尼日利亚一所高等教育机构男学生对避孕的态度和做法：一项横断面研究。

Attitudes and practices regarding contraception among male students in a Nigerian tertiary educational institution: a cross-sectional study.

作者信息

Nmadu Awawu G, Musa Jeremiah, Joshua Istifanus A, Oyefabi Adegboyega M, Usman Nafisat O, Nwankwo Bilkisu, Dahiru Tukur

机构信息

Department of Community Medicine, Faculty of Clinical Sciences, Kaduna State University, Kaduna, Nigeria.

Department of Community Medicine, College of Health Sciences, Ahmadu Bello University, Zaria, Nigeria.

出版信息

Front Reprod Health. 2024 Dec 19;6:1439900. doi: 10.3389/frph.2024.1439900. eCollection 2024.

DOI:10.3389/frph.2024.1439900

PMID:39749223

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11693658/

Abstract

OBJECTIVES

Limited data exists on attitudes and practices of young men in tertiary institutions towards contraception. This study assesses attitudes and practices regarding contraception among male students in a tertiary educational institution in northwestern Nigeria, identifying factors influencing these attitudes.

METHODS

This cross-sectional study conducted from July to August 2021 at Kaduna Polytechnic, Nigeria, involved 160 male students chosen via multistage sampling. Structured questionnaires gathered information on socio-demographic characteristics, awareness, attitudes, and contraceptive practices. Analysis utilized SPSS version 23.0, employing descriptive statistics, bivariate, and multivariable logistic regression analyses to determine significant factors influencing contraception attitudes.

RESULTS

Findings revealed a mean respondent age of 25.4 ± 3.5 years, with most being single (71.3%) and 51.2% sexually active. While awareness of contraceptives was high (85.6%), almost half (46.7%) exhibited negative attitudes towards contraception. Common concerns included reliability, impact on sexual pleasure, and traditional gender norms. Only 35.8% had ever used contraception, primarily using withdrawal and male condoms. Significant factors influencing positive attitudes included being aged 18-24 years compared to 26-35 years (AOR = 2.66, 95% CI: 1.22-5.82).

CONCLUSION

Culturally sensitive interventions are vital for improving negative attitudes and low contraceptive use among male Nigerian youth.

摘要

目的

关于高等院校年轻男性对避孕的态度和做法的数据有限。本研究评估了尼日利亚西北部一所高等教育机构中男学生对避孕的态度和做法，确定影响这些态度的因素。

方法

2021年7月至8月在尼日利亚卡杜纳理工学院进行的这项横断面研究，通过多阶段抽样选取了160名男学生。结构化问卷收集了社会人口学特征、知晓情况、态度和避孕做法方面的信息。分析使用SPSS 23.0版，采用描述性统计、双变量和多变量逻辑回归分析来确定影响避孕态度的重要因素。

结果

研究结果显示，受访者的平均年龄为25.4±3.5岁，大多数为单身（71.3%），51.2%有性行为。虽然对避孕方法的知晓率很高（85.6%），但几乎一半（46.7%）的人对避孕持消极态度。常见的担忧包括可靠性、对性快感的影响以及传统性别规范。只有35.8%的人曾使用过避孕方法，主要是体外射精和使用男用避孕套。影响积极态度的重要因素包括18 - 24岁的人相比于26 - 35岁的人（调整后比值比=2.66，95%置信区间：1.22 - 5.82）。