Perceived causes of change in Nigerian adolescent sexual risk behaviour – Results from semi-structured mobile instant messaging interviews

Eleana Dongas, Jimoh Amzat

Abstract

The study explores the perceived causes of change in sexual risk behaviour among Nigerian adolescents over the past years. By embedding the results into a theoretical context, the study aims to further develop interventions targeting adolescent sexual health. To do so, 23 semi-structured interviews are conducted through the mobile-instant-messaging tool WhatsApp. The interview sample consists of both female and male adolescents and adults from different regions in Nigeria. The interviews are conducted as simultaneous chats and analysed based on the qualitative content analysis approach. Respondents perceive a multitude of different factors as causes of change in sexual risk behaviour among Nigerian adolescents. They can be categorised into (1) individual factors, (2) structural factors, and (3) socio-cultural factors. Interrelations between the different factors can partly be observed. The other factors are mostly modifiable and can therefore contribute to reducing adolescent SRB. (Afr J Reprod Health 2022; 26[12]: 32-40).

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References

Melesse DY, Mutua MK, Choudhury A, Wado YD, Faye

CM, Neal S and Boerma T. Adolescent sexual and

reproductive health in sub-Saharan Africa: who is left

behind? BMJ Glob Health. 2020;5(1). DOI:

1136/bmjgh-2019-002231.

De Wet N, Oluwaseyi S and Odimegwu C. Youth mortality

due to HIV/AIDS in South Africa, 2001–2009: An

analysis of the levels of mortality using life table

techniques. Afr J AIDS Res. 2014;13(1):13–20. DOI:

2989/16085906.2014.886605.

Grimes DA, Benson J, Singh S, Romero M, Ganatra B,

Okonofua FE and Shah IH. Unsafe abortion: the

preventable pandemic. Lancet.

;368(9550):1908–19. DOI: 10.1016/S0140-

(06)69481-6.

Ganchimeg T, Ota E, Morisaki N, Laopaiboon M,

Lumbiganon P, Zhang J, Yamdamsuren B,

Temmerman M, Say L, Tunçalp Ö, Vogel JP, Souza

JP, Mori R and WHO Multicountry Survey on

Maternal Newborn Health Research Network.

Pregnancy and childbirth outcomes among adolescent

mothers: a World Health Organization multicountry

study. BJOG: Int J Obstet Gynaecol.

;121(s1):40–8. DOI: 10.1111/1471-0528.12630.

Santelli JS, Lindberg LD, Abma J, McNeely CS and Resnick

M. Adolescent Sexual Behaviour: Estimates and

Trends From Four Nationally Representative

Surveys. Fam Plann Perspect. 2000;32:156–165.

DOI: 10.1363/3215600.

Oluwatoyin FE and Modupe OO. Risky Sexual Behaviour

among Secondary School Adolescents in Ibadan

North Local Government Area, Nigeria. IOSR-JNHS.

;(3):34–44. DOI: 10.9790/1959-03343444.

Muche AA, Kassa GM, Berhe AK and Fekadu GA.

Prevalence and determinants of risky sexual practice

in Ethiopia: Systematic review and Meta-analysis.

Reprod Health. 2017;14(113). DOI: 10.1186/s12978-

-0376-4.

Chakalisa U, Wirth K, Bennett K, Kadima E, Manyake K,

Gaolathe T, Bachanas P, Marukutira T, Lebelonyane

R, Dryden-Peterson S, Butler L, Mmalane M,

Makhema J, Roland ME, Pretorius-Holme M, Essex

M, Lockman S and Powis KM. Self-reported risky

sexual practices among adolescents and young adults

in Botswana. S Afr J HIV Med. 2019;20(1), a899.

DOI: 10.4102/sajhivmed.v20i1.899.

Mulu W, Yimer Mt and Abera B. Sexual behaviours and

associated factors among students at Bahir Dar

University: a cross sectional study. Reprod Health J.

;(11): 1–12. DOI: 10.1186/1742-4755-11-84.

UNAIDS. Global HIV & AIDS statistics – 2020 fact sheet.

Available at:

https://www.unaids.org/en/resources/fact-sheet.

Accessed March 02, 2022.

Bearak J, Popinchalk A, Ganatra B, Moller AB, Tunçalp Ö,

Beavin C, Kwok L and Alkema L. Unintended

pregnancy and abortion by income, region, and the

legal status of abortion: estimates from a

comprehensive model for 1990–2019. Lancet Glob

Health. 2020;(8): e1152-e1161. DOI:

1016/S2214-109X(20)30315-6.

