Adejimi Adebola A, Omokhodion Folashade O, OlaOlorun Funmilola M
Department of Community Health and Primary Care, College of Medicine, University of Lagos, Lagos, Nigeria.
Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
J Family Med Prim Care. 2020 Jul 30;9(7):3288-3298. doi: 10.4103/jfmpc.jfmpc_179_20. eCollection 2020 Jul.
Sexual interaction between students may be different in coeducational (CE) and non-coeducational (NC) schools. The objective was to compare sexual behaviour and knowledge of prevention of sexually transmitted infections (STIs) among senior secondary school students in CE and NC institutions in Ibadan, Nigeria.
A comparative cross-sectional study was carried out using a multistage sampling technique. A total of 510 respondents (250 from CE schools and 260 from NC schools) completed semi-structured self-administered questionnaires which included a 30-point STI knowledge scale with scores classified as good and poor. Chi-square statistics were significant at ≤ 0.05.
The mean age of respondents was 15.9 ± 1.5 years, 47.5% were girls. There were no significant differences in sexual behaviour and knowledge of STIs between the students in the two types of schools. However, there were gender differences, as a significantly higher proportion of girls in CE than NC schools had ever had sexual intercourse with the opposite sex (25.6%-CE, 12.4%-NC) and had multiple sexual partners (29.0%-CE, 0%-NC). Girls in NC schools had better knowledge of causes and prevention of STIs than those in CE schools (28.8%-CE, 45.5%-NC). There were no significant differences in the sexual practices and knowledge of STIs among boys in the two types of schools.
More girls in CE schools have had sexual intercourse compared to NC schools whereas girls in NC schools had better knowledge of the prevention of STIs. There is a need for strategies to increase reproductive health education in schools, particularly in CE schools.
男女同校(CE)和非男女同校(NC)学校的学生之间的性行为可能存在差异。目的是比较尼日利亚伊巴丹男女同校和非男女同校机构中高中生的性行为及性传播感染(STIs)预防知识。
采用多阶段抽样技术进行了一项比较性横断面研究。共有510名受访者(250名来自男女同校学校,260名来自非男女同校学校)完成了半结构化自填问卷,问卷包括一个30分的性传播感染知识量表,得分分为良好和较差。卡方统计在≤0.05时具有显著性。
受访者的平均年龄为15.9±1.5岁,47.5%为女生。两类学校学生在性行为和性传播感染知识方面没有显著差异。然而,存在性别差异,男女同校学校中曾与异性发生过性行为(男女同校学校为25.6%,非男女同校学校为12.4%)以及有多个性伴侣(男女同校学校为29.0%,非男女同校学校为0%)的女生比例显著高于非男女同校学校。非男女同校学校的女生比男女同校学校的女生对性传播感染的病因和预防有更好的了解(男女同校学校为28.8%,非男女同校学校为45.5%)。两类学校男生在性行为实践和性传播感染知识方面没有显著差异。
与非男女同校学校相比,男女同校学校中有更多女生发生过性行为,而非男女同校学校的女生对性传播感染的预防有更好的了解。有必要采取策略加强学校的生殖健康教育,特别是在男女同校学校。