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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Wolters Kluwer Medknow Publications
2022-01-01
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Series: | International Journal of Medicine and Health Development |
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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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format | Article |
id | doaj.art-d0a5ac4a992846ab9db749a58205f8cd |
institution | Directory Open Access Journal |
issn | 2635-3695 |
language | English |
last_indexed | 2024-04-12T07:45:22Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | International Journal of Medicine and Health Development |
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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