School and Parental Factors Associated with One-Night Stand, Condom Use at Sexual Debut and Multiple Sexual Partners

In many countries, risky sexual behaviour appears to have become more common among sexually active young adults due to increasing acceptance of pre-marital sexual behaviour. This poses threat to the sexual and reproductive health of those who engage in same. This study investigated the possible influence of school and parental factors such as time of sexual debut (before or after admission), institutional type, accommodation type (whether campus or off-campus), parental marriage type, parental counselling and family of socialisation on three risky sexual behaviours. These are one-night stand, condom use at first sex and multiple sexual partners. The study adopted cross-sectional survey method. A total of 433 respondents were selected from three stratified tertiary institutions in Lagos State, Nigeria. The study found that institutional type and parents' marriage significantly influenced involvement in one-night stand. The age at sexual debut and parents' marriage type are associated with the use of condom at first sex. Also, while students of polytechnic had more sexual partners than their counterparts in the university and college of education (F: 16.849; p: 0.001), those living inside campus were significantly more likely to have multiple sexual partners than those outside campus (T: -1.995; p: 0.047). The study recommends the need for the management of institutes of higher learning and accommodation providers to improve their physical environment to discourage risky sexual behaviours, and to sensitise young people. Also, parent-child discussion on sex-related matters from both parents especially in polygynous homes is encouraged.

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Sexual behaviour and social class in Australian women

International Journal of STD & AIDS ◽

10.1258/095646203321605567 ◽

2003 ◽

Vol 14 (5) ◽

pp. 344-349 ◽

Cited By ~ 5

Author(s):

A Mindel ◽

C Marks ◽

R Tideman ◽

J Taylor ◽

C Seifert ◽

...

Keyword(s):

Logistic Regression ◽

Sexual Behaviour ◽

Sexual Debut ◽

Sexual Partners ◽

Bivariate Analysis ◽

Personal Factors ◽

Public And Private ◽

First Sex ◽

The Public ◽

Simplex Virus

Sexual behaviour is determined by social, cultural and personal factors. Sexual behaviour studies have been conducted in many countries. However, information from Australia is limited. This study was conducted in Obstetrics Department, Westmead Hospital, Sydney. Questionnaire-derived demographic and behavioural characteristics for public and private patients were compared using bivariate and logistic regression analyses. Of the patients, 3036 were public, and 595 private. On bivariate analysis some significant differences were private patients more likely to be born in Australia and have a higher education level whereas public patients were more likely to have had a greater number of lifetime sexual partners and younger age at first sex. Public patients were more likely to be herpes simplex virus type 2 (HSV-2) antibody positive (12%) than private patients (6%). On logistic regression significant variables included country of birth, being HSV-2 antibody positive, and age at first sex. A number of sexual and social variables were significantly different, comparing patients in the public and private sectors. Evaluation of interventions to reduce the sexual risk to women in the public sector should be considered, including encouraging young women to delay their sexual debut, and reducing the number of sexual partners.

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HIV/STI RISK-TAKING SEXUAL BEHAVIOURS AND RISK PERCEPTION AMONG MALE UNIVERSITY STUDENTS IN TEHRAN: IMPLICATIONS FOR HIV PREVENTION AMONG YOUTH

Journal of Biosocial Science ◽

10.1017/s0021932017000049 ◽

2017 ◽

Vol 50 (1) ◽

pp. 86-101 ◽

Cited By ~ 6

Author(s):

Farideh Khalajabadi Farahani ◽

Mohammad Mahdi Akhondi ◽

Mehdi Shirzad ◽

Ali Azin

Keyword(s):

