scholarly journals Sexual behaviour, contraceptive practice and reproductive health outcomes among Nigerian university students

Author(s):  
CL Ejembi ◽  
A Otu
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Majer ◽  
B Puškarić Saić ◽  
V Musil ◽  
R Mužić ◽  
N Pjevač ◽  
...  

Abstract Background Sexual behaviour of youth could have reproductive health outcomes with an impact on individual and general population health. The aim of this study was to determine sexual behaviour and attitudes among first year university students in city of Zagreb, Croatia. Methods Study included 298 first year students (61% of females) of Medical School University of Zagreb and 124 students (75% of females) of Catholic University of Zagreb in academic year 2017/2018. Data were collected by anonymous questionnaire School Health Survey, and analysed by descriptive statistics. Results Significantly higher proportion of Catholic University students have had sexual intercourse comparing to medical students of University of Zagreb (48% vs. 36%, P = 0.019). The age of first sexual intercourse for the most of students was from 16-18 years (73% of Catholic University students, and 79% of medical students). Contraception was always used among 54% of Catholic University students, and 67% of medical students, and never used among 11% and 4% of them respectively. Most of the students have gained information about human sexuality from the internet (26% of Catholic University students, and 30% of medical students), followed by friends (18%) and parents (11%) for Catholic University students, and television (25%) and friends (14%) for medical students. Most students expressed the attitude that sex education should be introduced in secondary schools (31% and 36%, respectively), followed by both, in primary and secondary schools (21%, and 30% respectively). Fourteen percent of Catholic University students and 7% of medical students thought that sex education should not be introduced to schools. Conclusions Results showed risky sexual behaviour of university students, especially Catholic University students, indicating the need of continuous education on reproductive health among youth. Key messages Results indicate the need of intervention and continuous education on reproductive health among university students in Zagreb, Croatia. Results showed insufficient use of contraception especially among Catholic University students indicating the need of education on reproductive health among medical and nonmedical students.


Author(s):  
Yana van der Meulen Rodgers

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.


2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.


Author(s):  
Qianling Zhou ◽  
Chu-Yao Jin ◽  
Hai-Jun Wang

Databases of PubMed, Scopus, and China National Knowledge Infrastructure (CNKI) were used to search relevant articles on sexual and reproductive health (SRH) in China published from 2005 to the present (2021), based on the World Health Organization’s (WHO) Operational Framework on Sexual Health and Its Linkages to Reproductive Health. The following results were found. (a) SRH education and information among the Chinese were insufficient, in particular regarding contraception, pregnancy, and sexually transmitted diseases (STDs). Adolescents, migrants, and the rural population had insufficient knowledge of SRH. (b) Fertility care services were mainly available in large cities, in urban areas, and for married couples. Services targeted for rural-to-urban migrants, rural residents, and the disabled and elderly are needed. (c) A total of 22.4% of youths aged 15–24 had premarital sexual intercourse, and the age of first sexual intercourse was decreasing. Risky sexual behaviors included multiple partners, casual and commercial sex, and having sex after drinking alcohol. (d) The contraceptive practice rate of women aged 15–49 in China was higher than the world’s corresponding figure. However, contraceptive use among young people was low (only 32.3% among unmarried women). (e) Unmarried pregnancy induced by low contraceptive practice is a critical issue in China. (f) Induced abortion was the major consequence of unmarried pregnancy. The rate of induced abortion among the general population in 2016 was 28.13‰, and the rate among unmarried women was increasing annually. (g) There were 958,000 HIV-infected cases in China as of October 2019. Sexual transmission was the major transmission route of HIV-AIDS. More men than women were infected. Men having sex with men comprised the high-risk group of sexual transmission of HIV-AIDS. (h) Gender-based violence including intimate partner violence (IPV), sexual violence, sexual coercion, and child sexual abuse (CSA) might be underreported in China, since many victims were afraid to seek help as well as due to limited services. Legal and regulatory measures should therefore be taken to prevent and reduce gender-based violence. For future perspectives of SRH in China, it is important to pay attention to SRH education and services. An up-to-date national survey on SRH is needed to reflect the current situation and to capture changes over the past decade. Most of the current research has been conducted among adolescents, and more studies are needed among other groups, such as the disabled, the elderly, and homosexual populations.


Demography ◽  
2021 ◽  
Author(s):  
Damian Clarke ◽  
Viviana Salinas

Abstract We examine the sharp expansion in availability of the emergency contraceptive pill in Chile following legalized access through municipal public health care centers. We study the period 2002–2016 and a broad rollout of the emergency contraceptive pill occurring between 2008 and 2011. By combining a number of administrative data sets on health outcomes and pharmaceutical use, and using event-study and difference-in-differences methods, we document that this expansion improved certain classes of women's reproductive health outcomes, notably reducing rates of abortion-related morbidity. These improvements were greater in areas of the country where the rollout of the emergency contraceptive pill was more extensive. We also document some evidence that refusal to provide the emergency contraceptive pill upon a women's request was linked with a worsening in reproductive health outcomes. These results point to the importance of contraceptive access as a determinant of women's reproductive health and well-being and relates to a growing body of work documenting the importance of women's autonomy as a determinant of health.


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