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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Human Immunodeficiency Virus | Research article

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

Authors: Anthony Idowu Ajayi, Sylvester Reuben Okeke

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Many 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 and young 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 these behaviours.

Methods

A 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.

Results

Findings 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.

Conclusion

This 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.
Literature
1.
go back to reference Cort DA, Tu HF. Safety in stigmatizing? Instrumental stigma beliefs and protective sexual behavior in Sub-Saharan Africa. Soc Sci Med. 2018;197:144-52.CrossRef Cort DA, Tu HF. Safety in stigmatizing? Instrumental stigma beliefs and protective sexual behavior in Sub-Saharan Africa. Soc Sci Med. 2018;197:144-52.CrossRef
2.
go back to reference Blignaut RJ, Jacobs J, Vergnani T. Trends in HIV risk behaviour of incoming first-year students at a South African university: 2007–2012. SAHARA-J. J Soc Asp HIV/AIDS. 2015;12(1):39-50.CrossRef Blignaut RJ, Jacobs J, Vergnani T. Trends in HIV risk behaviour of incoming first-year students at a South African university: 2007–2012. SAHARA-J. J Soc Asp HIV/AIDS. 2015;12(1):39-50.CrossRef
3.
go back to reference Okafor I, Obi S. Sexual risk behaviour among undergraduate students in Enugu, Nigeria. J Obstet Gynaecol. 2005;25:592–5.CrossRef Okafor I, Obi S. Sexual risk behaviour among undergraduate students in Enugu, Nigeria. J Obstet Gynaecol. 2005;25:592–5.CrossRef
4.
go back to reference Okeke SR, Odelola JO. Spatial and social settings as predictors of risky sexual behaviour among undergraduates in a Nigerian university. J Interprof Educ Pract. 2018;11:32–6.CrossRef Okeke SR, Odelola JO. Spatial and social settings as predictors of risky sexual behaviour among undergraduates in a Nigerian university. J Interprof Educ Pract. 2018;11:32–6.CrossRef
5.
go back to reference Perera UAP, Abeysena C. Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study. Reprod Health. 2018;15:105.CrossRef Perera UAP, Abeysena C. Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study. Reprod Health. 2018;15:105.CrossRef
6.
go back to reference Ševčíková A. Girls’ and boys’ experience with teen sexting in early and late adolescence. J Adolesc. 2016;51:156–62.CrossRef Ševčíková A. Girls’ and boys’ experience with teen sexting in early and late adolescence. J Adolesc. 2016;51:156–62.CrossRef
7.
go back to reference Fortenberry JD. Puberty and adolescent sexuality. Horm Behav. 2013;64:280–7.CrossRef Fortenberry JD. Puberty and adolescent sexuality. Horm Behav. 2013;64:280–7.CrossRef
8.
go back to reference Ruble DN. A phase model of transitions: cognitive and motivational consequences. In: Advances in experimental social psychology, vol. 26: Elsevier; 1994. p. 163–214. Ruble DN. A phase model of transitions: cognitive and motivational consequences. In: Advances in experimental social psychology, vol. 26: Elsevier; 1994. p. 163–214.
9.
go back to reference Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2:223–8.CrossRef Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2:223–8.CrossRef
10.
go back to reference UNAIDS. Global HIV statistics: fact sheet July 2017. Geneva: UNAIDS; 2017. UNAIDS. Global HIV statistics: fact sheet July 2017. Geneva: UNAIDS; 2017.
11.
go back to reference UNAIDS. Miles to go—closing gaps, breaking barriers, righting injustices. Geneva: Joint United Nations Programme on HIV/AIDS; 2018. UNAIDS. Miles to go—closing gaps, breaking barriers, righting injustices. Geneva: Joint United Nations Programme on HIV/AIDS; 2018.
12.
go back to reference World Health Organization: Report on global sexually transmitted infection surveillance 2013. 2014. World Health Organization: Report on global sexually transmitted infection surveillance 2013. 2014.
