Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.
Published in | Central African Journal of Public Health (Volume 7, Issue 4) |
DOI | 10.11648/j.cajph.20210704.19 |
Page(s) | 204-214 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Contraceptives, Adolescents, Youths, Young People, Sexual Behavior
[1] | Das Gupta M, Engelman R, Levy J, Luchsinger G, Merrick T, Rosen JE, et al. The State of World Population 2014 RESEARCHERS AND AUTHORS Other contributions from Sarah Castle UNFPA ADVISORY TEAM. 2014. [cited 2021 Jun 1]. Available from: https://www.unfpa.org/sites/default/files/pub-pdf/EN-SWOP14-Report_FINAL-web.pdf. |
[2] | UNICEF. Adolescents Statistics - UNICEF DATA. [cited 2021 Feb 10]. Available from: https://data.unicef.org/topic/adolescents/overview/. |
[3] | Worldometer. Nigeria Population (2020) - Worldometer. [cited 2021 Apr 4]. Available from: https://www.worldometers.info/world-population/nigeria-population/. |
[4] | Cortez R, Saadat S, Marinda E, Oluwole O. Adolescent sexual and reproductive health in Nigeria. 2015. p. 1–4. [cited 2021 June 1]. Available from: https://openknowledge.worldbank.org/handle/10986/21626. |
[5] | ICPD. International Conference on Population and Development (ICPD) | UNFPA - United Nations Population Fund [Internet]. [cited 2021 Mar 4]. Available from: https://www.unfpa.org/events/international-conference-population-and-development-icpd. |
[6] | Melesse DY, Mutua MK, Choudhury A, Wado YD, Faye CM, Neal S, et al. Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind? Analysis. BMJ Glob Heal. 2020; 5: 2231. doi: 10.1136/bmjgh-2019-002231. |
[7] | WHO. Visualising the problems and generating solutions for Adolescent Health in Africa Region. [cited 2021 Feb 20]. Available from: moz-extension: //d51209c7-e71a-4235-910f-f13d2c182273/enhanced-reader.html?openApp&pdf=https%3A%2F%2Fwww.afro.who.int%2Fsites%2Fdefault%2Ffiles%2F2018-05%2FASRH-%2520AFRO%2520-%2520AH%2520workshop%2520report.pdf. |
[8] | Stoebenau K, Heise L, Wamoyi J, Bobrova N. Revisiting the understanding of “transactional sex” in sub-Saharan Africa: A review and synthesis of the literature. Vol. 168, Social Science and Medicine. Elsevier Ltd; 2016. p. 186–97. |
[9] | UNFPA. GIRLHOOD, NOT MOTHERHOOD Preventing Adolescent Pregnancy. 2015. [cited 2021 May 22]. Available from: https://www.unfpa.org/sites/default/files/pub-pdf/Girlhood_not_motherhood_final_web.pdf. |
[10] | WHO. Adolescent pregnancy. [cited Mar 1]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/adolescent-pregnancy. |
[11] | UNICEF DATA. Early childbearing - UNICEF DATA. [cited 2021 Jan 14]. Available from: https://data.unicef.org/topic/child-health/adolescent-health/. |
[12] | National Population Commission, Abuja, Nigeria and ICF Rockville MU. The Federal Republic of Nigeria Nigeria Demographic and Health Survey 2018 National Population Commission Abuja, Nigeria. 2019. |
[13] | UNICEF. Situation of women and children in Nigeria | UNICEF Nigeria. [cited 2021 Jan 27]. Available from: https://www.unicef.org/nigeria/situation-women-and-children-nigeria. |
[14] | UNFPA. International Conference on Population and Development (ICPD) | UNFPA - United Nations Population Fund. [cited 2021 Feb 8]. Available from: https://www.unfpa.org/events/international-conference-population-and-development-icpd. |
[15] | United Nations. United Nations Report of the Fourth World Conference on Women Beijing, 4-15 September 1995. [cited 2021 Feb 2]. Available from: https://www.un.org/womenwatch/daw/beijing/pdf/Beijing%20full%20report%20E.pdf. |
[16] | African Union Commission. Maputo plan of action 2016 - 2030 the african union commission. 2016; 0–27. [cited 2021 April 2]. Available from: https://au.int/sites/default/files/documents/24099-poa_5-_revised_clean.pdf. |
[17] | WHO. WHO | Global Strategy for Women’s, Children’s and Adolescent’s Health & Every Woman Every Child Initiative. WHO. 2019. [cited 2021 April 6]. Available from: https://www.who.int/life-course/partners/global-strategy/en/. |
[18] | Adedini SA, Mobolaji JW, Alabi M, Fatusi AO. Changes in contraceptive and sexual behaviours among unmarried young people in Nigeria: Evidence from nationally representative surveys. PLoS One. 2021 Feb 2; 16 (2): e0246309. |
[19] | Bankole A, Adewole IF, Hussain R, Awolude O, Singh S, Akinyemi JO. The incidence of abortion in Nigeria. Int Perspect Sex Reprod Health. 2015; 41 (4): 170–81. |
[20] | Sageer R, Kongnyuy E, Adebimpe WO, Omosehin O, Ogunsola EA, Sanni B. Causes and contributory factors of maternal mortality: Evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria. BMC Pregnancy Childbirth. 2019 Feb 11; 19 (1): 63. doi: https://doi.org/10.1186/s12884-019-2202-1. |
[21] | Demographic and Health Survey. The Federal Republic of Nigeria Nigeria Demographic and Health Survey 2018 National Population Commission Abuja, Nigeria. 2019. |
