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

2014 ◽  
Vol 26 (4) ◽  
pp. 503-510 ◽  
Author(s):  
Adenike I. Olugbenga-Bello ◽  
Wasiu O. Adebimpe ◽  
Roseline O. Akande ◽  
Olufemi S. Oke
Keyword(s):  
Sexual Intercourse ◽  
Sex Education ◽  
Sexual Behaviors ◽  
Sexual Experience ◽  
Health Risk Behaviors ◽  
Sexual Initiation ◽  
Sexually Active ◽  
Negative Consequences ◽  
Transmitted Infection ◽  
The Mean

Abstract Background: Adolescents exhibit numerous risky sexual behaviors leading to initiation of sexual intercourse not mindful of the many consequences. Objective: To determine the prevalence and pattern of sexual risky behavior and its association with sexual initiation. Methods: This was a school-based descriptive cross-sectional study among 377 in-school adolescents, who were selected using multistage sampling methods. Research instruments were semistructured self-administered questionnaires. Results: The mean age of respondents was 15.7 (+1.8) years. Most of the respondents claimed to have heard about sex education at one time or another. About 53 (14.1%) had their first sexual experience before or at the age of 15 years. The mean age of the first sexual experience for males was 14 years 3 months and 15 years 3 months for females. Fourteen (3.7%) had no fixed sexual partner; most of the sexually active respondents did not use a condom during their last intercourse. Only 7.7% of the respondents reported to have had a sexually transmitted infection. Most of the 207 female respondents (85.5%) had never been pregnant while 88.9% of those who had been pregnant had an abortion. Females were about 1.5 times more likely to have had first sexual intercourse before the age of 15 years, though the observed likelihood was not statistically significant [odd ratio (OR)=0.7, 95%; confidence interval (CI)=0.3–1.5; p=0.642]. Likewise, males were 1.7 times more likely to have used condoms at the last sexual intercourse, and the observed likelihood was not statistically significant (OR=1.7; 95%CI=0.8–3.4; p=0.079). Conclusion: 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.

scholarly journals Use of Sexually Explicit Materials as Sex Education Tools to Reduce the Number of Recurrences of Urinary Tract Infection in Sexually Active Women

2020 ◽  
Vol 2 (2) ◽  
pp. 146-151
Author(s):  
Gajanan Shripad Bhat ◽  
Anuradha Shastry
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Sexual Intercourse ◽  
Sex Education ◽  
The Other ◽  
Sexual Practices ◽  
Sexually Active ◽  
Post Intervention ◽  
Sexually Explicit

Context: As sexual intercourse is a known risk factor for recurrent urinary tract infection (UTI) in women, we decided to evaluate a novel method of sex education using sexually explicit materials (SEM) to reduce the number of recurrences of UTI in sexually active women, when the other preventive measures fail to reduce the number of recurrences of UTI in these women. Methods: After obtaining written informed consent and ethical committee approval, sexually active women with a single sexual partner, who presented for recurrent symptomatic UTI following sexual intercourse, were included in this study. The absence of recurrence for 6 months, successful postcoital drug prophylaxis, the presence of comorbidities, anatomical abnormalities of the genitourinary tract (GUT), history of instrumentation of GUT, and use of contraception were exclusion criteria. Their demographic profile, socioeconomic status, imaging studies, pre- and post-intervention urine culture profile and pre- and post-intervention sexual practices were recorded. During every visit, all these women along with their male partners were given sex education sessions about healthy sexual practices using SEM. Data is analyzed. Results: Study period was January 2012 to June 2018. A total of 107 women with the mean age of 30.11 years were included in the study. A total of 82% of UTI were due to Escherichia coli, whereas the other cases were attributable to Klebsiella, Proteus, and Staphylococcus saprophyticus. Their preintervention yearly incidence of documented UTI was 4.04 episodes which reduced to 1.91 episodes post intervention. Conclusions: Sex education with SEM can be an option to treat recurrent UTI in sexually active women.

scholarly journals Risky sexual behaviors among undergraduates of Pamo University of Medical Sciences: Exploring contributory factors and outcomes