Risk Perception ◽

University Students ◽

Risk Taking ◽

Sexual Debut ◽

Sexual Partners ◽

Inconsistent Condom ◽

Multiple Sexual Partners ◽

Sexual Behaviours ◽

Male University Students ◽

Inconsistent Condom Use

SummaryRecent evidence indicates a rising trend in premarital sexual activity among young people in Iran. However, little is known about the extent to which young people’s sexual behaviours expose them to HIV and STI risks. This study aimed to assess HIV/STI-related sexual risk-taking behaviours (correlates and determinants) and HIV/STI risk perception among male university students in Tehran. A representative sample of male university students (N=1322) studying in government and private Tehran universities completed an anonymous questionnaire survey in 2013–14. Respondents were selected using two-stage stratified cluster sampling. About 35% of respondents had ever had premarital sex (n=462). The majority (about 85%) of the sexually experienced students reported having multiple sexual partners in their lifetime. More than half (54%) reported inconsistent condom use over the previous month. Despite this exposure to HIV/STI risk, the respondents had a very low level of HIV/STI risk perception. Only 6.5% were highly concerned about contracting HIV over the previous year, and an even lower percentage (3.4%) were concerned about contracting STIs in the near future. Early sexual debut (<18 years), studying in a private university, ever watching pornography and work experience were found to be significant predictors of having multiple sexual partners. Younger age at sexual debut, having one lifetime sexual partner and poor HIV knowledge were significant predictors of inconsistent condom use over the preceding month. HIV prevention programmes among Iranian youth need to focus on the postponement of first sex and enhancement of HIV/STI knowledge in the light of increasing access of young people to pornography.

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Determinants of high-risk sexual behaviour and condom use among adults in the Arusha region, Tanzania

International Journal of STD & AIDS ◽

10.1258/0956462971919840 ◽

1997 ◽

Vol 8 (3) ◽

pp. 176-183 ◽

Cited By ~ 56

Author(s):

Kagoma S. Mnyika ◽

Knut-Inge Klepp ◽

Gunnar Kvale ◽

Naphtal Ole-King'Ori

Keyword(s):

High Risk ◽

Condom Use ◽

Rural Areas ◽

Sexual Debut ◽

Population Based ◽

Sexual Partners ◽

Early Sexual Debut ◽

Men And Women ◽

Multiple Sexual Partners ◽

Arusha Region

Summary: Determinants of multiple sexual partners and condom use among adults were assessed through a population-based survey in one urban, one semi-urban and one rural community in the Arusha region, northern Tanzania. The study samples were obtained by randomly selecting clusters of 10 households from the 3 communities. Informed verbal consent was sought from each respondent for participation in the study. High-risk sexual behaviours and condom use were assessed using a structured questionnaire. It was observed that significantly more men than women reported having multiple sexual partners (49% vs 25.2%; OR=1.69; 95% CI=1.51-1.90) and urban men were significantly more likely to report having multiple sexual partners than men in rural areas. In both men and women, early sexual debut was associated with having multiple sexual partners while travel, alcohol use, and sex under the influence of alcohol were significantly associated with multiple sexual partners in men only. AIDS-related discussion was significantly associated with having fewer sexual partners in both men and women. Of the 1551 respondents, 320 (20.6%) reported having ever used a condom and of the 320 respondents who had ever used a condom, 34 (10.6%) reported having used it at the last sexual intercourse. Significantly more men than women reported having ever used a condom (34.1% vs 14.1%; OR=1.77; 95% CI=1.56-2.01). In both men and women, early sexual debut and being young, unmarried, travelling out of the Arusha region and having multiple sexual partners were associated with increased condom use. For both men and women, frequent discussion of AIDS with family members or friends was associated with increased condom use. These data suggest that interventions targeting adolescents and young adults may be effective for control of HIV transmission in Tanzania. In particular, creation of opportunities for people to come together and discuss AIDS might be an important strategy.

