Knowledge of HIV and Intention to Engage in Risky Sexual Behaviour and Practices among Senior School Adolescents in Ibadan, Nigeria (original) (raw)
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International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 2019
The adolescents and young adults constitute a high risk group for HIV infection due to their common involvement with risky sexual behavioural practices. This study was carried out to assess the basic knowledge of HIV and also identify the risky sexual behavioural practices for infection among studied adolescents and young adults. A self-administered structured questionnaire containing 15 items on demographics, knowledge of HIV/AIDS and risky sexual behavioural practices that may predispose to new infections was completed by respondents and used for data collection. Participation in this survey was voluntary and anonymous among selected adolescents and young adults. One hundred and forty four (144) out of 160 questionnaires that were shared among the adolescents and the youth were completed and returned giving a response rate of 90%. The study population was aged 10-24 years and majority of the respondents 90 (62.5%) were in the age group 21-24 years while their mean age was 18±3.9 years. There was good awareness about HIV and its routes of transmission among respondents (96%). The mean age of sexual debut was 15±5.2 years. Condom use among the sexually active respondents was low 33 (22.9%). Thirteen (9.0%) of the respondents were involved with casual unprotected sex while 59% of respondents had taken HIV tests. The knowledge of HIV transmission was good while risky sexual behavioural practices for new infections such as early sexual debut, low condom use and low uptake of counseling and testing services with resultant lack of knowledge of personal HIV status, keeping multiple sex partners, were prevalent among studied adolescents and young adults in Lagos, Nigeria.
Global Journal of Health Science, 2019
OBJECTIVE: The study investigated the secondary school adolescents’ perception of risk behaviours influencingHIV and AIDS prevention and control in Enugu State, Nigeria. METHOD: The study was a descriptive survey research. A sample of 825 senior secondary secondary school adolescents was selected. Three research questions and two hypotheses guided the study. Mean and Standard deviation was used to answer the research questions while t-test was used to test the hypotheses at 0.05 levels of significances. RESULTS: Results showed that there is a moderate level of HIV/AIDS risk perception among secondary school adolescents, a moderate level of HIV/AIDS risk perception among the male and female secondary school adolescents and also a moderate level of HIV/AIDS risk perception among the urban and rural secondary school adolescents. It further revealed that there is no significant difference between the mean rating of male and female secondary school adolescents in respect to their H...
International Journal of High Risk Behaviors and Addiction
Background: Globally, an estimated 4 million of the 35 million people living with HIV are between the ages of 15 and 24. Nigeria has the second largest burden of HIV worldwide with an estimated 3.2 million individuals living with HIV/AIDS. The prevalence of HIV among adolescents in Nigeria is 3.5%, which is the highest among countries in West and Central Africa. Although insufficient or a complete lack of knowledge about HIV has been identified as a major barrier to HIV prevention efforts, no study has been conducted to evaluate HIV knowledge, identify deficiencies in knowledge, or examine the relationship between HIV knowledge and risky sexual behaviors (RSB) among adolescents in senior secondary school (high school) in Nigeria. Objectives: The purpose of this study was to evaluate HIV knowledge, identify deficiencies in knowledge, and examine the relationship between HIV knowledge and RSB among adolescents in senior secondary schools (high schools) in Nigeria. Patients and Methods: We conducted a cross-sectional survey with a stratified random sample of 361 adolescents from nine senior secondary schools (SS) in Jos Plateau state Nigeria. We used the HIV-KQ-18 survey questionnaire to assess HIV related knowledge and RSB was assessed using the Brief HIV Screener (BHS) questionnaire. Descriptive statistics including mean and standard deviation and multiple linear regression were performed using the SPSS 21. Significance for the statistical test was set at P < 0.05. Results: Overall, 361 participants completed the survey. Forty-seven percent were males and 53% were females with a mean age of 16.9. HIV knowledge (t =-3.3, P < 0.01), age (t = 3.4, P < 0.01) and gender (t =-2.3, P < 0.01) were identified as significant predictors of RSB with female participants having lower RSB scores. An inverse relationship was identified between HIV knowledge and RSB, while a positive relationship existed between RSB and age. Deficiencies in HIV knowledge and misconception about HIV transmission were identified. Conclusions: Adolescents in this study with higher HIV knowledge had low RSB, indicating the importance of including interventions to increase HIV knowledge in HIV prevention programs. Misconceptions about casual means of HIV transmission need to be clarified, and culturally stigmatizing myths about HIV transmission need to be debunked among adolescents in Nigeria.
