Anyanwu Philip Emeka, Fulton John
Department of Pharmacy Health and Well-being, University of Sunderland.
Int J Adolesc Med Health. 2017 Apr 1;29(2). doi: 10.1515/ijamh-2015-0050.
Although sexually transmitted infections (STIs) are a global health problem affecting every region of the world, the higher prevalence and mortality rate of STIs in developing countries of the world, like Nigeria, make them serious public health issues in this region.
The aim of this study is to assess the knowledge and perception of young adults in Nigeria on the role of condom (both male and female condoms) as a preventive measure against STIs during heterosexual and homosexual intercourse.
Data was collected from participants selected from the northern and southern Nigeria using self-administered questionnaire specifically designed for this study.
Knowledge of condom efficacy in STI prevention was satisfactory. However, knowledge and practice of the correct use of condom was poor. Only 47.1% of the 102 participants in this study reported correct condom use of wearing condoms before staring intercourse and removing condoms after ejaculation. As a strategy to include the experiences, knowledge and perception of men who have sex with men, this study asked the question on condom use during anal sex. Only 24.4% of the male participants indicated they have never had anal sex while for females, the percentage was more than half (53.5%). Condom use during anal sex was low with only 20.6% of participants reporting condom use during anal sex. Negative perceptions about condom use - such as that condom use promotes sexual promiscuity, and not using condoms with steady sexual partners - were significant in this study. Also, condom use errors were common in this study.
There is a wide gap in knowledge of correct condom use in this population. There is need for interventions that address the issue of condom use during anal and same-sex sexual intercourse in this population.
尽管性传播感染（STIs）是一个影响世界每个地区的全球健康问题，但在世界上的发展中国家，如尼日利亚，性传播感染的较高患病率和死亡率使其成为该地区严重的公共卫生问题。
本研究的目的是评估尼日利亚年轻人对避孕套（男用和女用避孕套）在异性恋和同性恋性交期间作为预防性传播感染措施的作用的知识和认知。
使用专门为本研究设计的自填式问卷，从尼日利亚北部和南部选取的参与者中收集数据。
对避孕套预防性传播感染功效的了解令人满意。然而，正确使用避孕套的知识和实践较差。在本研究的102名参与者中，只有47.1%的人报告在开始性交前戴上避孕套并在射精后取下避孕套，这是正确使用避孕套的方式。作为纳入男男性行为者的经验、知识和认知的一项策略，本研究询问了肛交时使用避孕套的问题。只有24.4%的男性参与者表示他们从未进行过肛交，而女性的这一比例超过一半（53.5%）。肛交时使用避孕套的比例较低，只有20.6%的参与者报告在肛交时使用避孕套。在本研究中，对避孕套使用的负面看法——如使用避孕套会促进性乱交，以及与固定性伴侣不使用避孕套——很明显。此外，在本研究中避孕套使用错误很常见。
该人群在正确使用避孕套的知识方面存在很大差距。需要采取干预措施来解决该人群在肛交和同性性行为期间使用避孕套的问题。
