Changes in Sexual Risk Behavior Among Adolescents: Is the HIV Prevention Programme in Nigeria Yielding Results?

Hafsatu Aboki, Morenike Oluwatoyin Folayan, Uduak Daniel, Munirat Ogunlayi

Abstract

This study conducted an analysis of the 2007 and 2012 National HIV and AIDS Reproductive Health Survey data with the aim of identifying the changes in high risk sexual behaviour among adolescents aged 15-19 years. It focused on changes in the history of use of condom with boyfriends/girlfriends, engagement in transactional sex, sex with multiple partners and age of sexual debut. Bivariate analysis was conducted to ascertain differences in the number of adolescents who engaged in these high sexual risk behaviours over the five-year study period. Data was also analysed for association between risk behaviour and possible predisposing factors. Over the five year period, HIV prevalence in the population increased significantly (p=0.02) especially in female (p=0.008). The number of female adolescents who became sexually active decreased significantly (p=0.02), and use of condom at last sexual act with non-marital sexual partners significantly increased (p=0.01). There was an insignificant increase in the proportion of males and females who engaged in transactional sex and who had multiple sex partners over the study period. More females who engaged in transactional sex were HIV positive (p=0.01), and more males who were sexually active in the last 12 months were HIV positive (p=0.01). There may be a need to redress the current HIV prevention intervention strategies. Attention needs to be paid to the national programme for the prevention of mother to child transmission of HIV programme as well as HIV prevention needs of female adolescents. (Afr J Reprod Health 2014; 18[3]: 109-117)

 

Keywords: sexual, behaviour, risky, HIV, adolescents, Nigeria, transactional, partners, multiple

 

Résumé 

Cette étude a effectué une analyse des données de l'Enquête Nationale de santé de la reproduction et le VIH/ SIDA pour 2007 et 2012 dans le but d'identifier les changements dans les comportements sexuels à haut risque chez les adolescents âgés de 15-19 ans. Il porte sur l'évolution de l'histoire de l'utilisation du préservatif avec leurs petits amis / petites amies, l'engagement dans des transactions sexuelles, des relations sexuelles avec des partenaires multiples et l'âge lors  du premier rapport sexuel. L'analyse bidimensionnelle a été réalisée pour déterminer les différences dans le nombre d'adolescents qui se livraient à ces comportements sexuels à risque élevé au cours de la période d'étude de cinq ans. Les données ont également été analysées pour l’association entre les comportements à risque et les facteurs prédisposant possibles. Au cours de la période de cinq ans, la prévalence du VIH dans la population a augmenté de façon significative (p = 0,02), surtout  chez les femmes (p = 0,008). Le nombre d'adolescentes qui deviennent sexuellement actives a diminué de façon significative (p = 0,02), et l'utilisation des préservatifs lors du dernier rapport sexuel avec des partenaires sexuels hors mariage a augmenté de façon significative (p = 0,01). Il y avait une augmentation significative de la proportion d'hommes et de femmes qui se livraient au commerce du sexe et qui ont eu plusieurs partenaires sexuels au cours de la période d'étude. Plus des femmes qui se livraient au commerce du sexe sont séropositives (p = 0,01), et plus des hommes qui étaient sexuellement actifs au cours des 12 derniers mois ont été positifs au VIH (p = 0,01). Il pourrait être nécessaire de corriger les stratégies actuelles d'intervention de prévention du VIH. Une attention particulière doit être accordée au programme de la prévention nationale de la transmission du VIH de la mère à l'enfant ainsi que les besoins de la prévention du VIH chez les adolescentes. (Afr J Reprod Health 2014; 18[3]: 109-117)

 

Mots-clés: sexuelle, comportement, risque, adolescents, Nigeria, transactionnel, partenaires, multiple

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