Risk and Protective Factors influencing Condom use among Adolescents in Rivers State, Nigeria: A cross-sectional study
DOI:
https://doi.org/10.60787/tnhj.v24i1.783Keywords:
adolescents, Rivers State, Condom use, Associated FactorsAbstract
Background: Condoms have been shown to be effective in preventing HIV, STIs, and unwanted pregnancies, though many unmarried adolescents and young adults choose not to use condoms at all. This study assessed the facilitators and barriers to condom use among adolescents in Rivers State.
Method: A cross-sectional study design and a structured interviewer-administered questionnaire were used to survey 671 adolescents using a multi-staged sampling technique. Data were analysed with IBM SPSS version 26.
Result: About 356 (53.9%) were females, and 338 (50.4%) lived in rural areas. The median age of the respondents was 18 years. Out of the 671 adolescent respondents, 313 (46.7%) of them have had sexual experiences. The proportion of sexually experienced respondents who used condoms was 192 (61.7%), one method used to prevent pregnancy was a condom 157 (80.1%). Factors that significantly influenced condom use were not being in school, the mother’s level of education, and occupation. A lesser proportion of those whose fathers are alive 142 (57.1%), (χ2 = 10.99; p < 0.001)., and those who discuss sex-related matters with their fathers 22 (47.8%), (χ2 = 4.42; p < 0.035) use condoms. Condom use was higher among adolescents not currently attending school 141 (65.6%) (χ2 = 4.36; p < 0.04). A greater proportion of those who often go to parties 25 (86.2%) (χ2 = 13.95; p < 0.001) and movies 13 (73.7%) (χ2 = 6.98; p < 0.03) used condoms
Conclusion: There is a need to contextualize appropriate reproductive health interventions for adolescents.
Downloads
References
Abajobir AA, Seme A. Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: A community-based cross-sectional study. BMC Health Serv Res [Internet] [cited 2021 Jan 27]. 2014;14(1):1–11. Available from: BMC Health Services Research
Kyilleh JM, Tabong PT nefaah, Konlaan BB. Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern Region, Ghana. BMC Int Health Hum Rights [Internet] [cited 2021 Jan 27]. 2018;18(6):1–12. Available from: http://creativecommons.org/licenses/by/4.0/
Olaleye AO, Obiyan MO, Folayan MO. Factors associated with sexual and reproductive health behaviour of street-involved young people: Findings from a baseline survey in Southwest Nigeria. Reprod Health. 2020;17(1):1–11.
Agunwa CC, Aniebue UU, Aniebue PN. Sexual Behaviour and Contraceptive Use Among Female Students in A Rural Community. Journal of Experimental Research. 2014;2(2):65–72.
Durowade KA, Omokanye LO, Elegbede OE, Adetokunbo S, Olomofe CO, Ajiboye AD, et al. Barriers to Contraceptive Uptake among Women of Reproductive Age in a Semi-Urban Community of Ekiti State, Southwest Nigeria. Ethiopian journal of health sciences. 2017;27(2):121–8.
WHO. Risk and Protective Factors Affecting Adolescent Reproductive Health in Developing Countries. World Health Organization. 2005;155–7.
Durowade KA, Babatunde OA, Omokanye LO, Elegbede OE, Ayodele LM, Adewoye KR, et al. Early sexual debut: prevalence and risk factors among secondary school students. Afri Health Sci. 2017;17(3):614–22.
Do HN, Nguyen DN, Quynh H, Nguyen T, Nguyen AT. Patterns of Risky Sexual Behaviors and Associated Factors among Youths and Adolescents in Vietnam. Int J Environ Res Public Healt. 2020;17(1903):1–14.
Smith CA. Factors Associated with Early Sexual Activity among Urban Adolescents. National Association of Social Workers, Inc. 1997;42(4):334–46.
Ugoji FN. Determinants of risky sexual behaviours among secondary school students in Delta State Nigeria. Int J Adolesc Youth. 2014 Jul 3;19(3):408–18.
Seifu A, Fantahun M, Worku A. Reproductive health needs of out-of-school adolescents: A cross-sectional comparative study of rural and urban areas in northwest Ethiopia. EthiopJHealth Dev. 2006;20(1):13–7.
Wingate C. Young people, HIV and AIDS | AVERT [Internet]. Avert. 2017 [cited 2021 Apr 8]. Available from: https://www.avert.org/professionals/hiv-social-issues/key-affected-populations/young-people
Ajayi AI, Omonaiye O, Nwogwugwu C. Barriers and facilitators of consistent condom use among adolescents and young adults in South Africa: A cross-sectional survey. Res Sq. 2022; march:1–22.
Mendis Shanti SM. Evidence for action World Health Organization 2003 [Internet]. World Health Organization. 2003 [cited 2021 Jan 27]. p. 7. Available from: https://www.who.int/chp/knowledge/publications/adherence_full_report.pdf?ua=1%0Ahttps://www.who.int/chp/knowledge/publications/adherence_full_report.pdf%0Ahttps://www.who.int/chp/knowledge/publications/adherence_full_report.pdf?ua=1%0Ahttp://apps.who.int/
Blum R, Mmari K. Risk and Protective Factors Affecting Adolescent Reproductive Health in Developing Countries: An analysis of adolescent sexual and reproductive health literature from around the world. 2004: 1–13.
Fatusi AO, Blum RW. Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents. BMC Public Health. 2008;8(136):1–14.
Israel, G.D. Determining Sample Size. Institute of Food and Agricultural Sciences (IFAS), University of Florida, PEOD-6. 2013; 1-5.
Mekonnen AG, Odo DB, Nigatu D. Adolescents’ Contraceptive Uptake in Ethiopia: A Meta Analysis. BioMed Research International. 2022:1–7. https://doi.org/10.1155/2022/6104467
Onajole AT, Sekoni AO, Onigbogi OO. Cross-sectional study on sexuality and contraceptive use among rural youths in Southwest, Nigeria. Journal of Medicine in the Tropics. 2017; 19:36–42.
De Torres RQ. Facilitators and barriers to condom use among Filipinos: A systematic review of literature. Health Promotion Perspectives. 2021;10(4):306–15.
Bingenheimer JB, Asante E, Ahiadeke C. Peer Influences on Sexual Activity among Adolescents in Ghana. Stud Fam Plann. 2015;46(1):1–19.
Aventin Á, Gordon S, Laurenzi C, Rabie S, Tomlinson M, Lohan M, et al. Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators. BMC Public Health. 2021;21(1):1–22.
Baltzer F, Elliott A, Katzman D, Pinzon J, Sankaran K, Taddeo D, et al. Harm reduction: An approach to reducing risky health behaviours in adolescents. Paediatrics and Child Health. 2008;13(1):53–6.
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Journal and Publisher
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.