2021 ◽  
Vol 8 (6) ◽  
pp. 310-315
Author(s):  
Eunice Ogonna Osuala ◽  
◽  
Oluebubechukwu Amarachukwu Udi ◽  
Basil Nnaemeka Ogbu ◽  
Elizabeth Nnenda Oduali Oduali
Keyword(s):  
Sexual Behavior ◽  
Sex Education ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Unprotected Sex ◽  
Risky Sexual Behaviors ◽  
Medical Sciences ◽  
Transmitted Infection ◽  
Contributory Factors ◽  
Validated Questionnaire

Undergraduates experience overwhelming changes and challenges that expose them to risky sexual behaviors, an act that leads to physical, psychosocial harm and its predictors contribute to lost lecture hours among campus students; hence this study aims at exploring contributory factors and outcomes of risky sexual behaviors among Nursing and Medicine students in PAMO University of Medical Sciences, Port Harcourt Rivers State Nigeria. Descriptive survey was conducted in 2019 and 280 students in their first and second year of study from the participating Departments were selected from study population of 491 using Yaro Yamanes sample size formula. Proportionate sampling technique followed by simple randomization was done. Ethical approval and consent were obtained while confidentiality and anonymity were maintained. WHO-adapted questionnaire was administered to respondents with the help of a research assistant. Data was collected using a 3-point Likert statistically-validated questionnaire with a reliability coefficient of 0.8, analyzed and computed on Statistical Package for Social Sciences version 21. Mean values below 2.0 were judged insignificant. Findings shows that Ignorance (x¯=2.81), lack of sex education (x¯=2.79), were among the factors that significantly influenced participant’s risky sexual behavior, however, reduced fun associated with use of condom (x¯=1.99) and equivalent of unprotected sex with trust (x¯=1.97) had insignificant impact. Interestingly, participants expressed similar outcomes of risky sexual behavior recording- sexually transmitted infection (x¯=2.80), pregnancy (x¯=2.76) abortion (x¯=2.71), out of School due to non-support by family (x¯=2.65); among others. Finally, risky sexual behavior among undergraduates affects the academic pursuit and there is need to continue reproductive health education if Sustainable Development Goals five and six will be achieved.

Sexual intercourse before exercise has a detrimental effect on lower extremity muscle strength in men

2021 ◽  
pp. postgradmedj-2020-139033
Author(s):  
Sinan Levent Kirecci ◽  
Ahmet Tevfik Albayrak ◽  
Abdullah Hizir Yavuzsan ◽  
Cumhur Yesildal ◽  
Musab Ilgi ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Sexual Intercourse ◽  
Detrimental Effect ◽  
Sexually Active ◽  
Maximum Weight ◽  
Short Term ◽  
Training Performance ◽  
Lower Extremity Muscle ◽  
The Mean ◽  
Study Participants

IntroductionThe question of whether sexual intercourse can harm athletic performance is a long-debated topic since first sport competitions were invented. Therefore, due to the lack of solid evidence, we aimed to evaluate the effects of sexual intercourse on muscle training performance.Materials and methodsPhysically and sexually active, 50 men (age=29.3±1.14 years) were enrolled in the study. Participants completed three weight training sessions and all sessions were at the same time of the day. The maximum weight was adjusted in the first session. In the second and third sessions, they performed five repetitions of the squat with their maximum weight for each set with a total of five sets after participating in and abstaining from sexual intercourse the night before, respectively. The duration of sexual intercourse was measured with a stopwatch.ResultsThe mean duration of sex was measured to be 13.8±3.61 min. Furthermore, the mean lifted weight before sex was calculated to be 109.4±11.41 kg and the mean lifted weight after sex was calculated to be 107±11.05 kg. According to obtained data, sexual intercourse has a significant detrimental effect on maximum weight in squat training (p=0001).ConclusionResults demonstrate that sexual intercourse within 24 hours before exercise have detrimental effect on lower extremity muscle force, which suggests that restricting sexual activity before a short-term activity may be necessary.

scholarly journals Examining HPV Awareness, Sexual Behavior, and Intent to Receive the HPV Vaccine Among Racial/Ethnic Male College Students 18–27 years