Asian Journal of Research in Infectious Diseases, 2020
Adolescents and youths are at high risk due to knowledge gap and behavior risks related to HIV. Despite the well-known need for protection from HIV infections and other reproductive health risks, being an adolescent coupled with social and economic status could limit access to information and services. This is a study to ascertain the HIV/AIDS Knowledge and behaviour-risk among in-school adolescents and youths in Ebonyi State, Nigeria. It is a descriptive cross-sectional study involving1831 in-school adolescents selected by multi-stage sampling technique. Females showed higher knowledge at 52.2±20.1 than males at 47.5±20.3 (p<0.001). Also the urban youths had higher knowledge (47.1±20.8) than rural schools (41.3±20.3). Conversely, males displayed higher behaviour risk at 44.8±24.5 than the female at 39.9±24.6 (p<0.001). Highest behaviour risk was observed in age group 16-20 years (51.2±25.8). Schools in urban setting had higher behaviour risk (56.1±25.5) than rural schools (41.3±23.7), while knowledge of HIV Original Research Article Chizoba et al.; AJRID, 5(4): 27-39, 2020; Article no.AJRID.63510 28 transmission was highest as 63.8% of the respondent scored ≥50 in 5 HIV questions on knowledge of transmission. Also 48% (370) of the 778 participants who ever had sex had used condom while 50% (915/1831) of the study population were willing to abstain from sex till marriage. There is a strong need for appropriate regular and intensified HIV/AIDS risk reduction interventions to capture the attention of youths especially males, and to ensure sustainable and effective outcomes in secondary schools of Ebonyi state Nigeria.
Adolescents HIV risk perception and sexual behaviour in Lagos Metropolis, Nigeria
IFE PsychologIA, 2011
Previous studies on the association between HIV risk perc ption and sexual behaviour limited classific tion of risk perc ptlon to low and high, and their findings re largely mixed. This study seeks to contribute to knowledge on this association through the inclusion of the reasons why respondents indicate certain risk per eptions in the analysis. Data were gener ted through a survey conducted among adolescent boys and girls in Lagos Metropolis between December, 2009 and February, 2010. Bivariate and multivariate nalyses rev al that at least 70% of both girls and boys per eived that they were at low risk of HIV. Majority of those who perceived they were at high risk of the infection were found more likely to be sexually active and involved in risky sexual behaviours such as mu tiple sexual partnerships. Higher proportion of boys indicated involvement in Virtually all the risky sexual behaviours irrespective of their risk perception and reasons. Interventions should focus on other channels of behaviour change towards curbing HIV among adolescents instead of campaigns to raise the level of risk perception among young people.
HIV AIDS Risk Behavioural Tendencies Among Secondary School Students In Gombe (Nigeria)
Internet Journal of Mental Health
A cross sectional survey of HIV/AIDS risk behavioural tendencies among in-school youths, was conducted in Gombe metropolis, Nigeria. A total of 400 respondents were selected using multistage sampling technique, but only 395 of completed questionnaires were finally found usable. The subjects were in the ratio of 50.8% males to 49.2% females and their ages ranged between <13 and 24 years. Although, almost all of them (98.4%) ever heard of HIV/AIDS before and majority (88.9%) have heard of condom, sex-related risky behaviours were still prevalent among them. This includes multiple sex partners in the last one year (10.5%), multiple life-time sex partners (14.1%), low rate of condom use in last sex (22.7%), sex in exchange for money or favour (9.8%), early sexual debut at less than 13 (18.8%), sex with female sex workers (12.2%) and diagnosed with STDs (6.8%). This scenario calls for urgent intervention measures such as HIV/AIDS school education programmes in the state and region.
This study examined the impact of HIV/AIDS knowledge on young people's sexual risk behaviours in Makurdi metropolis. A cross sectional survey design was adopted for the study. Three hypotheses were formulated for testing. A total of 450 questionnaires were administered to young people in Makurdi Public Schools using a standardized questionnaire developed by Carey and Schroder, (2002) to measure HIV 1 Knowledge and the HIV sexual risk behaviour scale developed by Berger (2001) was used to measure young peoples' sexual risk behaviour in Makurdi. A purposive sampling technique was used to select five schools within the zones. A systematic random sampling was used to randomly select students across the classes of the public schools. The participants include students of three secondary schools and two post-secondary institutions. Descriptive statistics was used to characterize the study population and the hypotheses were tested using the paired sample test, linear regression analysis and independent t-test analysis performed with the SPSS software (version 17). Results obtained revealed that there is no significant difference in sexual risk behavior due to young people's level of HIV knowledge [t (449) =-4.19; P >.05]. Level of education has a significant prediction on the sexual risk behaviours amongst young one (β= 13.96, t = 18.913; P < .05) and there is a significant difference in sexual risk behavior between those within the ages of 11-18 years and those between the ages bracket of 19-26 years. Based on these findings, it was recommended that Parents, caregivers, health professionals and teachers should be sensitized about the sexual risk behaviours among young people so that they can be more involved in teaching them the same.