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Risky sexual behaviours among young adults attending Higher Learning Institutions in Mbeya, Tanzania: implications for STIs and HIV preventive programs

AAS Open Research ◽

10.12688/aasopenres.13123.2 ◽

2021 ◽

Vol 3 ◽

pp. 41

Author(s):

Ruby Doryn Mcharo ◽

Willyhelmina Olomi ◽

Philippe Mayaud ◽

Sia E. Msuya

Keyword(s):

Young Adults ◽

High Risk ◽

Condom Use ◽

Sexual Behaviors ◽

Sexual Debut ◽

Higher Learning ◽

Consistent Condom ◽

Sexual Behaviours ◽

Risky Sexual Behaviours ◽

Learning Institutions

Background High-risk sexual behaviors(HRSBs) among young adults are key risk for Sexually Transmitted Infections(STIs), HIV and unplanned pregnancies. WHO has identified the 15-24years age-group as high-risk for STIs. Students at Higher Learning Institutions(HLIs) may be at higher risk because they are free of immediate parental-supervision, are a transient migratory population, probably at peak-years of sexual activity. In Tanzania, information is limited on sexual and preventive behaviours among young adults in HLIs. We describe risky sexual behaviours and preventive practices among young adults attending HLIs in Mbeya-Tanzania. Methods We conducted a cross-sectional study from March2019 to January2020 among randomly selected students aged 18-24years enrolled in HLIs within Mbeya. Probability proportional to size was used to determine total student number from each HLI. We used a self-administered questionnaire to collect information on sexual health education, activity, behaviour and STI knowledge. Results Total of 504students were enrolled with mean age of 21.5(SD 1.74)years. Total of 446(88.5%) students reported ever having had sex. Mean-age at first sex was 18.4years and 9.9% reported sexual debut <15years. A higher proportion of male students(57%) reported sexual debut with non-steady partners than females(37.9%). Lack of condom use at sexual debut was reported by 52% of the participants. Consistent condom use during past 4-weeks was reported at 33% and 16.5% among males and females, respectively. About 1 in 10 students reported forced sex by someone they were dating. Sex under the influence of alcohol was reported by 24% of the students. Nearly 8 in 10 (78.7%) students have heard of STIs, but only 16% were aware STIs can be asymptomatic. Conclusion STI prevention programs need to recognize young adults in HLIs as at-risk population; and advocate targeted messages to minimize risk to acquiring STIs, counseling and support for those experiencing sexual violence, promote condom use and safer-sex negotiation skills.

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Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia

ISRN Public Health ◽

10.1155/2013/763051 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 12

Author(s):

Zelalem Alamrew ◽

Melkamu Bedimo ◽

Muluken Azage

Keyword(s):

Associated Factors ◽

Alcohol Intake ◽

Sexual Partners ◽

Unprotected Sex ◽

Sexual Practices ◽

Sexually Active ◽

Multiple Sexual Partners ◽

Sexual Behaviours ◽

Risky Sexual Behaviours ◽

Risky Sexual Practices

Background. Adolescents and young adults engage in risky sexual behaviours that may expose them to risk of contracting sexual transmitted diseases. The aim of this study was to assess risky sexual practices and associated factors for HIV/AIDS infection. Methods. A cross-sectional study was conducted in March 2012 among 790 college students. Self-administered questionnaire was used to collect the data. The data were analyzed using univariate, bivariate, and multivariate analyses with SPSS version 16 software package. Results. About 40.6% of sexually active respondents had risky sexual behaviours. Multiple sexual partners and unprotected sex were reported by 45.3% and 38.4% of sexually active respondents. Having multiple sexual partners was associated with alcohol use (AOR = 3.20; 95% CI: 2.02–5.08) and having a close friend who started sex (AOR = 5.99; 95% CI: 3.66–9.81). Unprotected sex was associated with marital status (AOR = 2.68; 95% CI: 1.55–4.64), alcohol intake (AOR = 2.19; 95% CI: 1.36–3.54), and frequency of visiting night clubs (AOR = 0.25; 95% CI: 0.12–0.52) for those who visit occasionally and (AOR = 0.45; 95% CI: (0.21–0.97) for those who visited at least once a week. Conclusion. Large proportions of students engaged in risky sexual behaviours and various risk factors were associated with risky sexual behaviours. Therefore, interventions targeting on alcohol intake, peer pressure, and attending night clubs are recommended.