2018 ◽  
Vol 12 (6) ◽  
pp. 1966-1975 ◽  
Author(s):  
Dexter L. Cooper ◽  
Tiffany Zellner-Lawrence ◽  
Mohamed Mubasher ◽  
Ananya Banerjee ◽  
Natalie D. Hernandez
Keyword(s):  
Sexual Behaviors ◽  
Hpv Vaccine ◽  
Sexual Experience ◽  
Hpv Vaccination ◽  
Vaccine Uptake ◽  
Sexually Active ◽  
Previous Knowledge ◽  
To Receive ◽  
Racial Ethnic ◽  
Hpv Awareness

Human papillomavirus (HPV) awareness and vaccination among males in the general population is low. Men in general, but particularly racial/ethnic men, are disproportionately affected by HPV. The purpose of this article is to examine college males’ (a) HPV awareness, (b) sexual behaviors, and (c) intention to receive the HPV vaccination. A non-probability sample of all students who self-reported their race/ethnicity and were attending a university in Southeastern United States were contacted by the university registrar’s office and recruited to participate in the 15-minute survey. Males, ages 18–27 years ( N = 190), were identified for this study. χ2, t-tests, and binomial logistic regression analyses assessed the relationship between knowing about HPV and HPV vaccine and the intent to receive the HPV vaccination. Findings indicated that 67.4% of the sample identified as Hispanic or Black. Among all men, 73.2% reported previous sexual experience and 49.5% were currently sexually active. There were 79.5% who had previous knowledge about HPV and 55.8% had knowledge about the HPV vaccine; 71.1% of the sample did not intend to receive the vaccine. Hispanic and Black men were less likely to identify as virgins, more likely to be sexually active, and more likely to have sexual experiences at an earlier age compared to White, Asian, and other men. Men with previous HPV vaccine knowledge (28.4%) were more likely to intend to receive the vaccine compared to men who did not have previous knowledge about the vaccine (14.9%). Providing males with information about HPV, its transmission, and possible HPV-related outcomes may increase HPV vaccine uptake.

Prevalence of asymptomatic chlamydial urethritis in military recruits in the Celje region, Slovenia

2003 ◽  
Vol 14 (11) ◽  
pp. 765-769 ◽  
Author(s):  
A Skaza ◽  
B Grsković ◽  
S Plestina ◽  
N Bozina ◽  
M Potocnik ◽  
...  
Keyword(s):  
Sexual Intercourse ◽  
Sexual Experience ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Urine Specimen ◽  
Cross Sectional ◽  
First Sexual Intercourse ◽  
Military Recruits ◽  
The Mean ◽  
Polymerase Chain

The aim of this research was to evaluate the prevalence of asymptomatic chlamydial urethritis in military recruits in the Celje region (population 300,000), Slovenia. A first-void urine specimen was tested for Chlamydia trachomatis using the polymerase chain reaction assay. The research was supported by a questionnaire to obtain information on sexual behaviour of the participants. In the cross-sectional study from 1999 to 2001, 1272 asymptomatic recruits were included. None had received antibiotics in the previous two weeks. The mean age was 19.9 years. At the time of their first sexual experience the mean age was 16.6 years, whereas the age of their female sexual partners was 17.1 years. During their first sexual intercourse 77% of recruits used contraception (condom, diaphragm, contraceptive pill), most of those a condom (86%). The prevalence of asymptomatic chlamydial urethritis was 2.6% (95% confidence interval: 1.7 to 3.5). The mean age of those infected was 19.8 years. At the time of their first sexual experience the mean age was 16.2 years, whereas the age of their female sexual partners was 16.9 years. During their first sexual intercourse 57% of infected subjects used protection, half of which was a condom. Those who never or only occasionally used condoms were at a greater risk of being infected with C. trachomatis (adjusted odds ratio 2.04).

