Durowade Kabir Adekunle, Babatunde Oluwole Adeyemi, Omokanye Lukman Omotayo, Elegbede Olusegun Elijah, Ayodele Lawrence Majekodunmi, Adewoye Kayode Razaq, Adetokunbo Stella, Olomofe Charles O, Fawole Adegboyega A, Adebola Oyebola Eyitayo, Olaniyan Temitope O
Department of Community Medicine, Federal Medical Centre, Ido-Ekiti, Ekiti State, Nigeria.
Department of Obstetrics and Gynaecology, University of Ilorin, Ilorin, Nigeria.
Afr Health Sci. 2017 Sep;17(3):614-622. doi: 10.4314/ahs.v17i3.3.
Early adolescent sexual activity remains a recurring problem with negative psychosocial and health outcomes. The age at sexual debut varies from place to place and among different individuals and is associated with varying factors. The aim was to determine the prevalence and risk factors of early sexual debut among secondary school students in Ido-Ekiti, South-West Nigeria.
This was a cross-sectional study. The respondents were selected using multi-stage sampling technique. Pre-tested, semi-structured, self-administered questionnaire was used to collect data. Data was analyzed using SPSS version 15.
More than two-thirds, 40(67.8%), had early sexual debut. The prevalence of early sexual debut was about 11%. The mean age of sexual debut was 13.10±2.82; the mean age for early sexual debutants was 11.68±1.98. The mean number of sexual partners was 2.44±1.99. Male gender, having friends who engaged in sexual activities had association with early sexual exposure (p<0.05). Alcohol intake had the strongest strength of association for early sexual debut among the students.
The high prevalence of early sexual exposure among the students calls for urgent interventions to stem the trend. This will help to reduce the devastating negative psycho-social and health sequels.
青少年早期性行为仍然是一个反复出现的问题，会产生负面的心理社会和健康后果。首次性行为的年龄因地区和个体而异，并与多种因素相关。目的是确定尼日利亚西南部伊多-埃基蒂中学生中早期性行为的患病率及危险因素。
这是一项横断面研究。采用多阶段抽样技术选取受访者。使用经过预测试的半结构化自填问卷收集数据。数据采用SPSS 15版进行分析。
超过三分之二，即40名（67.8%）学生有早期性行为。早期性行为的患病率约为11%。首次性行为的平均年龄为13.10±2.82岁；早期性行为者的平均年龄为11.68±1.98岁。性伴侣的平均数量为2.44±1.99个。男性、有从事性活动的朋友与早期性接触有关联（p<0.05）。饮酒在学生早期性行为中关联强度最大。
学生中早期性接触的高患病率需要紧急干预以遏制这一趋势。这将有助于减少破坏性的负面心理社会和健康后果。
