Duru Francis Ikechukwu, Yama Oshiozokhai Eboetse, Duro Dolapo, Odetola Amos Amoo, Danboyi Timothy, Avidime Ohunene Makoju, Mohammed Kabir Ahmed
Department of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.
Departments of Human Anatomy, College of Medicine, Kaduna State University, Kaduna, Nigeria.
Niger Med J. 2020 Nov-Dec;61(6):316-322. doi: 10.4103/nmj.NMJ_124_19. Epub 2020 Dec 19.
Unprotected heterosexual sexual act has been correlated with unwanted pregnancy and sexually transmitted diseases (STDs) especially HIV/AIDS, which still has a high endemicity in Africa. This study aimed to determine the association between socio-demographic variables (SDVs), sexual experience, and the use of condom.
This was a cross-sectional study comprising 542 undergraduate students, randomly selected from three Nigerian universities.
Well-structured open-ended questionnaires were administered to respondents. Bivariate analysis was used to determine the association between SDVs and attitude to condom use and between the SDVs, sexual experience and the use of condom. Data were analyzed using Epi6 6.04 and SPSS 10.0 software packages. Pearson's Chi-square (χ) and Fisher's exact tests were used as applicable. The level of significance was set at < 0.05.
Approximately 46% of the respondents were sexually active (consisting of about 71% of those 25-29 years old and 58% of the males [ < 0.001]). About 50.4% had a single sexual partner and 86.7% had "ever used" condom. The most common reasons given for use of condom were prevention of pregnancy (91.7%) and STDs (89.1%). All the SDV except religion significantly ( < 0.05) accounted for the disparity in sexual attitudes of the students. Those aged 25 years and above, males and Tiv tribe were more likely to indulge in sexual activities ( < 0.001). More females (98%) compared to males (83%) had ever used condom in their sexual experience ( = 0.010), while there was no significant association between any of the SDVs and use of condom in the last sexual exposure ( > 0.05).
SDVs play a role in determining the attitude of students towards condom use and sexual experiences. Programs regarding sexual and reproductive health including safe sex education especially among young Nigerian students should be developed or strengthened.
无保护的异性性行为与意外怀孕和性传播疾病(STD)相关,尤其是艾滋病毒/艾滋病,在非洲其流行率仍然很高。本研究旨在确定社会人口统计学变量(SDV)、性经历与避孕套使用之间的关联。
这是一项横断面研究,包括从三所尼日利亚大学随机选取的542名本科生。
向受访者发放结构良好的开放式问卷。采用双变量分析来确定SDV与避孕套使用态度之间以及SDV、性经历与避孕套使用之间的关联。使用Epi6 6.04和SPSS 10.0软件包对数据进行分析。根据适用情况使用Pearson卡方(χ)检验和Fisher精确检验。显著性水平设定为<0.05。
约46%的受访者有性活动(其中25 - 29岁的受访者约占71%,男性约占58%[<0.001])。约50.4%有单一性伴侣,86.7%“曾使用过”避孕套。使用避孕套最常见的原因是预防怀孕(91.7%)和性传播疾病(89.1%)。除宗教外,所有SDV均显著(<0.05)导致了学生性态度的差异。25岁及以上的人、男性和蒂夫族更有可能沉溺于性活动(<0.001)。在性经历中,使用过避孕套的女性(98%)多于男性(83%)(=0.010),而在最近一次性接触中,任何SDV与避孕套使用之间均无显著关联(>0.05)。
SDV在决定学生对避孕套使用和性经历的态度方面发挥作用。应制定或加强包括安全性教育在内的性与生殖健康项目,尤其是在年轻的尼日利亚学生中。