Factors associated with inconsistent condom use and multiple sexual partners among adolescents in South Western Nigeria

Abstract

Objective: The study examined factors associated with inconsistent condom use and multiple sexual partners among adolescents in Osun State.

Methods: Descriptive cross-sectional study of 450 adolescents interviewed using a pre-tested, semi-structured questionnaire. Focus group discussions (FGDs) were conducted among this in-school and out-of- school adolescents. Main outcomes were inconsistent condom use and multiple sexual partners within previous year. Qualitative data was used to triangulate findings from the quantitative data which was analyzed using SPSS version 16.

Results: The mean age of respondents was 15 (SD 2.6) years. One hundred and thirty adolescents (28.9%) have had sexual intercourse and only 36 (27.7%) of these used condom consistently. Fifty-five respondents (42.3% of the sexually active) had multiple sexual partners in the last year. Most participants in FGD agreed that adolescents get involved in high-risk sexual practices secondary to peer pressure and lack of parental care. Pornography, male gender and castigation of chastity among peers were some of the factors significantly associated with multiple sexual partners (p < 0.05).

Conclusion: Sexually active adolescents have low risk perception of condom use and have multiple sexual partners. Preventive education could increase their risk perception and reduce risk taking among this vulnerable group.

Keywords: adolescents, inconsistent condom use, multiple sexual partner.

Abstrait
Objectif: L’étude a examiné les facteurs associés à l’utilisation irrégulière du préservatif et aux partenaires sexuels multiples parmi les adolescents de l’État d’Osun.

Méthodes: Une étude transversale descriptive de 450 adolescents interrogés à l’aide d’un questionnaire semistructuré pré-testé. Des discussions de groupe focus (DGF) ont été organisés parmi ces adolescents scolarisés et non scolarisés. Les principaux résultats étaient l’utilisation irrégulière du préservatif et la multiplicité des partenaires sexuels au cours de l’année précédente. Des données qualitatives ont été utilisées pour trianguler les résultats des données quantitatives qui ont été analysées à l’aide de SPSS version 16.

Résultats: L’âge moyen des répondants était de 15 ans (ET 2,6). Cent trente adolescents (28,9%) ont eu des rapports sexuels et seulement 36 (27,7%) d’entre eux ont utilisé le préservatif régulièrement. Cinquante-cinq répondants (42,3% des sexuellement actifs) ont eu plusieurs partenaires sexuels au cours de la dernière année. La plupart des participants aux discussions de groupe focus ont convenu que les adolescents s’impliquent dans des pratiques sexuelles à haut risque en raison de la pression des pairs et le manque de soins parentaux. La pornographie, le genre masculin et la fustigation de la chasteté entre les pairs étaient quelquesuns des facteurs significativement associés aux partenaires sexuels multiples (p < 0,05).

Conclusion: Les adolescents sexuellement actifs ont une faible perception du risque de l’utilisation du préservatif et ont de multiples partenaires sexuels. L’éducation préventive pourrait accroître leur perception du risque et réduire la prise de risque au sein de ce groupe vulnérable.

Mots clés: adolescents, utilisation irrégulière du préservatif, partenaire sexuel multiple.

Correspondence: Dr. S.A. Olowookere, Department of Community Health, Obafemi Awolowo University, Ile-Ife, Nigeria. E-mail: sanuolowookere@yahoo.com.

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