.50; 95% CI: 1.38–1.63 and girls AOR: 1.74; 95% CI: 1.65–1.84) were the most important contributing factors of sexual intercourse.
Conclusion: Future programmes targeting adolescents should include public health interventions that address these factors related to sexual intercourse to reduce early sexuality in schools.
Contributions: This study will help policymakers make decisions about reducing sexual intercourse among school-attending adolescents.


Keywords

sexual intercourse; prevalence; contributing factors; adolescents; school; Guinea

Sustainable Development Goal

Goal 3: Good health and well-being

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