Premarital Sexual Behaviours among Secondary School Adolescents: A Cross-sectional Study in Kathmandu

2020 ◽  
Vol 8 ◽  
pp. 39-52
Author(s):  
Yadu Ram Upreti ◽  
Devaraj Acharya

Young people’s sexuality is often stigmatized in South Asian societies, including Nepal, where premarital sex is not accepted socially and culturally. However, the prevalence of early sexual activities among adolescents has increased over time. Given this background, this paper aimed to explore the prevalence of premarital sexual behaviour among the urban high school adolescents. This study utilized a cross-sectional design and collected a total of 609 students of grade 9-12 [ages 10-19] from both community and institutional schools in the Kathmandu metropolis. A validated structured questionnaire was employed and data were analyzed using SPSS with version 24. Univariate, bivariate, and multivariate analyses were performed to interpret the results. The study showed that the mean age of the respondents was 16 years. More than half of adolescents (52.4%) ever watched pornography, amongst whom eight percent did it on a regular basis. Similarly, 14 percent of in-school adolescents ever experienced premarital vaginal sexual intercourse, where the median age for the sexual debut was 16 years. Male respondents tended to be 13 times more likely to have premarital sex compared to the girls. Respondents who were exposed to pornography materials were likely to be exposed by 5.7 times higher than that who were not. Further, 48 percent respondents who ever had sex did not use condoms during their first sexual intercourse, followed by 45 percent who had multiple sex partners.The study concluded that a notable proportion of adolescents was involved in premarital sexual behaviours followed with vaginal sexual intercourse, especially among the boy students. Hence, the results of this study suggest school-based comprehensive sexuality education to minimize the risky sexual behaviour and promote the safer sexual activities among the secondary level school adolescents.  

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 403
Author(s):  
Nabaraj Adhikari ◽  
Saraswati Adhikari ◽  
Nordino Ibraimo Sulemane

Background Sexual behaviour of young people is one of the major public health issues. This is because adolescent people may involve themselves in risky sexual behaviour such as practising sex at an early age, having multiple sexual partners, having sex while under the influence of alcohol or drugs, and unprotected sexual behaviours. The objective of this study was to explore the premarital sexual behaviours among higher secondary school students in Pokhara Sub-Metropolitan City. Methods: This survey adopted a design of an institution-based descriptive cross-sectional study. A pre-tested structured questionnaire sealed in an envelope was distributed among all consenting 522 higher secondary school adolescent students. Results: Nearly twenty-five per cent (24.6%) of study respondents have had premarital sex. Respondents who had discussed sexual matters with friends had a 2.62-fold higher chance of having premarital sex than those who had not. Male respondents were eight-fold more likely to have premarital sex than females. Respondents who were exposed to pornography reported a nine-fold higher possibility of having premarital sex. Study respondents were also involved in unsafe sexual practices; for example, 13.4% of male respondents had sex with female sex workers. Conclusion: Despite the deleterious social and cultural norms and values regarding premarital sexual activities school adolescents are increasingly involved in sexual activities before marriage. Peer groups or friends are major sources of sexual and reproductive health information, which is often insufficient and inaccurate. It is important to design an appropriate and effective intervention to ensure that adolescents get correct and suitable sexual and reproductive information.


2013 ◽  
Vol 11 (2) ◽  
pp. 145-149 ◽  
Author(s):  
Dharma Nand Bhatta ◽  
AK Koirala ◽  
N Jha

Background: In Nepal, as in other Asian countries, the issue on sexuality still remains a taboo. Despite this, there are increasing numbers of sexual activities reported among Nepalese adolescents. Objective: To know the attitude towards premarital sex and unwanted pregnancy of adolescent students. Methods: Three higher secondary schools were randomly selected and students of those schools were taken purposively with structured self administered questionnaires. Cross-sectional study design was adopted and significance levels were observed with 95% confidence level (pd.0.05 for significant). Descriptive and inferential analyses were done with the sample size 324. Results: Among the total respondents, 32.4% mentioned premarital sex is appropriate and 25% had premarital sex. One third (33.3%) of the total respondents. peers were taking alcohol, 37.7% had smoking habit and 8.3% had drug dependency. Among the respondents having experience of premarital sex, 61.7% had the first sex at the age of mean ± SD 17.72 ± 0.849 years. Among the boys 32.6% and among the girls 13.7% had the premarital sexual intercourse. Majority of boys and girls had first sex with girl friend and boy friend respectively. Among the total respondents who had premarital sex, 16% faced the problem of unwanted pregnancy. Among them, 53.8% managed the unwanted pregnancy by surgical abortion procedure and remaining 46.2% managed by taking medicine (medical abortion). Conclusion: Sexual and reproductive health of the adolescents is now growing concern for many developing countries due to increasing trend in sexual activities and unwanted pregnancies among the adolescents. Health Renaissance, January-April 2013; Vol. 11 No.1; 145-149 DOI: http://dx.doi.org/10.3126/hren.v11i2.8222