13.
go back to reference Odimegwu C, Somefun OD, Chisumpa VH. Regional differences in positive sexual behaviour among youth in sub-Saharan Africa. J Biosoc Sci. 2019;51(2):254-72. Odimegwu C, Somefun OD, Chisumpa VH. Regional differences in positive sexual behaviour among youth in sub-Saharan Africa. J Biosoc Sci. 2019;51(2):254-72.
14.
go back to reference Amo-Adjei J, Tuoyire DA. Timing of sexual debut among unmarried youths aged 15–24 years in sub-Saharan Africa. J Biosoc Sci. 2018;50:161–77.CrossRef Amo-Adjei J, Tuoyire DA. Timing of sexual debut among unmarried youths aged 15–24 years in sub-Saharan Africa. J Biosoc Sci. 2018;50:161–77.CrossRef
15.
go back to reference Doyle AM, Mavedzenge SN, Plummer ML, Ross DA. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys. Tropical Med Int Health. 2012;17:796–807.CrossRef Doyle AM, Mavedzenge SN, Plummer ML, Ross DA. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys. Tropical Med Int Health. 2012;17:796–807.CrossRef
16.
go back to reference Somefun OD, Odimegwu C. The protective role of family structure for adolescent development in sub-Saharan Africa. PloS one. 2018;13(10):e0206197.CrossRef Somefun OD, Odimegwu C. The protective role of family structure for adolescent development in sub-Saharan Africa. PloS one. 2018;13(10):e0206197.CrossRef
17.
go back to reference Mmari K, Kalamar AM, Brahmbhatt H, Venables E. The influence of the family on adolescent sexual experience: A comparison between Baltimore and Johannesburg. PloS one. 2016;11(11):e0166032.CrossRef Mmari K, Kalamar AM, Brahmbhatt H, Venables E. The influence of the family on adolescent sexual experience: A comparison between Baltimore and Johannesburg. PloS one. 2016;11(11):e0166032.CrossRef
18.
go back to reference Pilgrim NA, Ahmed S, Gray RH, Sekasanvu J, Lutalo T, Nalugoda F, Serwadda D, Wawer MJ. Family structure effects on early sexual debut among adolescent girls in Rakai, Uganda. Vulnerable children and youth studies. 2014;9(3):193-205.CrossRef Pilgrim NA, Ahmed S, Gray RH, Sekasanvu J, Lutalo T, Nalugoda F, Serwadda D, Wawer MJ. Family structure effects on early sexual debut among adolescent girls in Rakai, Uganda. Vulnerable children and youth studies. 2014;9(3):193-205.CrossRef
19.
go back to reference Davis EC, Friel LV. Adolescent sexuality: Disentangling the effects of family structure and family context. J Marriage Fam. 2001;63(3):669-81.CrossRef Davis EC, Friel LV. Adolescent sexuality: Disentangling the effects of family structure and family context. J Marriage Fam. 2001;63(3):669-81.CrossRef
20.
go back to reference De Looze M, Constantine NA, Jerman P, Vermeulen-Smit E, ter Bogt T. Parent–adolescent sexual communication and its association with adolescent sexual behaviors: A nationally representative analysis in the Netherlands. J Sex Res. 2015;52(3):257-68. De Looze M, Constantine NA, Jerman P, Vermeulen-Smit E, ter Bogt T. Parent–adolescent sexual communication and its association with adolescent sexual behaviors: A nationally representative analysis in the Netherlands. J Sex Res. 2015;52(3):257-68.
21.
go back to reference Mmbaga EJ, Leonard F, Leyna GH. Incidence and predictors of adolescent’s early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis. PLoS One. 2012;7(7):e41700.CrossRef Mmbaga EJ, Leonard F, Leyna GH. Incidence and predictors of adolescent’s early sexual debut after three decades of HIV interventions in Tanzania: a time to debut analysis. PLoS One. 2012;7(7):e41700.CrossRef
22.
go back to reference Marteleto LJ, Cavanagh S, Prickett K, Clark S. Instability in parent–child coresidence and adolescent development in urban South Africa. Stud Fam Plan. 2016;47(1):19-38.CrossRef Marteleto LJ, Cavanagh S, Prickett K, Clark S. Instability in parent–child coresidence and adolescent development in urban South Africa. Stud Fam Plan. 2016;47(1):19-38.CrossRef
23.
