Differences in sexual behaviour and sexual practices of adolescents in Nigeria based on sex and self-reported HIV status

Reproductive Health

Abigail Harrison³  Brandon Brown⁴  Morolake Odetoyinbo¹  Morenike O Folayan² 

[1] Positive Action for Treatment Access, Lagos, Nigeria;Institute of Public Health, Obafemi Awolowo University, Ile-Ife, Nigeria;Department of Behavioral and Social Sciences, School of Public Health, Brown University, Providence, RI 02912, USA;Program in Public Health, Department of Population Health & Disease Prevention, University of California, Irvine, USA

关键词: Behaviour;    Practices;    Sex;    HIV;    Nigeria;    Adolescents;   

Others  :  1132078
DOI  :  10.1186/1742-4755-11-83

 received in 2014-04-09, accepted in 2014-11-28,  发布年份 2014

【 摘 要 】

Background

Sexual behaviour and sexual practices affect the risk for acquisition and transmission of HIV infection. This study tries to identify differences in sexual behaviour (condom use with non-marital partners, multiple sexual partnerships transactional sex and age mixing in sexual relationships), sexual practices (oral, anal and vagina sex), and forced sexual initiation based on sex and HIV status of adolescents in Nigeria.

Method

Face to face interviewer-administered questionnaires were used to collect information from a nationally representative sample of 10–19 years old adolescents residing in Nigeria. Data included information on age of sexual debut, sexual behaviour and sexual practices. Association between HIV status, sex, sexual behaviour and sexual practices, and predictors of use of condoms during the last vaginal sexual intercourse were determined.

Result

More self-reported HIV positive than HIV negative females had experienced forced sexual initiation (p = 0.008). Significantly more female than male adolescents had engaged in transactional sex (p < 0.001) and had sex with partners who were older than them by 10 years or more (p < 0.001). Vaginal (95.2%), oral (26.6%) and anal (7.8%) sex were practiced by male and females irrespective of HIV status. More females reported oral sex (p = 0.001). Being a female (p = 0.001), having genital itching in the last 12 months (p = 0.04)and having engaged in anal sex in the last 12 months (p = 0.009) reduced the odds of using a condom at last vaginal intercourse. Having a HIV positive or negative status did not significantly increase the odds of using a condom at last vaginal intercourse.

Conclusion

Differences in sexual behaviour and sexual practices of adolescents was observed based on sex and not on HIV status. History of forced sex initiation however differed by HIV status. Tailored interventions for male and female adolescents are required to reduce their risk of HIV infection. Tailored interventions are also required for adolescents living with HIV to improve their sexual and reproductive health.

【 授权许可】

   
2014 Folayan et al.; licensee BioMed Central Ltd.

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