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

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 unm...

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Main Authors: Irene I Eze, Chinyere O Mbachu, Mildred N Ndubuisi, Ifunanya C Agu, Nkoli Ezumah, Obinna Onwujekwe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2022;volume=27;issue=2;spage=176;epage=184;aulast=Eze
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author Irene I Eze
Chinyere O Mbachu
Mildred N Ndubuisi
Ifunanya C Agu
Nkoli Ezumah
Obinna Onwujekwe
author_facet Irene I Eze
Chinyere O Mbachu
Mildred N Ndubuisi
Ifunanya C Agu
Nkoli Ezumah
Obinna Onwujekwe
author_sort Irene I Eze
collection DOAJ
description 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.
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spelling doaj.art-d0a5ac4a992846ab9db749a58205f8cd2022-12-22T03:41:43ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952022-01-0127217618410.4103/ijmh.IJMH_14_21Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast NigeriaIrene I EzeChinyere O MbachuMildred N NdubuisiIfunanya C AguNkoli EzumahObinna OnwujekweBackground: 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.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2022;volume=27;issue=2;spage=176;epage=184;aulast=Ezeebonyi statenigeriarisky lifestylesexual behavior
spellingShingle Irene I Eze
Chinyere O Mbachu
Mildred N Ndubuisi
Ifunanya C Agu
Nkoli Ezumah
Obinna Onwujekwe
Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
International Journal of Medicine and Health Development
ebonyi state
nigeria
risky lifestyle
sexual behavior
title Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
title_full Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
title_fullStr Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
title_full_unstemmed Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
title_short Prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in Southeast Nigeria
title_sort prevalence and sociodemographic determinants of risky sexual behavior among unmarried adolescents in southeast nigeria
topic ebonyi state
nigeria
risky lifestyle
sexual behavior
url http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2022;volume=27;issue=2;spage=176;epage=184;aulast=Eze
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