go back to reference Adedimeji AA, Omololu FO, Odutolu O. HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J Health Popul Nutr 2007;25(2):146. Adedimeji AA, Omololu FO, Odutolu O. HIV risk perception and constraints to protective behaviour among young slum dwellers in Ibadan, Nigeria. J Health Popul Nutr 2007;25(2):146.
24.
go back to reference Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV, Goon DT. “It’s sweet without condom”: understanding risky sexual behaviour among Nigerian Female University students. Online J Health Allied Sci. 2018;16. Ajayi AI, Nwokocha EE, Akpan W, Adeniyi OV, Goon DT. “It’s sweet without condom”: understanding risky sexual behaviour among Nigerian Female University students. Online J Health Allied Sci. 2018;16.
25.
go back to reference Brian AJI, Umeononihu O, Echendu AD, Eke N. Sexual Behaviour among Students in a Tertiary Educational Institution in Southeast Nigeria. Advances in Reproductive Sciences. 2016;4(03):87. Brian AJI, Umeononihu O, Echendu AD, Eke N. Sexual Behaviour among Students in a Tertiary Educational Institution in Southeast Nigeria. Advances in Reproductive Sciences. 2016;4(03):87.
26.
go back to reference Enwereji E, Akubugwo E, Onwuka J, Ckikezie D. Students’ sexual exposure in tertiary institutions: a case study of some universities in Abia state of Nigeria. Int J Community Med Public Health. 2017;4:2711–7.CrossRef Enwereji E, Akubugwo E, Onwuka J, Ckikezie D. Students’ sexual exposure in tertiary institutions: a case study of some universities in Abia state of Nigeria. Int J Community Med Public Health. 2017;4:2711–7.CrossRef
27.
go back to reference Imaledo JA, Peter-Kio OB, Asuquo EO. Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers state, Nigeria. Pan Afr Med J. 2012;12. Imaledo JA, Peter-Kio OB, Asuquo EO. Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers state, Nigeria. Pan Afr Med J. 2012;12.
28.
go back to reference Ajayi AI, Ismail KO, Adeniyi OV, Akpan W. Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students: findings from a cross-sectional survey. Medicine. 2018;97:e12226.CrossRef Ajayi AI, Ismail KO, Adeniyi OV, Akpan W. Awareness and use of pre-exposure and postexposure prophylaxes among Nigerian university students: findings from a cross-sectional survey. Medicine. 2018;97:e12226.CrossRef
29.
go back to reference Benotsch EG, Snipes DJ, Martin AM. Bull SS: sexting, substance use, and sexual risk behavior in young adults. J Adolesc Health. 2013;52:307–13.CrossRef Benotsch EG, Snipes DJ, Martin AM. Bull SS: sexting, substance use, and sexual risk behavior in young adults. J Adolesc Health. 2013;52:307–13.CrossRef
30.
go back to reference Snipes DJ, Benotsch EG. High-risk cocktails and high-risk sex: examining the relation between alcohol mixed with energy drink consumption, sexual behavior, and drug use in college students. Addict Behav. 2013;38:1418–23.CrossRef Snipes DJ, Benotsch EG. High-risk cocktails and high-risk sex: examining the relation between alcohol mixed with energy drink consumption, sexual behavior, and drug use in college students. Addict Behav. 2013;38:1418–23.CrossRef
31.
go back to reference Markham CM, Tortolero SR, Escobar-Chaves SL, Parcel GS, Harrist R, Addy RC. Family connectedness and sexual risk-taking among urban youth attending alternative high schools. Perspect Sex Reprod Health. 2003;35:174–9.CrossRef Markham CM, Tortolero SR, Escobar-Chaves SL, Parcel GS, Harrist R, Addy RC. Family connectedness and sexual risk-taking among urban youth attending alternative high schools. Perspect Sex Reprod Health. 2003;35:174–9.CrossRef
32.
go back to reference Odimegwu C, Adedini SA. Do family structure and poverty affect sexual risk behaviors of undergraduate students in Nigeria? Afr J Reprod Health. 2013;17(4):137-49. Odimegwu C, Adedini SA. Do family structure and poverty affect sexual risk behaviors of undergraduate students in Nigeria? Afr J Reprod Health. 2013;17(4):137-49.
33.
