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尼日利亚半城市聚居地奥格博莫索高中生性行为及避孕措施使用的决定因素

Determinants of sexual activities and contraceptive usage among adolescents in high schools in Ogbomoso, a semi-urban settlement in Nigeria.

作者信息

Owonikoko Kola M, Bello-Ajao Hajarah T, Fawole Adegboyega A, Adeniji Adetunji O

出版信息

Int J Adolesc Med Health. 2016 May 1;28(2):161-8. doi: 10.1515/ijamh-2015-0001.

DOI:10.1515/ijamh-2015-0001
PMID:25901710
Abstract

BACKGROUND

Abortion complications constitute 13% of maternal deaths worldwide and 40% of maternal deaths in Nigeria, while 80% of patients with abortion complications are adolescents.

AIMS

Assessing the adolescents' knowledge and attitude and the determinants of their sexual activities and contraceptive usage.

METHODS

This was a cross-sectional study conducted among high school students of Ogbomoso - a semi-urban settlement. Stratified multistage randomization was used to select one high school from each of five local government areas of the study site. Students were interviewed with pretested questionnaire to sought information on demographic status, family type, knowledge of sexuality, and contraceptive usages.

RESULTS

The age range of the respondents was 10-19 years with mean±SD age 13.7±1.9 years. Among them, 6.5% were sexually active. Of the respondents, 56.8% scored good knowledge about sexuality and contraception and 57.5% respondents had good attitude to contraception. Age (p=0.004) and father's education (p=0.001) were factors associated with knowledge about sexuality and contraception, while mothers' occupation (p=0.02) and fathers' occupation (p=0.001) and education (p=0.04) were significantly associated with positive attitude toward contraception.

CONCLUSION

This study revealed that a significant percentage of the studied adolescents had poor knowledge and attitude toward contraception, and many of the sexually active respondents had inaccurate knowledge on the use of contraceptives and where it could be obtained.

摘要

背景

流产并发症占全球孕产妇死亡的13%,在尼日利亚占孕产妇死亡的40%,而80%的流产并发症患者为青少年。

目的

评估青少年的知识和态度以及他们性活动和避孕措施使用的决定因素。

方法

这是一项在奥贡索(一个半城市定居点)的高中生中进行的横断面研究。采用分层多阶段随机抽样方法,从研究地点的五个地方政府区域中各选一所高中。通过预先测试的问卷对学生进行访谈,以获取有关人口统计学状况、家庭类型、性知识和避孕措施使用情况的信息。

结果

受访者的年龄范围为10 - 19岁,平均年龄±标准差为13.7±1.9岁。其中,6.5%有性活动。在受访者中,56.8%对性和避孕有良好的知识掌握,57.5%的受访者对避孕有良好的态度。年龄(p = 0.004)和父亲的教育程度(p = 0.001)是与性和避孕知识相关的因素,而母亲的职业(p = 0.02)、父亲的职业(p = 0.001)和教育程度(p = 0.04)与对避孕的积极态度显著相关。

结论

本研究表明,相当比例的被研究青少年对避孕知识掌握不足且态度不佳,许多有性活动的受访者对避孕措施的使用及获取途径了解不准确。

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