Wirsiy FS, Nsagha DS, Njajou O, Besong JB (2019) Prevalence and Associated Risk Factors of HIV among Pregnant Adolescents and Adolescent Mothers in the Kumbo West Health District of Cameroon. J Infect Dis Epidemiol 5:074.


© 2019 Wirsiy FS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

ORIGINAL ARTICLE | OPEN ACCESS DOI: 10.23937/2474-3658/1510074

Prevalence and Associated Risk Factors of HIV among Pregnant Adolescents and Adolescent Mothers in the Kumbo West Health District of Cameroon

Frankline Sevidzem Wirsiy1, Dickson Shey Nsagha1*, Omer Njajou1,2 and Joseph Besong Besong1,3

1Faculty of Health Sciences, Department of Public Health and Hygiene, University of Buea, Cameroon

2School of Public Health, University of Minnesota, United States of America

3Faculty of Education, Department of Educational Foundations and Administration, University of Buea, Cameroon



The aim of this study was to determine the prevalence of HIV infection among pregnant adolescents and adolescent mothers and to assess risk factors associated with HIV infection.


This was an analytical cross sectional study among pregnant adolescents and adolescent mothers, carried out from April to May 2018 in the Kumbo West Health District (KWHD) of Cameroon. We used a multistage sampling design to select 6 health areas. In each of these 6 health areas selected, proportionate sampling method was employed to get 400 participants from the health areas. Data was collected using structured questionnaires and analysed using SPSS version 21. We adjusted for confounding variables (age category, sexual debut, multiple sex partners, irregular/no use of condoms) by carrying out multivariate binary logistic regression.


We used 400 adolescents (68 pregnant and 332 mothers), with mean age 14.5 years (SD = 0.21). The overall prevalence of HIV infection was 4.58% (95% CI: 2.7-6.7) even though, the prevalence of HIV in pregnant adolescents was (4.9%) compared to that in adolescent mothers (3.2%) though not statistically significant (p = 0.74). The significant HIV associated risk factors discovered among the two categories were; HIV infection occurring mostly in late adolescence: 15-19 years (AOR 2.05; 95% CI 1.11-4.24), sexual debut before the age of 14 (AOR 2.40; 95% CI 1.14-5.04), having had 2 or more sexual partners in the last 12 months (AOR 1.51; 95% CI 1.04-3.15), and irregular or no use of condom (AOR 1.20; 95% CI 1.04-1.53).


There is a need to address adolescent pregnancy not only as a health outcome but as a risk factor for HIV infection. Preventing adolescent pregnancies is important in a comprehensive HIV prevention in Cameroon.