尼日利亚年轻人的保护性性行为：家庭支持和与父母同住的影响。
Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents.
机构信息
Population Dynamics and Reproductive Health Unit, African Population and Health Research Center, APHRC Campus, Nairobi, Kenya.
Centre for Social Research in Health, University of New South Wales, Sydney, Australia.
出版信息
BMC Public Health. 2019 Jul 23;19(1):983. doi: 10.1186/s12889-019-7310-3.
BACKGROUND
Many studies have focused on risky sexual behaviour among adolescents and young adults; however, literature on protective sexual practices among this age cohort is still evolving. Since young adults are disproportionately burdened by sexually transmissible infections, including HIV, understanding factors that influence protective sexual behaviour among the age group is crucial in developing age-appropriate interventions. Drawing from a cross-sectional survey conducted among adolescents and young adults in two Nigerian universities, we examined gender differences in protective sexual behaviours and the influence of family support and living with both parents on these behaviours.
METHODS
A total of 800 male and female university students in two Nigerian universities were recruited using stratified random sampling between February and April 2018. Analysis was, however, based on 599 participants aged between 15 and 24 . Adjusted and unadjusted multinomial logistic regression models were used to examine the influence of family support, and living with both parents on protective sexual behaviours at a 95% confidence interval.
RESULTS
Findings show that the largest proportion of our participants engaged in protective sexual behaviours. We found no gender differences in protective sexual behaviours, including sexual abstinence, consistent condom use, and sexual fidelity. Family support and living with both parents were positively associated with protective sexual behaviours among adolescents and young adults.
CONCLUSION
This study found that a majority of adolescents and young adults in Nigerian Universities engage in protective sexual behaviours. Adequate family support and living with both parents are positively associated with protective sexual behaviours. The study however revealed that about one-fifth of our participants engaged in high-risk sexual behaviour. This suggests a need for behavioural change interventions, provision of sexual health services and empowerment of students who receive inadequate family support.
背景
许多研究都集中在青少年和年轻成年人的危险性行为上；然而，关于这一年龄群体的保护性性行为的文献仍在不断发展。由于年轻成年人不成比例地受到性传播感染的影响，包括艾滋病毒，因此了解影响这一年龄组保护性性行为的因素对于制定适合年龄的干预措施至关重要。本研究借鉴了在尼日利亚两所大学进行的一项横断面调查，研究了保护性性行为方面的性别差异，以及家庭支持和与父母双方同住对这些行为的影响。
方法
2018 年 2 月至 4 月，采用分层随机抽样的方法，从尼日利亚两所大学中招募了 800 名男女大学生。然而，分析是基于年龄在 15 至 24 岁之间的 599 名参与者。使用调整和未调整的多项逻辑回归模型，在 95%置信区间内检验家庭支持和与父母双方同住对保护性性行为的影响。
结果
研究结果表明，我们的参与者中最大比例的人采取了保护性性行为。我们没有发现保护性性行为方面的性别差异，包括性禁欲、坚持使用安全套和性忠诚。家庭支持和与父母双方同住与青少年和年轻成年人的保护性性行为呈正相关。
结论
本研究发现，尼日利亚大学的大多数青少年和年轻成年人都采取了保护性性行为。充分的家庭支持和与父母双方同住与保护性性行为呈正相关。然而，研究表明，约五分之一的参与者存在高风险性行为。这表明需要采取行为改变干预措施，提供性健康服务，并赋予那些得不到充分家庭支持的学生权力。
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