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The Effect of Male Circumcision on Risky Sexual Behaviours of Men in Rwanda: A Comparative Analysis of RDHS 2005 and 2014/15

10.21203/rs.2.24178/v1 ◽

2020 ◽

Author(s):

Chantine Pegha Nambawarr ◽

Joseph Ntaganira

Keyword(s):

Condom Use ◽

Male Circumcision ◽

Sexual Debut ◽

Multivariate Logistic Regression Analysis ◽

Health Concern ◽

Risk Compensation ◽

Voluntary Medical Male Circumcision ◽

Medical Male Circumcision ◽

Sexual Behaviours ◽

Risky Sexual Behaviours

Abstract Background Rapid up-take of voluntary medical male circumcision (VMMC) in countries like Rwanda that implemented it as a national HIV prevention strategy since 2008, raised a public health concern of risk compensation. Risk compensation may occur if circumcised men increase their risky sexual behaviours (RSB) because of the awareness of circumcision’s 60% protection from heterosexual HIV/STIs transmission. The aim of this study was to assess the difference in RSBs among adolescent and adult circumcised men before and after the VMMC program implementation in Rwanda Methods Data of 11,037 men aged 15-59 years from Rwanda DHS 2005 and 2014/15 were analyzed using STATA version 13.0. We estimated the prevalence of ever paid sex , extramarital sex , more than 3 total lifetime sex partners, condom use at paid sex, first sex below age 15 and most recent sex partner being casual/commercial; among circumcised and uncircumcised men and compared between surveys. Association of these behaviours with circumcision status were also determined using bivariate and multivariate logistic regression analysis in separate and in combined datasets. Results Men who reported being circumcised almost tripled from 11%(532) in 2005 to 29%(1821) in 2014/15. In all men, RSB prevalence was lower in 2014/15 than in 2005. Circumcised men were generally more likely to engage in RSB in both surveys than uncircumcised men but less likely in 2014/15 compared to 2005. Multivariate models revealed no association of circumcision with sex below 15 years in 2005 (AOR 0.89; CI: 0.65-1.19; P>0.05) and 63% protection in 2014/15 (AOR 0.63; CI: 0.51-0.76; P<0.01). In all men, while there were too few responses to determine a true difference in non-condom use , other RSB were significantly less likely whereas paid sex was significantly more likely in 2014/15 due to an increase among the uncircumcised (AOR 1.29; CI: 1.03-1.61). Conclusion The findings did not support risk compensation. However, more responses on condom use are needed to check its disinhibition among circumcised men. Ongoing VMMC campaigns should re-inforce pre-counseling to young men 15-24 in the provinces out of Kigali to delay sexual debut even after circumcision.

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Risky sexual behaviours among young adults attending Higher Learning Institutions in Mbeya, Tanzania: implications for STIs and HIV preventive programs

AAS Open Research ◽

10.12688/aasopenres.13123.1 ◽

2020 ◽

Vol 3 ◽

pp. 41

Author(s):

Ruby Doryn Mcharo ◽

Willyhelmina Olomi ◽

Philippe Mayaud ◽

Sia E. Msuya

Keyword(s):

