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Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community

Received: 15 July 2021    Accepted: 23 July 2021    Published: 9 August 2021
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Abstract

Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.

Published in Central African Journal of Public Health (Volume 7, Issue 4)
DOI 10.11648/j.cajph.20210704.19
Page(s) 204-214
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Contraceptives, Adolescents, Youths, Young People, Sexual Behavior

References
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Cite This Article
  • APA Style

    Ajibola Idowu, Oluseyi Kikelomo Israel, Roseline Oluyemisi Akande, Olatayo Ayodele Aremu, Yetunde Toyin Olasinde. (2021). Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Central African Journal of Public Health, 7(4), 204-214. https://doi.org/10.11648/j.cajph.20210704.19

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    ACS Style

    Ajibola Idowu; Oluseyi Kikelomo Israel; Roseline Oluyemisi Akande; Olatayo Ayodele Aremu; Yetunde Toyin Olasinde. Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Cent. Afr. J. Public Health 2021, 7(4), 204-214. doi: 10.11648/j.cajph.20210704.19

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    AMA Style

    Ajibola Idowu, Oluseyi Kikelomo Israel, Roseline Oluyemisi Akande, Olatayo Ayodele Aremu, Yetunde Toyin Olasinde. Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community. Cent Afr J Public Health. 2021;7(4):204-214. doi: 10.11648/j.cajph.20210704.19

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  • @article{10.11648/j.cajph.20210704.19,
      author = {Ajibola Idowu and Oluseyi Kikelomo Israel and Roseline Oluyemisi Akande and Olatayo Ayodele Aremu and Yetunde Toyin Olasinde},
      title = {Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community},
      journal = {Central African Journal of Public Health},
      volume = {7},
      number = {4},
      pages = {204-214},
      doi = {10.11648/j.cajph.20210704.19},
      url = {https://doi.org/10.11648/j.cajph.20210704.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210704.19},
      abstract = {Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community
    AU  - Ajibola Idowu
    AU  - Oluseyi Kikelomo Israel
    AU  - Roseline Oluyemisi Akande
    AU  - Olatayo Ayodele Aremu
    AU  - Yetunde Toyin Olasinde
    Y1  - 2021/08/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cajph.20210704.19
    DO  - 10.11648/j.cajph.20210704.19
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 204
    EP  - 214
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20210704.19
    AB  - Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Community Medicine, Bowen University, Iwo, Nigeria

  • Department of Community Medicine, Bowen University, Iwo, Nigeria

  • Department of Community Medicine, Bowen University, Iwo, Nigeria

  • Department of Community Medicine, Bowen University, Iwo, Nigeria

  • Paediatric Department, Bowen University Teaching Hospital, Ogbomoso, Nigeria

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