UNICEF. Infant mortality rate; Maternal mortality ratio.

Available at: https://data.unicef.org/dv_index/

>> Indicator: Infant mortality rate; Maternal mortality

ratio >> Geographic area: Unicef reporting regions

>> Sex: Total >> Show latest data only. Accessed

March 02, 2022.

Kothari MT, Wang S, Head SK and Abderrahim N. Trends

in Adolescent Reproductive and Sexual Behaviours -

A Comparative Analysis. DHS Comparative Reports

No. 29. Calverton, Maryland, USA: ICF

International, 2012. Available at:

http://dhsprogram.com/pubs/pdf/CR29/CR29.pdf.

Accessed March 03, 2022.

Adedini SA, Mobolaji JW, Alabi M and Fatusi AO.

Changes in contraceptive and sexual behaviours

among unmarried young people in Nigeria: Evidence

from nationally representative surveys. PLoS One.

;16(2). DOI: 10.1371/journal.pone.0246309.

Envuladu EA, van de Kwaak A, Zwanikken P and Zoakah

AI. Exploring the Factors Influencing Adolescent

Sexual Behaviour in Plateau State Nigeria. Am J Med

Med Sci. 2017;7(1): 1–6. DOI:

5923/j.ajmms.20170701.01.

UNAIDS. UNAIDS Data 2021. Geneva: Joint United

Nations Programme on HIV/AIDS; 2021. Licence:

CC BY-NC-SA 3.0 IGO. Available at:

https://www.unaids.org/sites/default/files/media_ass

et/JC3032_AIDS_Data_book_2021_En.pdf.

Accessed March 03, 2022.

StatCompiler a. Percentage of births wanted later [Women].

Available at: https://www.statcompiler.com/en/ >>

Choose indicator: Percentage of births wanted later

>> Filter by Region of the World: World >> Select:

All >> Age at birth: Select all. Accessed March 03,

Singh S, Remez L, Sedgh G, Kwok L and Onda T. Abortion

Worldwide 2017 – Uneven Progress and Unequal

Access. Guttmacher Institute, eds. 2017. Available at:

https://www.guttmacher.org/sites/default/files/report

_pdf/abortion-worldwide-2017.pdf. Accessed March

, 2022.

United Nations. World Population Prospects – Population

by age and sex. 2021. Available at:

https://population.un.org/wpp/DataQuery/ >>

Population by age and sex (thousands) >> Country:

Nigeria >> Year: 2021, 2050 >> Both sexes

combined >> Age group: 15-19, 20-24 >> Results.

Accessed March 02, 2022.

Schuster C, Tasche TC, Theisling M and Gernemann L.

Bevölkerungsdynamik in der deutschen

Entwicklungszusammenarbeit - Handbuch. Deutsche

Gesellschaft für Internationale Zusammenarbeit

(GIZ) GmbH, eds. Bonn, GER: Schleunungdruck

GmbH, 2018. Available at:

https://health.bmz.de/what_we_do/population_dyna

mics/GIZ_Auftrag_BMZ_A5_Bevoelkerungsdy_we

b_compressed.pdf. Accessed March 03, 2022.

African Union. AU Roadmap on Harnessing the

Demographic Dividend through Investments in

Youth. 2018. Available at:

https://wcaro.unfpa.org/sites/default/files/pubpdf/A

U%202017%20DD%20ROADMAP%20Final%20-

%20EN.pdf. Accessed March 03, 2022.

Morhason-Bello IO, Oladokun A, Enakpene CA, Fabamwo

AO, Obisesan KA and Ojengbede OA. Sexual

behaviour of in-school adolescents in Ibadan, SouthWest Nigeria. Afr J Reprod Health. 2008;12(2): 89-

PMID: 20695044.

StatCompiler b. Sex before the age of 15 [Women/Men].

Available at: https://www.statcompiler.com/en/ >>

Choose indicator: Sex before the age of 15

[Women/Men] >> (Filter by Region of the World:

Sub-Saharan Africa) >> Select: All. Accessed March

, 2022.

StatCompiler c. Young women/men having multiple

partners in last year. Available at:

https://www.statcompiler.com/en/ >> Choose

indicator: Young women/men having multiple

partners in last year >> (Filter by Region of the

World: Sub-Saharan Africa) >> Select: All. Accessed

March 02, 2022.