go back to reference Peres CA, Rutherford G, Borges G, Galano E, Hudes ES, Hearst N. Family structure and adolescent sexual behavior in a poor area of Sao Paulo, Brazil. J Adolesc Health. 2008;42:177–83.CrossRef Peres CA, Rutherford G, Borges G, Galano E, Hudes ES, Hearst N. Family structure and adolescent sexual behavior in a poor area of Sao Paulo, Brazil. J Adolesc Health. 2008;42:177–83.CrossRef
34.
go back to reference Ajayi AI, Nwokocha EE, Adeniyi OV, Ter Goon D, Akpan W. Unplanned pregnancy-risks and use of emergency contraception: a survey of two Nigerian Universities. BMC Health Serv Res. 2017;17(1):382. Ajayi AI, Nwokocha EE, Adeniyi OV, Ter Goon D, Akpan W. Unplanned pregnancy-risks and use of emergency contraception: a survey of two Nigerian Universities. BMC Health Serv Res. 2017;17(1):382.
35.
go back to reference Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. JAIDS J Acquir Immune Defic Syndr. 2005;39:446–53.CrossRef Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. JAIDS J Acquir Immune Defic Syndr. 2005;39:446–53.CrossRef
36.
go back to reference Ajayi AI, Abioye AO, Adeniyi OV, Akpan W. Concerns about contracting HIV, knowing partners’ HIV sero-status and discussion of HIV/STI with sexual partners as determinants of uptake of HIV testing. J Biomed Sci. 2019;51(4):549-61.CrossRef Ajayi AI, Abioye AO, Adeniyi OV, Akpan W. Concerns about contracting HIV, knowing partners’ HIV sero-status and discussion of HIV/STI with sexual partners as determinants of uptake of HIV testing. J Biomed Sci. 2019;51(4):549-61.CrossRef
37.
go back to reference Stephenson R, Winter A, Elfstrom M. Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania. AIDS care. 2013;25:784–92.CrossRef Stephenson R, Winter A, Elfstrom M. Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania. AIDS care. 2013;25:784–92.CrossRef
38.
go back to reference Tade O, Adekoya A. Transactional sex and the ‘aristo’phenomenon in Nigerian universities. Hum Aff. 2012;22:239–55. Tade O, Adekoya A. Transactional sex and the ‘aristo’phenomenon in Nigerian universities. Hum Aff. 2012;22:239–55.
39.
go back to reference Ajayi AI, Somefun OD. Transactional sex among Nigerian university students: the role of family structure and family support. PLoS one. 2019;14:e0210349.CrossRef Ajayi AI, Somefun OD. Transactional sex among Nigerian university students: the role of family structure and family support. PLoS one. 2019;14:e0210349.CrossRef
40.
go back to reference MacPherson EE, Sadalaki J, Njoloma M, Nyongopa V, Nkhwazi L, Mwapasa V, Lalloo DG, Desmond N, Seeley J, Theobald S. Transactional sex and HIV: understanding the gendered structural drivers of HIV in fishing communities in southern Malawi. J Int AIDS Soc. 2012;15. MacPherson EE, Sadalaki J, Njoloma M, Nyongopa V, Nkhwazi L, Mwapasa V, Lalloo DG, Desmond N, Seeley J, Theobald S. Transactional sex and HIV: understanding the gendered structural drivers of HIV in fishing communities in southern Malawi. J Int AIDS Soc. 2012;15.
41.
go back to reference Jewkes R, Dunkle K, Nduna M, Shai NJ. Transactional sex and HIV incidence in a cohort of young women in the stepping stones trial. J AIDS and Clin Res. 2012;3(5). Jewkes R, Dunkle K, Nduna M, Shai NJ. Transactional sex and HIV incidence in a cohort of young women in the stepping stones trial. J AIDS and Clin Res. 2012;3(5).
42.
go back to reference Ali MM, Ajilore O. Risky sexual behavior and african-american youth: What is the role of family structure? J Health Behav & Pub Health. 2011;1(1):30-40. Ali MM, Ajilore O. Risky sexual behavior and african-american youth: What is the role of family structure? J Health Behav & Pub Health. 2011;1(1):30-40.
Metadata
Title
Protective sexual behaviours among young adults in Nigeria: influence of family support and living with both parents
Authors
Anthony Idowu Ajayi
Sylvester Reuben Okeke
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7310-3

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