Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-16T18:39:08.271Z Has data issue: false hasContentIssue false

SURVEY OF SEXUAL ACTIVITY AND CONTRACEPTIVE USE AMONG UNMARRIED YOUNG SCHOOL AND COLLEGE DROP-OUTS IN A DEFINED NIGERIAN POPULATION

Published online by Cambridge University Press:  03 October 2016

Abiodun Idowu Adanikin*
Affiliation:
Department of Social Statistics and Demography, University of Southampton, UK Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria
Pipeloluwa Oluwayemisi Adanikin
Affiliation:
Department of Family Medicine, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria
Ernest Okechukwu Orji
Affiliation:
Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University, Ile-Ife, Nigeria
Benedict Tolulope Adeyanju
Affiliation:
Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria
*
1Corresponding author. Email: a.i.adanikin@soton.ac.uk

Summary

This study sought to characterize sexual behaviour, contraceptive use and contributory upbringing factors among young people who had dropped out of school or college in a Nigerian setting. A community-based, cross-sectional sexual survey of 161 young people aged between 15 and 35 who had dropped out of school or college was performed in Ado-Ekiti, south-west Nigeria, in April 2015. One hundred and nineteen of the respondents (73.9%) had had sexual intercourse. Mean age at sexual debut was 19.08±3.5 years. Of those with sexual experience, 79 (66.4%) had their sexual debut with a previous boy/girlfriend and 33 (27.7%) had it in their current relationship. Three (2.5%) respondents had first sex with a stranger. About 90% were still having sexual intercourse within 12 months of the survey; more males had had sex than females (81.1% versus 67.8%). Around 80% of those with sexual exposure practised a form of contraception, mainly use of the male condom, but fewer than 25% were all-time contraceptive users. Coming from a single-parent family (p=0.04) or from a family of poor economic status (AOR: 7.41; 95% CI: 0.69–0.83) were found to be associated with sexual debut by the age of 19 and premarital sex, respectively, in these young people. Unprotected sexual intimacy was found to be high among young school/college drop-outs in this region of Nigeria. This group of young people need targeted reproductive health intervention as they represent a potent route for HIV transmission in the region.

Type
Research Article
Copyright
Copyright © Cambridge University Press, 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

African Union Commission (2006) African Youth Charter. African Union.Google Scholar
Atere, A., Wahab, E., Ajiboye, O., Shokoya, H., Akinwale, A. & Oyenuga, A. (2010) Awareness of STIs and contraceptives use among out-of-school youths in Nigeria. EthnoMed 4(2), 131137.Google Scholar
Bello, F. A., Olayemi, O., Fawole, A. O., Ogunbode, O. O., Sobukunola, T., Adesina, O. A. et al. (2009) Perception and practice of emergency contraception among female undergraduates of the University of Ibadan, Nigeria. Journal of Reproduction and Contraception 20(2), 113121.Google Scholar
Burazin, J., Kožul, K., Miškulin, M., Dijanić, T., Medić, A. & Jurčev-Savičević, A. (2014) Sexual behaviour and condom use as a protection against sexually transmitted infections in student population. Collegium Antropologicum 38(1), 3137.Google Scholar
Epstein, M., Bailey, J. A., Manhart, L. E., Hill, K. G. & Hawkins, J. D. (2014) Sexual risk behavior in young adulthood: broadening the scope beyond early sexual initiation. Journal of Sex Research 51(7), 721730.CrossRefGoogle ScholarPubMed
Fatusi, A. O. & Hindin, M. J. (2010) Adolescents and youth in developing countries: health and development issues in context. Journal of Adolescence 33(4), 499508.Google Scholar
Fawcett, C., Hartwell, A. & Israel, R. (2010) Out-of-school youth in developing countries: what the data do (and do not) tell us. Policy Study and Issues Paper Series. UNAID, pp.. 165. URL: http://www.equip123.net/docs/e3-OSY.pdf.Google Scholar
Gorgen, R., Yansané, M. L., Marx, M. & Millimounou, D. (1998) Sexual behavior and attitudes among unmarried urban youths in Guinea. International Family Planning Perspectives 24(2), 6571.Google Scholar
Haub, C. (2013) 2013 World Population Data Sheet. Population Reference Bureau, Washington, DC.Google Scholar
Hoque, M. E. (2011) Sexual practices among male undergraduate students in KwaZulu-Natal, South Africa. Southern African Journal of Epidemiology and Infection 26(3), 157160.CrossRefGoogle Scholar
Kebede, D., Alem, A., Mitike, G., Enquselassie, F., Berhane, F., Abebe, Y. et al. (2005) Khat and alcohol use and risky sex behaviour among in-school and out-of-school youth in Ethiopia. BMC Public Health 5(1), 1.CrossRefGoogle ScholarPubMed
Lema, V. M. (1990) Sexual behaviour, contraceptive practice and knowledge of reproductive biology among adolescent secondary school girls in Nairobi, Kenya. East African Medical Journal 67(2), 8694.Google ScholarPubMed
Ma, Q., Ono-Kihara, M., Cong, L., Xu, G., Zamani, S., Ravari, S. M. & Kihara, M. (2006) Sexual behavior and awareness of Chinese university students in transition with implied risk of sexually transmitted diseases and HIV infection: a cross-sectional study. BMC Public Health 6(1), 1.Google Scholar
Manlove, J. S., Ryan, S. & Franzetta, K. (2007) Risk and protective factors associated with the transition to a first sexual relationship with an older partner. Journal of Adolescent Health 40(2), 135143.Google Scholar
Monascha, R. & Mahyb, M. (2006) Young people: the centre of the HIV epidemic. World Health Organization Technical Report Series No. 938.Google Scholar
Morrison-Beedy, D., Carey, M. P., Crean, H. F. & Jones, S. H. (2011) Risk behaviors among adolescent girls in an HIV prevention trial. Western Journal of Nursing Research 33(5), 690711.Google Scholar
Ogunjuyigbe, P. O. & Adepoju, A. (2014) Perspectives on socio-cultural context of adolescent reproductive health behaviour in Nigeria. Etude de la Population Africaine 27(2), 343.CrossRefGoogle Scholar
Okonofua, F. E. (2000) Editorial: adolescent reproductive health in Africa: future challenges. African Journal of Reproductive Health 4(1), 712.Google Scholar
Slap, G. B., Lot, L., Huang, B., Daniyam, C. A., Zink, T. M. & Succop, P. A. (2003) Sexual behaviour of adolescents in Nigeria: cross sectional survey of secondary school students. British Medical Journal 326(7379), 15.Google Scholar
Sweeting, H., West, P. & Richards, M. (1998) Teenage family life, lifestyles and life chances: associations with family structure, conflict with parents and joint family activity. International Journal of Law, Policy and the Family 12(1), 1546.CrossRefGoogle Scholar
Taffa, N., Bjune, G., Sundby, J., Gaustad, P. & Alestrøm, A. (2002) Prevalence of gonococcal and chlamydial infections and sexual risk behavior among youth in Addis Ababa, Ethiopia. Sexually Transmitted Diseases 29(12), 828833.Google Scholar
Wang, B., Li, X., Stanton, B., Kamali, V., Naar-King, S., Shah, I. & Thomas, R. (2007) Sexual attitudes, pattern of communication, and sexual behavior among unmarried out-of-school youth in China. BMC Public Health 7(1), 1.CrossRefGoogle ScholarPubMed