Awareness, acceptability, and use of female condoms among university students in Nigeria: implications for STI/HIV prevention

2014 ◽  
Vol 26 (2) ◽  
pp. 259-265 ◽  
Author(s):  
Charles I. Tobin-West ◽  
Omosivie Maduka ◽  
Victor N. Onyekwere ◽  
Adedayo O. Tella
Keyword(s):  
Hiv Prevention ◽  
University Students ◽  
Undergraduate Students ◽  
Sexual Behaviors ◽  
Consistent Condom ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Tertiary Institutions ◽  
Female Condoms

Abstract Background: Most university students in Nigeria are sexually active and engage in high risk sexual behaviors. The aim of this study was to assess the acceptability and use of female condoms in the context of HIV prevention in order to provide basic information that can stimulate female condom programming to promote sexually transmitted infection and HIV prevention among youths in tertiary institutions. Materials and methods: A descriptive, cross-sectional study was carried out among 810 undergraduate students of the University of Port Harcourt from October to November 2011, using a stratified sampling method and self-administered questionnaires. Results: Most of the students, 589 (72.7%) were sexually active; 352 (59.7%) reported having just one sexual partner, while 237 (40.3%) had multiple partners. The mean number of sexual partners in the past six months was 2.2±0. Consistent condom use was reported among 388 (79.2%) students, 102 (20.8%) reported occasional usage, while 99 (16.8%) did not use condoms at all. Only 384 (65.2%) of the students had ever been screened for HIV. Although 723 (89.3%) were aware of female condoms, only 64(8.9%) had ever used one due to unavailability, high cost, and difficulty with its insertion. Nevertheless, 389 (53.8%) of the students expressed willingness to use them if offered, while 502 (69.4%) would recommend it to friends/peers. Conclusion: This study highlights significant challenges in the use of female condoms among university students. These include unavailability, high cost, and difficulty with insertion. Therefore, deliberate efforts using social marketing strategies, appropriate youth-friendly publicity, and peer education must be exerted to provide affordable female condoms and promote usage; such efforts should target vulnerable youths in Nigerian tertiary institutions.

Parental Influence on Adolescent Sexual Initiation Practices in Ibadan, Nigeria

2003 ◽  
Vol 23 (1) ◽  
pp. 73-81 ◽  
Author(s):  
O. E. Amoran ◽  
M. O. Onadeko ◽  
J. D. Adeniyi
Keyword(s):  
Sex Education ◽  
Sexual Behaviors ◽  
Parental Influence ◽  
Family Background ◽  
Sexual Initiation ◽  
Sexuality Communication ◽  
Community Information ◽  
Early Sexual Initiation ◽  
Self Administered Questionnaire ◽  
Ibadan Nigeria

This community-based study was carried out to determine parental role on adolescents' sexual initiation practice in Ibadan, Nigeria. A random sample of 274 adolescents was selected from the community. Information on socio-demographic characteristics and sexual behaviors were collected using a structured close-ended self-administered questionnaire. A total of 40.5% of the adolescents in the sample were sexually experienced. Early exposure to sex education by mothers was found to encourage early sexual initiation ( p < 0.001). Significantly more adolescents (43.2%) who sought sexual information from their peers were sexually experienced compared with 25.2%, 14.4%, and 17.1% of those who sought information from parents, teachers, and other sources such as media, religious centers, etc., respectively ( p = 0.004). Mothers were more involved in sexuality communication with these adolescents than fathers (40.9% vs. 16.8%). The higher the level of education of the parents, the less likely the adolescents were sexually initiated ( p = 0.004). Furthermore, polygamous family background and loss of one or more parents were found to be associated with early sexual initiation practice ( p = 0.008 and 0.009, respectively). The study shows an increased sexual initiation with parental illiteracy, polygamy, and parental deaths among adolescents in Ibadan, Nigeria.