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zohar Mor ◽  
Dan Turner ◽  
Yuval Livnat ◽  
Itzchak Levy

Abstract Background HIV-infected men who have sex with men (MSM) who use recreational drugs (RD) or excessive alcohol (EA) may be involved in risky sexual behaviours, including unprotected anal intercourse (UAI). This study describes the prevalence RD/EA-use among HIV-infected MSM, and compares those who used RD/EA with those who did not. Methods This cross-sectional study included HIV-infected MSM who were recruited in a convenient sample from two AIDS-treatment centres and events for HIV-infected MSM in Israel in 2016. Participants completed anonymous questionnaires including RD/EA-use and their sexual behaviours. RD/EA-use was defined as consumption of any psychoactive stimulants or dissociative anaesthetics, or an uptake of alcohol until drunkenness before or during sex. Results Of all 276 HIV-infected MSM, 202 (73.2%) used RD/EA. Those who used RD/EA were younger, reported earlier sexual debut, had more sexual partners, were more likely to perform UAI with casual partners, more commonly involved in paid sex, used psychiatric medications and more likely to be unsatisfied with their health-status compared to those who did not use RD/EA. HIV-infected MSM who used RD/EA reported a lower CD4-count and higher viral-load than those who did not. In a multivariate analysis, being younger, reported earlier sexual debut and been prescribed psychiatric drugs were associated with RD/EA-use among HIV-infected MSM. Conclusions A large proportion of HIV-infected MSM used RD/EA and also engaged in risky sexual behaviours. A subset of HIV-infected MSM can benefit from mental support during their routine treatment at the AIDS treatment centres and should also receive harm reduction intervention by their providers in order to minimize potential risks pertaining to RD/EA-use.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Xiaoan Du ◽  
Ling Zhang ◽  
Hong Luo ◽  
Wenlong Rong ◽  
Xianxin Meng ◽  
...  

Abstract Background This study aimed to identify factors associated with risk sexual behaviours and target high-risk groups at risk of HIV/STDs infection among university students. Methods The cross-sectional study was conducted from 1 November to 31 December 2020 in one university, located in Henan Province. A total of 1602 individuals who reported having ever had sex were analyzed as the subjects of this study. Descriptive analysis and multivariable logistic regression analysis were applied for this study to assess factors associated with risk sexual behaviours among university students. Results University students who reported having ever had sex accounted for about 9%, with an average age of 19.37 ± 1.03. Of them, having multiple sexual partners and inconsistent condom use during the last 6 months were 37.3% and 35%, respectively. Over 50% of participants had their sexual debut before the age of 18. Bisexual students (AOR = 0.27; 95% CI 0.16, 0.44) and those who lived on over 3000 Yuan per month (AOR = 0.50; 95% CI 0.28, 0.91) were consistently less likely to engage in condom use during the last 6 months. University students who were from high-grade (AOR = 1.56; 95% CI 1.12, 2.18 for sophomore; AOR = 1.84; 95% CI 1.28, 2.65 for junior; AOR = 2.07; 95% CI 1.38, 3.11 for senior), who lived on over 3,000 Yuan per month (AOR = 4.19; 95% CI 2.17, 8.11) or who reported being homosexual (AOR = 3.92; 95% CI 2.17, 7.06) and bisexual (AOR = 33.22; 95% CI 13.11, 84.15) were more likely to have multiple sexual relationships. University students who had sexual debut before the age of 18 were more likely to engage in risk sexual behaviours. Conclusions The prevalence of sexual activity among Chinese university students is generally low, but risk sexual behaviours are of considerable concern. University students with higher living expenses, who are not heterosexual and who are younger at first sexual intercourse tend to engage in risk sexual behaviours. The scale-up of intervention is the need to prevent the expansion of the HIV epidemic among young students.


