Health risk behaviors and sexual initiation among in-school adolescents in rural communities in southwestern Nigeria

Olugbenga-Bello, Adenike Iyanuoluwa; Adebimpe, Wasiu Olalekan; Akande, Roseline Oluyemisi; Oke, Olufemi S.

doi:10.1515/ijamh-2013-0326

Cited by 12 publications

(18 citation statements)

References 8 publications

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“…In Ghana, condom use is even lower. Among sexually active adolescents aged [15][16][17][18][19], less than 20% of girls and 30% of boys reported using condoms at last sex 9 . HIV/STI testing is also low with fewer than 5% of sexually active adolescents in Ghana reporting ever having an HIV test and even fewer seeking treatment for STIs 10 .…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have reported embarrassment, shame and fear as key barriers to seeking SRH services 10 . Youth also report perceived promiscuity or mistrust of partners as barriers to seeking contraception 17 . Lack of knowledge about services, partner dynamics and attitudes about sexual behaviour have also been reported as barriers among youth 10,13,17 .…”

Section: Introductionmentioning

confidence: 99%

“…Youth also report perceived promiscuity or mistrust of partners as barriers to seeking contraception 17 . Lack of knowledge about services, partner dynamics and attitudes about sexual behaviour have also been reported as barriers among youth 10,13,17 . Interventions to increase use of SRH services among young people have had mixed results.…”

Section: Introductionmentioning

confidence: 99%

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Unpacking the Barriers to Reproductive Health Services in Ghana: HIV/STI Testing, Abortion and Contraception

Thatte

Bingenheimer

Ndiaye

et al. 2016

Afr J Reprod Health

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Youth report embarrassment, cost, and poor access as barriers to sexual and reproductive health (SRH) services. Interventions to address barriers like youth friendly services have yet to conclusively demonstrate impact on protective behaviours like condom or contraceptive use. SRH encompasses a range of services so we aimed to assess how perceived barriers differed depending on the service being sought between common services accessed by young people: HIV/STI testing, abortion, and contraception. 1203 Ghanaian youth were interviewed. Data was analysed to identify barriers by service type, demographics, and between high and low HIV prevalence communities. Being embarrassed or shy was the most commonly reported barrier across services. Overall being embarrassed or shy, fear of safety, fear of family finding out and cost were the most reported barriers across all services. Further analysis by service indicated that being embarrassed was a significantly greater barrier for HIV/STI testing and contraception when compared with abortion (p<0.001) and safety concerns and cost were significantly greater barriers for abortion and contraception compared with HIV/STI testing (p<0.001). Efforts to develop interventions that consider the service being sought may help address the range of barriers faced by youth with diverse SRH needs. (Afr J Reprod Health 2016; 20[2]: 53-61).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unpacking the Barriers to Reproductive Health Services in Ghana: HIV/STI Testing, Abortion and Contraception

Thatte

Bingenheimer

Ndiaye

et al. 2016

Afr J Reprod Health

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“…Macrolevel cultural norms impact adolescents' sexual initiation timing [11]. The age of sexual initiation varies from place to place [12,13] and the comparatively late initiation of adolescents sexual activity in India [14] and lesser percentage of adolescence engaging in pre marital sex [15] may be the reason for the higher age group seen in the current study. However, various studies carried out in antenatal mothers in India have reported a higher positivity in the younger age group [16,17].…”

Section: Discussionmentioning

confidence: 61%

Demographic Profile of HIV Sero Positive Clients Attending Integrated Counseling and Testing Centre, Mumbai, India

Paranjpe¹

2014

J AIDS Clin Res

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“…Risky behaviors such as unprotected sexual activities among adolescents is a major public health concern. Literature reveals that majority of adolescents engage in sexual activity between the ages of 12 to 19 and most of them achieve sexual debut by 16 years [5,6].…”

Section: Introductionmentioning

confidence: 99%

Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria

Mbachu

Agu

Obayi

et al. 2019

Preprint

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Background: Misconceptions about the usefulness of condoms and other contraceptives in preventing unwanted teenage pregnancies and sexually-transmitted infections (STIs) among unmarried adolescents, still expose many adolescents to the risk of both conditions due to certain misconceptions. This study explored beliefs and misconceptions about condoms and other contraceptives among adolescents in Ebonyi state, south-east Nigeria.Method: A qualitative study was undertaken in six local government areas in Ebonyi state, southeast Nigeria. Data was collected within a period of one month from in and out-of-school adolescents aged 13 to 18 years using twelve focus group discussions (FGD). The data was analyzed using the thematic framework approach.Result: Majority of the adolescents were knowledgeable about methods of contraception, how they are used and their modes of action. They were also knowledgeable about the dual effects of condoms for prevention of pregnancy and STIs. However, some misconceptions that were expressed by some adolescents were that pregnancy could be prevented by the use of i) hard drugs, ii) laxatives, iii) white chlorine, and iv) boiled alcoholic beverages. Condoms were described by some adolescent boys as reusable. Condoms were also perceived by some adolescents to reduce sexual pleasure, and this opinion was mostly held by boys. Coitus interruptus (withdrawal method) was therefore considered more preferable than condoms for prevention of pregnancy. Conclusion: Although majority adolescents have knowledge about contraception and condom use, some misconceptions still persist. These misconceptions put many adolescents at increased risk for pregnancy and STIs which are detrimental to their health and wellbeing. Concerted efforts should be made through educational and behavior change interventions in schools and within communities to debunk persisting misconceptions about contraception, and properly educate adolescents on safe sex practices. Plain English SummaryAdolescents engage in unprotected sexual intercourse and other risky sexual behaviors because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky

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Health risk behaviors and sexual initiation among in-school adolescents in rural communities in southwestern Nigeria

Abstract: In this study, adolescents were sexually active with negative consequences on their reproductive health. Stakeholders involved in the care of adolescents should take the consequences into consideration.

Cited by 12 publications

References 8 publications

Unpacking the Barriers to Reproductive Health Services in Ghana: HIV/STI Testing, Abortion and Contraception

Unpacking the Barriers to Reproductive Health Services in Ghana: HIV/STI Testing, Abortion and Contraception

Demographic Profile of HIV Sero Positive Clients Attending Integrated Counseling and Testing Centre, Mumbai, India

Beliefs and misconceptions about contraception and condom use among adolescents in south-east Nigeria

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