The Influence of Parental Support, Depressed Affect, and Peers on the Sexual Behaviors of Adolescent Girls

1993 ◽  
Vol 14 (2) ◽  
pp. 261-278 ◽  
Author(s):  
LES B. WHITBECK ◽  
RAND D. CONGER ◽  
MEEI-YING KAO
Keyword(s):  
Adolescent Girls ◽  
Peer Influence ◽  
Sexual Behaviors ◽  
Parental Support ◽  
Sexual Experience ◽  
Sexually Active ◽  
Emotional Climate ◽  
Symptoms Of Depression ◽  
Depressed Affect ◽  
Observer Ratings

Using logitudinal data from self-reports and observer ratings of family interaction regarding 76 adolescent girls and their parents, this research investigated the effects of parental warmth and supportiveness on adolescents' depressed affect, attitudes about sexuality, peer influence, and sexual experience. The results indicated that girls with more emotionally distant parents were more likely to manifest symptoms of depression. Depressed affect, in turn, was associated with sexually permissive attitudes and having sexually active friends. Although there was a weak direct effect of Time 1 depressed affect on Time 2 sexual experience, the predominant influence on adolescent girls' sexual activity at Year 2 was their perception that their friends were sexually active during the previous year. The authors concluded that the effects of peer influence were due, in part, to the influence of the emotional climate of the girls' families.

scholarly journals A qualitative study of factors that protect against pregnancy among sexually-active teens in the South African Birth to Twenty Plus cohort

2020 ◽  
Author(s):  
Edna N Bosire ◽  
Katharine Chiseri ◽  
Dawn L Comeau ◽  
Linda Richter ◽  
Aryeh D Stein ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Sex Education ◽  
Sexual Behaviors ◽  
Family Relationships ◽  
Sexual Debut ◽  
Consistent Condom ◽  
Sexually Active ◽  
Increased Risk ◽  
Informal Information

Abstract Background: Risky sexual behaviors contribute to increased risk of adolescent pregnancy and HIV infections. This qualitative study sought to understand factors that might buffer this risk amongst sexually-active adolescents in Soweto, South Africa.Methods: We used purposive sampling to recruit women at age 24 years from Soweto, South Africa, who self-reported having sexual debut by age 15 years. Twenty women were recruited into 2 equal groups: (i) those who did not become pregnant before 18 years (n=10) and (ii) those who became pregnant before 18 years (n=10). In-depth qualitative interviews were conducted with the two groups of women to understand their family backgrounds, the conversations about sex to which they are exposed, sexual behaviors and steps they took, or didn’t take, during adolescence to prevent early pregnancies. Interviews were transcribed verbatim and thematically analyzed with the aid of MAXQDA software.Results: Both groups of adolescents reported predisposing risks to early pregnancy including influence from peers and older friends to engage in early sex; unstable family relationships and limited conversations about sex. Key factors that differentiated the two groups were family structure and support, as well as, the adolescent’s ability to navigate choices and make decisions on consistent condom use, access to information and desire to complete schooling. Other supportive systems identified by those who did not become pregnant included life-orientation courses provided at school, access to health services, and positive peer influences. Conclusion: The family is a key institution in supporting adolescents’ decisions regarding their behaviors and choices, as are peers and exposures to formal or informal information they receive about sex. Policy makers should work closely with other social support systems such as schools, healthcare providers and peers to ensure that adolescents have access to relevant information, including sex education, and contraceptives.

Mother–Daughter Communication About Sex and Sexual Intercourse Among Middle- to Upper-Class African American Girls

2008 ◽  
Vol 29 (7) ◽  
pp. 901-917 ◽  
Author(s):  
Kimberly K. Usher-Seriki ◽  
Mia Smith Bynum ◽  
Tamora A. Callands
Keyword(s):  
African American ◽  
Sexual Intercourse ◽  
Premarital Sex ◽  
Sexually Active ◽  
African American Girls ◽  
Negative Consequences ◽  
African American Adolescent ◽  
National Longitudinal Study ◽  
Communication About Sex ◽  
History Of

This study investigated linkages between various dimensions of mother— daughter communication about sex and sexual intercourse in a sample of 274 middle- to upper-income African American adolescent girls, drawn from the National Longitudinal Study of Adolescent Health. Logistic regression analysis revealed that girls who reported closer relationships with their mothers were less likely to have had sexual intercourse. They were more likely to report a history of sexual intercourse when their mothers communicated frequently about sexual topics and when daughters perceived their mothers as being more approving of premarital sex. Daughters were less likely to be sexually active when their mothers reported more discussions related to the negative consequences of premarital sex and to delaying sexual intercourse for moral reasons. The implications of these findings for upwardly mobile African American families are discussed.

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