Moronkola O A, Fakeye J A
Health Education Unit, Department of Human Kinetics and Health Education, University of Ibadan, Ibadan, Nigeria.
Int Q Community Health Educ. 2007;28(3):229-38. doi: 10.2190/IQ.28.3.e.
Adolescents in sub-Saharan African countries constitute a large proportion of the population. They are sexually active, engage in unsafe reproductive health behavior with attendant consequences but lack appropriate reproductive health education. In the Nigeria Nation Reproductive Health Strategy Framework and Plan, the status of adolescents' reproductive health care is considered low. This study assessed reproductive health knowledge, sexual partners, contraceptive use, and motives for premarital sex among female sub-urban Nigerian secondary students. The study was cross-sectional, involving 500 senior secondary 1 and 2 female sub-urban students. The instrument used was a self-administered questionnaire. Data were analyzed using SPSS. More than 70.0% of the respondents had knowledge of all reproductive health items; male and female condoms were popular contraceptives. At least 53.4% were sexually active and a majority (49.6%) had boyfriends as sex partners. Peer pressure (31.6%) and fun/pleasure (29.2%) were major motives for engaging in premarital sex. Majority (40.3%) terminated pregnancies through self-medication. Though respondents had knowledge of reproductive health, there is need to introduce health education (incorporating reproductive health education) as a core subject in schools as well as provision of youth-friendly health facilities.
撒哈拉以南非洲国家的青少年在人口中占很大比例。他们性活跃，从事不安全的生殖健康行为并带来相应后果，但缺乏适当的生殖健康教育。在尼日利亚国家生殖健康战略框架和计划中，青少年生殖保健的状况被认为很低。本研究评估了尼日利亚城郊中学女生的生殖健康知识、性伴侣、避孕措施使用情况以及婚前性行为的动机。该研究为横断面研究，涉及500名城郊高中一、二年级女生。使用的工具是一份自填式问卷。数据用SPSS进行分析。超过70.0%的受访者了解所有生殖健康项目；男用和女用避孕套是常用的避孕措施。至少53.4%的人性活跃，大多数（49.6%）有男朋友作为性伴侣。同伴压力（31.6%）和乐趣/愉悦（29.2%）是婚前性行为的主要动机。大多数（40.3%）通过自我用药终止妊娠。尽管受访者了解生殖健康，但仍需要将健康教育（纳入生殖健康教育）作为学校的核心课程，并提供对青少年友好的卫生设施。
