Salako A A, Iyaniwura C A, Jeminusi O A, Sofowora R
Department of Community Medicine & Primary Care, Obafemi Awolowo College of Health Sciences, Faculty of Clinical Sciences, Olabisi Onabanjo University Teaching Hospital, State Ministry of Health, Abeokuta, Ogun State.
Niger J Clin Pract. 2006 Jun;9(1):26-36.
A cross- sectional study was conducted among in-school adolescents in six secondary schools in the health districts of Ikenne Local Government to assess the sexual behaviour, contraception and fertility experiences of the adolescents between the months of May and November 2002.Relevant information was collected from 1140 in-school adolescents with the aid of pre-tested, structured, self-administered questionnaires, selected by using multistage and stratified random sampling techniques Information sought from the questionnaires included socio-demographic characteristics of the respondents, parental background, their sexual behaviour, knowledge and use of contraception, human development, pregnancy and fertility experiences, information on sexually transmitted infections (STIs) and HIV/AIDS. During the same period, twelve (12) Focus Group Discussions (FGDs) sessions were conducted using an FGD Guide in the selected schools to highlight differences in opinions of students and also to highlight identification of the group consensus. The mean ages at first intercourse were 13.9 +/- 2.8 years and 14.8 +/- 2.4years for males and females respectively. Boys initiated sex earlier than girls. This difference was found to be statistically significant (p<0.05). Sexual intercourse had been experienced by 28.5% of the adolescent students, significantly more (37.6%) males than females (20.4%) The school adolescents that responded as being married were.4.5% (26males, 23 females) of the respondents. Knowledge on contraception was 36.9% and 22.1% for male and female students respectively, more males than females had knowledge of contraception in a significant proportion, apparently due to increase awareness of the male condom among males. Current use of contraception was equally low, and was found to be 10.9% and 6.0% for males and females respectively. The reasons for non-use were mainly that of non-availability (22.3%), cost (11.8%) negative attitude towards contraception due to societal disapproval (33.2%) and lack of knowledge of how to use them (21.3%). The proportion of adolescents that had ever experienced symptoms associated with Sexually Transmitted Infections (STIs) was 26.8%. Multiple factors were found to be responsible for the deplorable reproductive health situation of the adolescents in this community. The need for provision of sexuality and life planning education in schools including the provision of Youth friendly health services in the community were highlighted.
在伊凯内地方政府卫生区的六所中学，对在校青少年开展了一项横断面研究，以评估2002年5月至11月期间青少年的性行为、避孕和生育经历。借助预先测试的、结构化的、自我管理的问卷，通过多阶段分层随机抽样技术，从1140名在校青少年中收集了相关信息。问卷中询问的信息包括受访者的社会人口学特征、父母背景、性行为、避孕知识和使用情况、人类发育、怀孕和生育经历、性传播感染（STIs）和艾滋病毒/艾滋病的信息。同一时期，在选定学校使用焦点小组讨论指南进行了12次焦点小组讨论（FGDs），以突出学生意见的差异，并突出群体共识的确定。男性和女性首次性交的平均年龄分别为13.9±2.8岁和14.8±2.4岁。男孩比女孩更早开始性行为。发现这种差异具有统计学意义（p<0.05）。28.5%的青少年学生有过性交经历，男性（37.6%）明显多于女性（20.4%）。回答已婚的在校青少年占受访者的4.5%（26名男性，23名女性）。男性和女性学生的避孕知识分别为36.9%和22.1%，在很大比例上，了解避孕知识的男性多于女性，这显然是由于男性对男用避孕套的认识有所提高。目前的避孕使用率同样较低，男性和女性分别为10.9%和6.0%。不使用的主要原因是无法获得（22.3%）、成本（11.8%）、由于社会不认可对避孕持消极态度（33.2%）以及不知道如何使用（21.3%）。曾经历过性传播感染相关症状的青少年比例为26.8%。发现多种因素导致了该社区青少年令人堪忧的生殖健康状况。强调了在学校提供性教育和生活规划教育的必要性，包括在社区提供对青少年友好的卫生服务。
