Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents

Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents
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DOI:
10.1186/s12889-019-7310-3
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发表时间:
2019-07-23
期刊:
影响因子:
4.5
通讯作者:
Okeke, Sylvester Reuben
Okeke, Sylvester Reuben
中科院分区:
医学2区
文献类型:
--
作者:
Ajayi, Anthony Idowu;Okeke, Sylvester Reuben

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背景许多研究都集中在青少年和年轻人的危险性行为,然而,在这个年龄组的保护性性行为的文献仍在不断发展。由于青年人受到包括艾滋病毒在内的性传播感染的负担过重,因此了解影响该年龄组保护性行为的因素对于制定适合该年龄组的干预措施至关重要。从青少年和年轻人在尼日利亚两所大学进行的横断面调查,我们研究了性别差异的保护性行为和家庭的支持和生活与父母对thesebeaks.MethodsA的影响,共招募了800名男性和女性大学生在两所尼日利亚大学使用分层随机抽样2月至2018年4月。然而,分析是基于599名年龄在15至24岁之间的参与者。调整和未调整的多项logistic回归模型被用来研究家庭支持的影响,并与父母双方的保护性行为在95%的置信区间。ResultsFindings显示,我们的参与者中从事保护性行为的比例最大。我们没有发现性别差异的保护性行为,包括禁欲,坚持使用避孕套,性忠诚。家庭的支持和与父母双方的生活正相关的青少年和年轻人之间的保护性行为。ConclusionThis研究发现,大多数青少年和年轻人在尼日利亚大学从事保护性行为。充分的家庭支持和与父母共同生活与保护性的性行为有着积极的联系。然而,研究显示,大约五分之一的参与者从事高风险的性行为。这表明需要采取改变行为的干预措施,提供性健康服务,并增强那些得不到足够家庭支持的学生的能力。
BackgroundMany 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 andyoung 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 thesebehaviours.MethodsA 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.ResultsFindings 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.ConclusionThis 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.