Young Adults ◽

High Risk ◽

Condom Use ◽

Sexual Debut ◽

Higher Learning ◽

Consistent Condom ◽

Sexually Active ◽

Sexual Behaviours ◽

Risky Sexual Behaviours ◽

Learning Institutions

Background: High-risk sexual behaviours (HRSBs) among young adults are a key risk for Sexually Transmitted Infections (STIs), HIV and unplanned pregnancies. The World Health Organization has identified the 15-24 year age-group as high-risk for STIs. Students at Higher Learning Institutions (HLIs) may be at higher risk because they are free of immediate parental supervision, a transient migratory population, and probably at peak years of sexual activity. Here, we describe risky sexual behaviours and preventive practices among young adults attending HLIs in Mbeya, Tanzania. Methods: Cross-sectional study was conducted from March 2019 to January 2020 among students aged 18-24 years enrolled in HLIs within Mbeya. A self-administered questionnaire was used to collect information on sexual health education, activity, behaviour and STI knowledge. Results: 504 students were enrolled; mean age of 21.5 (SD 1.74) years. 377 (74.8%) students were sexually active. Mean age of first sexual encounter was 18.4 years and 11.6% reported their sexual debut was <15 years. A higher proportion of male students (59.7%) reported their sexual debut with non-steady partners compared with female students (40.9%). Lack of condom use at sexual debut was reported by 43.3% of sexually active students. Consistent condom use during the past 4-weeks was reported at 23.3% and 16.9% among men and women, respectively. Almost 1 in 10 students reported being forced into having sex by someone they were dating. Sex under the influence of alcohol was reported by 25.5% of the students. Nearly 7 in 10 (77%) students had heard of STIs, but only 15% were aware STIs could be asymptomatic. Conclusion: STI prevention programs need to recognize young adults in HLIs as an at-risk population. HLIs must advocate targeted messages to minimize risks to acquiring STIs, offer counselling and support for those experiencing sexual violence, and promote condom use and safer-sex negotiation skills.

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Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial

International Journal of STD & AIDS ◽

10.1177/0956462417724707 ◽

2017 ◽

Vol 29 (3) ◽

pp. 287-297 ◽

Cited By ~ 2

Author(s):

Jane N Wanyama ◽

Maria S Nabaggala ◽

Bonnie Wandera ◽

Agnes N Kiragga ◽

Barbara Castelnuovo ◽

...

Keyword(s):

Sexual Behaviour ◽

Sexual Partner ◽

Sexual Partners ◽

Research Network ◽

Second Line ◽

Hiv Status ◽

First Line ◽

Second Line Therapy ◽

Sexual Behaviours ◽

Risky Sexual Behaviours

There are limited data on the prevalence of risky sexual behaviours in individuals failing first-line antiretroviral therapy (ART) and changes in sexual behaviour after switch to second-line ART. We undertook a sexual behaviour sub-study of Ugandan adults enrolled in the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial. A standardized questionnaire was used to collect sexual behaviour data and, in particular, risky sexual behaviours (defined as additional sexual partners to main sexual partner, inconsistent use of condoms, non-disclosure to sexual partners, and exchange of money for sex). Of the 79 participants enrolled in the sub-study, 62% were female, median age (IQR) was 37 (32–42) years, median CD4 cell count (IQR) was 79 (50–153) cells/µl, and median HIV viral load log was 4.9 copies/ml (IQR: 4.5–5.3) at enrolment. The majority were in long-term stable relationships; 69.6% had a main sexual partner and 87.3% of these had been sexually active in the preceding six months. At enrolment, around 20% reported other sexual partners, but this was higher among men than women (36% versus 6.7 %, p < 0.001). In 50% there was inconsistent condom use with their main sexual partner and a similar proportion with other sexual partners, both at baseline and follow-up. Forty-three per cent of participants had not disclosed their HIV status to their main sexual partner (73% with other sexual partners) at enrolment, which was similar in men and women. Overall, there was no significant change in these sexual behaviours over the 96 weeks following switch to second-line ART, but rate of non-disclosure of HIV status declined significantly (43.6% versus 19.6%, p <0.05). Among persons failing first-line ART, risky sexual behaviours were prevalent, which has implications for potential onward transmission of drug-resistant virus. There is need to intensify sexual risk reduction counselling and promotion of partner testing and disclosure, especially at diagnosis of treatment failure and following switch to second- or third-line ART.

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

Reproductive Health ◽

10.1186/s12978-020-01062-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Chinyere Ojiugo Mbachu ◽

Ifunanya Clara Agu ◽

Chinonso Obayi ◽

Irene Eze ◽

Nkoli Ezumah ◽

...