2020 ◽  
Author(s):  
Nureni Azeez ◽  
Aishat Bukola Usman ◽  
Adebowale Ayo Stephen ◽  
Abubakar Muhammad Jibo ◽  
Zubairu Iliyasu

Abstract Background Worldwide, uniformed personnel have been recognized as a population at high risk for sexually transmitted infections because of their high mobility, power differentials and affluence. However, limited studies have been conducted on risky sexual behaviour (RSB) among male uniformed personnel in Nigeria. We conducted this study to determine the prevalence and identify the predictors of RSB among male immigration and correctional personnel in Kano State.Methods We conducted a cross-sectional study among 306 male immigration and correctional personnel using multi-stage sampling technique. A pre-tested self-administered structured questionnaire containing sociodemographic and variables associated with RSB was used for data collection. Indicators of RSB included transactional sexual intercourse, sexual intercourse with casual acquaintances and multiple non-regular sexual partners over the last 12 months. Data were analysed using descriptive statistics, Chi-square test and logistic regression (α=0.05).Results Mean age of the respondents in the immigration and correctional services was 37.9±9.3 and 38.0±8.1 years respectively. Overall prevalence of RSB was 15.1% (9.2% and 20.9% among correctional and immigration workers respectively). The identified predictors of RSB were service group, marital status and attending club house prior to sexual intercourse. The likelihood of RSB was lower among the correctional personnel (aOR=0.38, CI=0.17-0.80) than the immigration officers. Being married is protective of RSB (aOR=0.38, CI=0.18-0.81) while attending club house prior to sexual intercourse predisposes the uniform personnel to RSB (aOR=3.90, CI=1.30-11.68). Conclusions Risky sexual behaviour was highly prevalent among the investigated uniform men but was higher among immigration officers than the correctional personnel.


2020 ◽  
Author(s):  
Maginsh Dahal ◽  
Raj Kumar Subedi ◽  
Sudip Khanal ◽  
Anup Adhikari ◽  
Manoj Sigdel ◽  
...  

Abstract Background: To determine the prevalence of premarital sex and its risk factors in Nepal.Methods: A cross-sectional study was carried out among adolescents in Nepal. A self-administered questionnaire was used to collect information from 6,147 unmarried adolescents. Random sampling by using a lottery method was applied to select 20 colleges from all three districts. All the students who were studying at those colleges were enrolled in the study. Simple and multivariate logistic regression analyses were carried out to analyse the associations of risk factors and premarital sex.Results: The prevalence of premarital sex was 38.1%. Male students were more likely to engage in premarital sex (adjusted odds ratio [AOR]=2.04, confidence interval [CI]=1.76-2.36) than female students. Alcohol consumption (AOR=1.26, CI=1.08-1.47), smoking (AOR=1.69, CI=1.41-2.02), drug use (AOR=1.85, CI=1.23-2.83), going to night clubs (AOR=1.46, CI=1.24-1.70), clothing style of girls AOR=1.35, CI=1.15-1.58), clothing style of boys (AOR=3.51, CI=2.74-4.53), and unmarried friends having sex (AOR= 1.51, CI=1.31-1.73) were found to be major influencing factors for premarital sex. Moreover, students who had never received sex education were 2.92 times more likely to engage in premarital sex (CI=2.22-3.85) than those who had previously received sex education.Conclusions: We found several risk factors associated with premarital sex in Nepal. Preventing premarital sex may require the promotion of sex education.


2020 ◽  
Author(s):  
Nureni Azeez ◽  
Aishat Bukola Usman ◽  
Adebowale Ayo Stephen ◽  
Abubakar Muhammad Jibo ◽  
Zubairu Iliyasu