StatCompiler d. Young women/men using a condom at last

sexual intercourse. Available at:

https://www.statcompiler.com/en/ >> Choose

indicator: Young women/men using a condom at last

sexual intercourse >> (Filter by Region of the World:

Sub-Saharan Africa) >> Select: All. Accessed March

, 2022

Ajzen I. The Theory of Planned Behavior. Organ Behav

Hum Decis Process. 1991;50: 179-211. DOI:

1016/0749-5978(91)90020-T.

Bronfenbrenner U and Morris PA. The Bioecological

Model of Human Development. In: Lerner RM,

Damon W, eds. Handbook of child psychology:

Theoretical models of human development. John

Wiley & Sons Inc, 2006: 793–828. DOI:

1002/9780470147658.chpsy0114.

Fontes TO and O’Mahoney M. In-depth interviewing by

Instant Messaging. Social Research Update. 2008;53:

-4. Available at:

https://sru.soc.surrey.ac.uk/SRU53.pdf. Accessed

March 03, 2022.

Kaufmann K and Peil C. The mobile instant messaging

interview (MIMI): Using WhatsApp to enhance selfreporting and explore media usage in situ. Mob Media

Commun. 2020;8(2): 229-246. DOI:

1177/2050157919852392.

Reñosa MDC, Mwamba C, Meghani A, West NS, Hariyani

S, Ddaaki W, Sharma A, Beres LK and McMahon S.

Selfie consents, remote rapport, and

Zoom debriefings: collecting qualitative data amid a

pandemic in four resource-constrained settings. BMJ

Glob Health. 2021;6(1). DOI: 10.1136/bmjgh-2020-

Maeng W, Yoon J, Ahn H and Lee J. Can Mobile Instant

Messaging Be a Useful Interviewing Tool? A

Comparative Analysis of Phone Use, Instant

Messaging, and Mobile Instant Messaging.

Proceedings of HCI Korea. 2016; 45-49. DOI:

17210/hcik.2016.01.45.

WhatsApp. About WhatsApp. Available at:

https://www.whatsapp.com/about. Accessed March

, 2022.

Kuckartz U. Qualitative Inhaltsanalyse. Methoden, Praxis,

Computerunterstützung. 4th ed. Weinheim, Basel:

Beltz Juventa, 2018.

Gyan SE. Exploring the Causes of Change in Adolescent

Girls' Sexual Behaviour in Begoro, Ghana. Afr J

Reprod Health. 2017;21(2):55-63. DOI:

29063/ajrh2017/v21i2.7.

Van der Walt BJ. Morality in Africa: Yesterday and today.

The reasons for the contemporary crisis. In Skriflig.

;37(1):51-71. DOI: 10.4102/ids.v37i1.458.

Ranganathan M, Heise L, MacPhail C, Stöckl H,

Silverwood RJ, Kahn K, Selin A, Gómez-Olivé FX,

Watts C and Pettifor A. ‘It’s because I like things…

it’s a status and he buys me airtime’: exploring the

role of transactional sex in young women’s

consumption patterns in rural South Africa

(secondary findings from HPTN 068). Reprod

Health. 2018;15:102. DOI: 10.1186/s12978-018-

-y.

Inanc H, Meckstroth A, Keating B, Adamek K, Zaveri H,

O’Neil S, McDonald K and Ochoa L. Factors

Influencing Youth Sexual Activity: Conceptual

Models for Sexual Risk Avoidance and Cessation.

OPRE Research Brief #2020-153. Washington, DC:

Office of Planning, Research, and Evaluation,

Administration for Children and Families, U.S.

Department of Health and Human Services. 2020.

Available at:

https://www.acf.hhs.gov/sites/default/files/document

s/opre/factors-influencing-youth-sexual-activity-dec2020_0.pdf. Accessed April 14, 2022.

Oden C. The Influence of Western Culture on the Nigerian

Youths. 2021. Available at:

https://www.projecttopics.org/the-influence-ofwestern-culture-on-the-nigerian-youths.html.

Accessed April 14, 2022.

Rettig EM, Fick SE and Hijmans RJ. The Female

Empowerment Index (FEMI): spatial and temporal

variation in women's empowerment in Nigeria.

Heliyon. 2020;6(5). DOI:

1016/j.heliyon.2020.e03829.

Adepoju A. Sexuality Education in Nigeria: Evolution,

Challenges and Prospects. Understanding Human

Sexuality Seminar Series 3. Africa Regional

Sexuality Resource Centre. 2005. Available at:

http://www.arsrc.org/downloads/uhsss/adepoju_sexe

d.pdf. Accessed April 14, 2022

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