Keyword(s):

Condom Use ◽

Sexual Pleasure ◽

Adolescent Boys ◽

Contraceptive Methods ◽

Group Discussions ◽

Sexually Transmitted ◽

Modes Of Action ◽

Sexual Behaviours ◽

Risky Sexual Behaviours ◽

Hard Drugs

Abstract Background Misconceptions about the usefulness of condoms and other contraceptives still expose many unmarried adolescents to the risk of unwanted teenage pregnancies and sexually-transmitted infections (STIs). 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 were collected within a period of one month from in and out-of-school adolescents aged 13–18 years using twelve focus group discussions (FGD). The data were 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 in 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 behaviour change interventions in schools and within communities to debunk persisting misconceptions about contraception including the use of condom, and properly educate adolescents on safe sex practices. Plain English summary Adolescents engage in unprotected sexual intercourse and other risky sexual behaviours because of some mistaken beliefs and wrong impressions about how to prevent unwanted pregnancy. These risky sexual behaviours predispose adolescents to sexually transmitted infections, unsafe abortion and other reproductive health problems. In this qualitative study, we explored some of these mistaken beliefs about condoms and other methods of preventing pregnancy. During focus group discussions, adolescents identified modern contraceptive methods, and described their modes of action and how they are used. They also discussed their contraceptive preferences and perceived effects of condoms on sexual pleasure. Although some of these adolescents were able to correctly mention various types of contraceptives and their modes of action, there were numerous wrong impressions. Hard drugs, laxatives, white chlorine and boiled alcoholic beverage were listed as emergency contraceptive methods. Emergency pills were perceived to work by flushing away spermatozoa from a girl’s system after sexual intercourse. Male condoms were perceived to be potentially dangerous because they could break and enter into the body of the female sexual partner. Some adolescent boys had the notion that particular brands of male condoms could be washed and reused. Notions about condom use and sexual pleasure varied for girls and boys. Some adolescent girls perceived that condom use during sex increases sexual pleasure because of the assurance of being protected from STIs and pregnancy. Adolescent boys were of the opinion that condoms interfere with the pleasure of direct ‘flesh to flesh’ contact during sex. There was a general belief that contraceptive use in early age reduces fertility prospects for boys and girls. Mistaken beliefs about methods of preventing pregnancy persist among adolescents, and this raises concerns about the quality of information they receive. Concerted efforts should be made to debunk these wrong beliefs and properly educate adolescents on safe sex practices.

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AIDS awareness and sexual behaviour in a high HIV prevalence area in rural northern Kwazulu-Natal, South Africa

International Journal of STD & AIDS ◽

10.1258/095646202321020107 ◽

2002 ◽

Vol 13 (12) ◽

pp. 829-832 ◽

Cited By ~ 16

Author(s):

T K Hartung ◽

J Nash ◽

N Ngubane ◽

V G Fredlund

Keyword(s):

Sexual Behaviour ◽

Perceived Risk ◽

Risk Behaviour ◽

Structured Interview ◽

Sexual Partners ◽

Hiv Prevalence ◽

Multiple Sexual Partners ◽

Aids Awareness ◽

High Level ◽

Hiv Aids

The objective was to assess AIDS awareness and sexual behaviour in a rural South African community with a high HIV prevalence. One hundred clinic attenders underwent a structured interview using a standard questionnaire. Although the 64 female and 36 male patients, mean age 22 (range 13–45), had good knowledge of AIDS-related issues, only 50 perceived HIV/AIDS as a common problem. Of the 75 patients who were sexually active only 30 (40%) used condoms (men 16; 55% vs women 14; 30%, P = 0.033) despite being better informed about the protective effect of condoms (active 61; 81% vs abstinent 14; 56%, P = 0.011). More men than women admitted to multiple sexual partners (17; 47% vs 7; 11%, P < 0.0001). In conclusion, despite a high level of awareness of HIV/AIDS issues, self-perceived risk was low, condom use was infrequent and especially men continued to have multiple sexual partners. Awareness has yet to translate into reduction of risk behaviour.

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