[22] | Yaya S, Bishwajit G. Age at First Sexual Intercourse and Multiple Sexual Partnerships Among Women in Nigeria: A Cross-Sectional Analysis. Front Med. 2018 Jun 8; 5 (JUN): 171. doi: 10.3389/fmed.2018.00171. |
[23] | Durowade KA, Babatunde OA, Omokanye LO, Elegbede OE, Ayodele LM, Adewoye KR, et al. Early sexual debut: Prevalence and risk factors among secondary school students in Ido-Ekiti, Ekiti state, South-West Nigeria. Afr Health Sci. 2017; 17 (3): 614–22. |
[24] | Akumiah P, Suglo J, Sebire S. Early life exposures and risky sexual behaviors among adolescents: A cross-sectional study in Ghana. Niger Med J. 2020; 61 (4): 189-195. |
[25] | Ekine A. Gender-based violence in primary schools: Nigeria. [cited 2021 Jan 23]. Available from: https://files.eric.ed.gov/fulltext/ED610741.pdf. |
[26] | David N, Ezechi O, Wapmuk A, Gbajabiamila T, Ohihoin A, Herbertson E, et al. Child sexual abuse and disclosure in south western nigeria: A community based study. Afr Health Sci. 2018; 18 (2): 199–208. |
[27] | Law Pavilion. The Violence Against Persons (Prohibition) Act, 2015 | The LawPavilion Blog. [cited 2021 Feb 21]. Available from: https://lawpavilion.com/blog/the-violence-against-persons-prohibition-act-2015/. |
[28] | Olaoye T, Agbede C. Prevalence and personal predictors of risky sexual behaviour among in-school adolescents in the Ikenne Local Government Area, Ogun State, Nigeria. Int J Adolesc Med Health. 2019. doi 10.1515/ijamh-2019-0135. |
[29] | Olaleye AO, Obiyan MO, Folayan MO. Factors associated with sexual and reproductive health behaviour of street-involved young people: Findings from a baseline survey in Southwest Nigeria. Reprod Health. 2020 Jun 11; 17 (1): 94. doi 10.1186/s12978-020-00937-4. |
[30] | Adimora GN. Home management of childhood diarrhoea: Need to intensify campaign. Niger J Clin Pract. 14 (2): 237-241. |
[31] | Kassa GM, Degu G, Yitayew M, Misganaw W, Muche M, Demelash T, et al. Risky Sexual Behaviors and Associated Factors among Jiga High School and Preparatory School Students, Amhara Region, Ethiopia. Int Sch Res Not. 2016: 1–7. doi 10.1155/2016/4315729. |
[32] | Ahinkorah BO. Predictors of modern contraceptive use among adolescent girls and young women in sub-Saharan Africa: a mixed effects multilevel analysis of data from 29 demographic and health surveys. Contracept Reprod Med. 2020; 5 (1): 32. doi https://doi.org/10.1186/s40834-020-00138-1. |
[33] | United Nations Populations Fund (UNFPA)/Nigeria. Adolescents and Youth Dashboard | UNFPA - United Nations Population Fund. [cited 2021 Mar 12]. Available from: https://www.unfpa.org/data/adolescent-youth/NG. |
[34] | FP2020. Strategy 2016-2020 | Family Planning 2020. [cited 2020 Feb 8]. Available from: http://www.familyplanning2020.org/strategy. |
[35] | Markham CM, Tortolero SR, Escobar-Chaves SL, Parcel GS, Harrist R, Addy RC. Family Connectedness and Sexual Risk-Taking Among Urban Youth Attending Alternative Hight Schools. Perspect Sex Reprod Health. 2003; 35 (04): 174–9. |
APA Style
Ajibola Idowu, Oluseyi Kikelomo Israel, Roseline Oluyemisi Akande, Olatayo Ayodele Aremu, Yetunde Toyin Olasinde. (2021). Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Central African Journal of Public Health, 7(4), 204-214. https://doi.org/10.11648/j.cajph.20210704.19
ACS Style
Ajibola Idowu; Oluseyi Kikelomo Israel; Roseline Oluyemisi Akande; Olatayo Ayodele Aremu; Yetunde Toyin Olasinde. Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Cent. Afr. J. Public Health 2021, 7(4), 204-214. doi: 10.11648/j.cajph.20210704.19
AMA Style
Ajibola Idowu, Oluseyi Kikelomo Israel, Roseline Oluyemisi Akande, Olatayo Ayodele Aremu, Yetunde Toyin Olasinde. Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Cent Afr J Public Health. 2021;7(4):204-214. doi: 10.11648/j.cajph.20210704.19
@article{10.11648/j.cajph.20210704.19, author = {Ajibola Idowu and Oluseyi Kikelomo Israel and Roseline Oluyemisi Akande and Olatayo Ayodele Aremu and Yetunde Toyin Olasinde}, title = {Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community}, journal = {Central African Journal of Public Health}, volume = {7}, number = {4}, pages = {204-214}, doi = {10.11648/j.cajph.20210704.19}, url = {https://doi.org/10.11648/j.cajph.20210704.19}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210704.19}, abstract = {Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.}, year = {2021} }
TY - JOUR T1 - Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community AU - Ajibola Idowu AU - Oluseyi Kikelomo Israel AU - Roseline Oluyemisi Akande AU - Olatayo Ayodele Aremu AU - Yetunde Toyin Olasinde Y1 - 2021/08/09 PY - 2021 N1 - https://doi.org/10.11648/j.cajph.20210704.19 DO - 10.11648/j.cajph.20210704.19 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 204 EP - 214 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20210704.19 AB - Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas. VL - 7 IS - 4 ER -