Abstract BackgroundWorldwide, uniformed personnel have been recognized as a population at high risk for sexually transmitted infections because of their high mobility, power differentials and affluence. However, limited studies have been conducted on risky sexual behaviour (RSB) among male uniformed personnel in Nigeria. We conducted this study to determine the prevalence and identify the predictors of RSB among male immigration and correctional personnel in Kano State.MethodsWe conducted a cross-sectional study among 306 male immigration and correctional personnel using multi-stage sampling technique. A pre-tested self-administered structured questionnaire containing sociodemographic and variables associated with RSB was used for data collection. Indicators of RSB included transactional sexual intercourse, sexual intercourse with casual acquaintances and multiple non-regular sexual partners over the last 12 months. Data were analysed using descriptive statistics, Chi-square test and logistic regression (α=0.05).ResultsMean age of the respondents in the immigration and correctional services was 37.9±9.3 and 38.0±8.1 years respectively. Overall prevalence of RSB was 15.1% (9.2% and 20.9% among correctional and immigration workers respectively). The identified predictors of RSB were service group, marital status and attending club house prior to sexual intercourse. The likelihood of RSB was lower among the correctional personnel (aOR=0.38, CI=0.17-0.80) than the immigration officers. Being married is protective of RSB (aOR=0.38, CI=0.18-0.81) while attending club house prior to sexual intercourse predisposes the uniform personnel to RSB (aOR=3.90, CI=1.30-11.68). ConclusionsRisky sexual behaviour was highly prevalent among the investigated uniform men but was higher among immigration officers than the correctional personnel.


2020 ◽  
Author(s):  
Nureni Azeez ◽  
Aishat Bukola Usman ◽  
Adebowale Ayo Stephen ◽  
Abubakar Muhammad Jibo ◽  
Zubairu Iliyasu

Abstract Background Worldwide, uniformed personnel have been recognized as a population at high risk for sexually transmitted infections because of their high mobility, power differentials and affluence. However, limited research studies have been documented on risky sexual behaviour (RSB) among male uniformed personnel in Nigeria. We conducted this study to determine the prevalence and identify the predictors of RSB among male immigration and correctional personnel in Kano State. Methods We conducted a cross-sectional study among 306 male immigration and correctional personnel using multi-stage sampling technique. A pre-tested self-administered structured questionnaire containing sociodemographic and variables associated with RSB was used for data collection. Indicators of RSB included transactional sexual intercourse, sexual intercourse with casual acquaintances and multiple non-regular sexual partner over the last 12 months. Data were analysed using descriptive statistics, Chi-square test and logistic regression (α = 0.05). Results Mean age of the respondents in the immigration and correctional services were 37.9 ± 9.3 and 38.0 ± 8.1 years respectively. Overall prevalence of RSB was 15.1% (9.2% and 20.9% among correctional and immigration workers respectively). The identified predictors of RSB were service group, marital status and attending club house prior to sexual intercourse. The likelihood of RSB was lower among the correctional personnel (aOR = 0.38, CI = 0.17–0.80) than the immigration officers. Being married is protective of RSB (aOR = 0.38, CI = 0.18–0.81) while attending club house prior to sexual intercourse predisposes the uniform personnel to RSB (aOR = 3.90, CI = 1.30-11.68). Conclusions Risky sexual behaviour was highly prevalent among the investigated uniform men but was higher among immigration officers than the correctional personel. Effective health education on the possible implication of RSB is highly recommended for immigration and correctional personnel.


2021 ◽  
Vol 4 (6) ◽  
pp. 60-70
Author(s):  
Osuala E.O. ◽  
Udi O.A. ◽  
Ogbu B. ◽  
Ojong I.N. ◽  
Oduali E.N.

Background: Exploring sexual activities that may make individuals vulnerable to sexually transmitted infections and unplanned pregnancies is being considered following observation and increased reports of unplanned pregnancies and its attendant consequences among students in tertiary institutions. Objective: Determine the undergraduates’ awareness and attitude towards risky sexual behaviour. Methods: A descriptive Cross-sectional survey was conducted, among year one and year two Medical and Nursing undergraduate students at two tertiary institutions in Rivers State of Nigeria, using a questionnaire adapted from World Health Organisation survey instrument to obtain data on knowledge of and attitude towards risky sexual behaviours. Two hundred and eighty participants were randomly selected. Descriptive analysis was carried out using Statistical Package for Social Sciences version 21.0. Results: About 92.9% of the respondents are aware that unprotected (oral, anal, vaginal) sexual intercourse is a risky sexual behaviour. Assessing respondents’ attitudes to risky sexual behaviour revealed that 9.3% agree that condom should only be used during sexual intercourse with commercial sex workers. Conclusions: Most Undergraduates are aware of sexual activities that constitute risky sexual behaviours but there is need to cascade this awareness to reflect on general sexual habits and reduce public health emergencies among undergraduates.


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