Bamidele J O, Asekun-Olarinmoye E O, Odu O O, Amusan O A, Egbewale B E
Department of Community Medicine, Ladoke Akintola University of Technology, College of Health Sciences, Osogbo, Nigeria.
Afr J Med Med Sci. 2007 Jun;36(2):129-36.
The identification of early risk factors among undergraduate students that impact on health, both mental and physical is a primary focus of this survey. This is more so since people suffering from an illness may not be currently engaging in any health risk behaviours but might have engaged in such behaviours before they developed the illness condition. Therefore the identification of health risk behaviours among this group of people would permit a better understanding of localized patterns of health risk behaviours as well as help to target intervention activities towards this particular group of people.The study is based upon data obtained from a cross-sectional survey of students in a tertiary institution in South Western Nigeria. Participants voluntarily and anonymously completed a baseline semistructured questionnaire which elicited information on demographic information, sexual behaviours and substance use among others. Of the 368 respondents, majority 225 (60.9%) are in the age group of 20-24 years. A total of 152 (41.3%) are either currently or have previously indulged in heavy drinking of alcohol and a statistically significant association (p<0.05) was found between the use of alcohol and having multiple sexual partners and use of commercial sex workers. Ninety-four (25.5%) and 52 (14.1%) are currently smoking or have smoked cigarette and marijuana before respectively; while 56 (15.2%) are currently using or have before used narcotic drugs. The relationship between hard drug use and non use of condom was statistically significant (p<0.05). Ninety-two (25.0%) have more than one sexual partners at the same given period; the male respondents indulged more in having multiple partners than the female and the result was statistically significant (p<0.05). As many as 155 (47.8%) of the 324 (88.0% of the respondents) sexually active respondents had never used condom during sexual intercourse. Also 88 (27.1%) of this group of the respondents have had sexual relationship with commercial sex workers (CSW) at one time or the other. Condom use was low among the sexually active respondents. Only 29.3% of the respondents always use condom when having any sexual relationship. This study has shown that students in this survey indulge in health risk behaviours such as "unsafe sexual practices", alcohol, cigarette smoking and other substance use. The males are more involved in having multiplicity of sexual partners than their female counterpart. The study also revealed a significant association between the use of alcohol and in having multiple sexual partners. Comprehensive health education and intervention programs are needed to influence positive behavioural change among this group of students and this will require working in partnership with schools authorities and other local community groups.
确定影响本科生身心健康的早期风险因素是本次调查的主要重点。尤其因为患病的人目前可能未从事任何健康风险行为，但在患病前可能有过此类行为。因此，确定这群人的健康风险行为将有助于更好地了解当地健康风险行为模式，并有助于针对这一特定人群开展干预活动。该研究基于从尼日利亚西南部一所高等院校学生的横断面调查中获得的数据。参与者自愿且匿名填写了一份基线半结构化问卷，该问卷收集了人口统计学信息、性行为和物质使用等方面的信息。在368名受访者中，大多数225人（60.9%）年龄在20 - 24岁之间。共有152人（41.3%）目前或曾经酗酒，并且发现饮酒与拥有多个性伴侣以及与商业性工作者发生性行为之间存在统计学上的显著关联（p<0.05）。94人（25.5%）目前吸烟或之前吸过香烟，52人（14.1%）之前吸过大麻；56人（15.2%）目前使用或之前使用过麻醉药品。使用硬性毒品与不使用避孕套之间的关系具有统计学意义（p<0.05）。92人（25.0%）在同一时期有多个性伴侣；男性受访者比女性更倾向于拥有多个性伴侣，结果具有统计学意义（p<0.05）。在324名（占受访者的88.0%）有性行为的受访者中，多达155人（47.8%）在性交时从未使用过避孕套。此外，这组受访者中有88人（27.1%）曾与商业性工作者发生过性关系。有性行为的受访者中避孕套使用率较低。只有29.3%的受访者在发生任何性关系时总是使用避孕套。这项研究表明，参与此次调查的学生存在诸如“不安全的性行为”、酗酒、吸烟和其他物质使用等健康风险行为。男性比女性更倾向于拥有多个性伴侣。该研究还揭示了饮酒与拥有多个性伴侣之间存在显著关联。需要开展全面的健康教育和干预项目，以影响这群学生的积极行为改变，这需要与学校当局和其他当地社区团体合作。
