Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria

I. Eze, C. Mbachu, M. Ndubuisi, I. Agu, N. Ezumah, O. Onwujekwe
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Abstract

Background: Adolescent risky sexual behavior is of a public health concern as most outcomes have long-term negative consequences on adolescents’ health and development. Objectives: This study was undertaken to assess the prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Nigeria. Materials and Methods: A quantitative cross-sectional study was undertaken in Ebonyi state, Nigeria, using a pre-tested structured interviewer-administered questionnaire. Data were collected from 1045 adolescent boys and girls. Descriptive, bivariate, and multivariate analysis were performed using STATA software. Results: A total of 372 (35.6%) adolescents in the survey ever had a boyfriend or girlfriend. About, 369 (36.0%) had been pressurized by others to have sex, 73 (7.0%) had engaged in multiple sexual partnering, 3.0% had engaged in age-disparate sex, 27 (2.6%) had a one-night stand, and 37 (2.4%) reported they had engaged in nonconsensual sex. Lifestyle risky behaviors that were reported include partying/night clubbing 399 (38.1%), the use of mood-enhancing drugs 319 (30.5%), and alcohol consumption 316 (30.2%). Some sociodemographic factors were significantly associated with multiple sexual partnering, age-disparate sex, nonconsensual sex, and other lifestyle risky behaviors. In logistic regression analysis, gender was a predictor of multiple sexual partnering, age-disparate sex, and nonconsensual sex (odds ratio [OR] = 0.43, confidence interval [CI] = 1.40–3.71; OR = 10.0, CI = 0.03–0.29; OR = 3.0, CI = 0.01–0.14, respectively), while type of place of residence (OR = 1.75, CI = 0.35–0.92) and schooling status (OR = 3.70, CI = 0.13–0.41) were predictors of multiple sexual partnering. Conclusion: Risky sexual behaviors were prevalent among adolescents highlighting the need for strategic SRH interventions that pay close attention to identified drivers that predispose adolescents to unhealthy sexual behaviors.
尼日利亚东南部未婚青少年危险性行为的流行程度和社会人口统计学决定因素
背景:青少年危险性行为是一个公共卫生问题,因为大多数后果对青少年的健康和发展有长期的负面影响。目的:本研究旨在评估尼日利亚未婚青少年危险性行为的流行程度和社会人口学决定因素。材料和方法:在尼日利亚埃邦伊州进行了一项定量横断面研究,使用预测试的结构化访谈者管理问卷。数据收集自1045名青春期男孩和女孩。使用STATA软件进行描述性、双变量和多变量分析。结果:共有372名青少年(35.6%)有过男朋友或女朋友。约有369人(36.0%)曾被他人强迫发生性行为,73人(7.0%)有过多次性伙伴关系,3.0%有过年龄不同的性行为,27人(2.6%)有过一夜情,37人(2.4%)有过非自愿性行为。报告的生活方式危险行为包括聚会/夜总会399(38.1%),使用情绪增强药物319(30.5%)和饮酒316(30.2%)。一些社会人口因素与多个性伴侣、年龄差异性行为、非自愿性行为和其他生活方式风险行为显著相关。在logistic回归分析中,性别是多重性伴侣、年龄差异性行为和非自愿性行为的预测因子(优势比[OR] = 0.43,置信区间[CI] = 1.40-3.71;Or = 10.0, ci = 0.03-0.29;OR = 3.0, CI = 0.01 ~ 0.14),而居住地类型(OR = 1.75, CI = 0.35 ~ 0.92)和学校教育状况(OR = 3.70, CI = 0.13 ~ 0.41)是多重性伴侣的预测因子。结论:危险的性行为在青少年中普遍存在,强调需要采取战略性的性健康和生殖健康干预措施,密切关注已确定的使青少年易发生不健康性行为的驱动因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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