African Population Studies, 2014
HIV/AIDS prevalence among Nigerian youth remains one of the highest in the world. Although studies confirmed a high knowledge of HIV among Nigerian youth, there is a lag in linking HIV/AIDS knowledge with protective sexual behaviour. The study utilized data from the Nigeria 2007 National HIV/AIDS and Reproductive Health Survey (NARHS). Analysis was on 865 sexually active adolescents. About 75% of adolescents had good knowledge of HIV/AIDS. Logistic regression models showed that HIV knowledge was significant predictor of non-use of condom (OR=2.34; p=0.041) and accepting gifts for sex (OR=2.02 p=0.043) among male, and predictor of multiple sexual partners (OR=1.30; p=0.023) among females. Regardless of HIV knowledge, higher education, older age at first sex, higher wealth index and urban residency are significant predictors of engagement in non-protective sexual behaviour. The study concludes that high knowledge of HIV/AIDS is not statistically significant in HIV protective attitudes among adolescents.
Sexual risk behavior and HIV infection among adolescents in secondary schools in Jos, Nigeria
Nigerian Journal of Paediatrics, 2014
Background: In adolescents sexual risk behaviours are believed to enhance the transmission of HIV infection. This study, therefore aims to examine prevalent sexual risk behaviours of adolescents in secondary schools in a town in northern Nigeria and its relation to HIV infection. Method: A total of 883 subjects drawn from 10 schools out of 37, were recruited for the study. Structured self administered questionnaire was given to each subject. Consenting subjects received group pretest counseling and had HIV screening using Determine HIV test kits. HIV positive subjects had confirmatory test using Unigold test kit. Result: Males accounted for 42.5% (374) out of the 883 students studied. Of this, 169 (19.2%) were sexually active. Mean age at sexual debut was 13.8±2.9 years; 13.3±2.7 years for males and 14.6±3.2 years for females, p=0.006. Males 101 (27%) were more sexually experienced as against 13.4% of the females, p<0.0001. Among the sexually active37.6% had two or more sex partners, and 63.9% of them never used condoms. In the sexually active, 54 (42.5%) had nonconsensual sex (NCS), with more of NCS occurring in younger subjects p<0.0001, more females p<0.0001, associated with less condom use (p=0.02). Nine (eight females and one male) of the 883 subjects tested HIV positive. among the sexually active subjects, only four tested HIV positive. Condom use among the sexually active, HIV positive subjects was 25%. Conclusion: Prevalent sexual risk behaviors noted were early sexual debut, nonconsensual sex, unprotected sex and multiple sex partners.
The European Journal of Contraception and Reproductive Health Care, 2008
Objective To determine the knowledge, attitude and sexual behaviour of students in a tertiary institution in south western Nigeria with regard to HIV/AIDS. Methods Descriptive cross-sectional survey conducted between January and March 2005. Information was collected from 368 students of a tertiary institution in Ede, Osun State, Nigeria. Participants were selected by a multi-stage sampling method and data obtained using a semi-structured pre-tested questionnaire. Results Most (89.4%) respondents were aware of the existence of HIV/AIDS, and knew the aetiology, routes of transmission, signs and symptoms, and preventive measures against the disease. While a little over half (59.8%) of the respondents revealed that they could hug people with HIV/AIDS, one out of four (27.2%) stated that these persons should be isolated from the community. Less than a quarter (22.3%) of the respondents believed that they were vulnerable to HIV/AIDS. More than half (58.2%) had ever had sex; the mean age at their first sexual exposure (for all respondents) was 16.7 + 4.4 years. Almost half (48.2%) of the 191 currently sexually active respondents had multiple sexual partners. Of the sexually active respondents, 75.9% claimed to have ever used condoms; among these, male respondents were more likely to have ever used condoms than their female counterparts (p 5 0.05). Conclusion The study revealed a gap in the knowledge of HIV/AIDS and an inappropriate sexual behaviour among respondents. Meaningful strategies, such as an innovative and culturally sensitive adolescent sexual and reproductive health programme that focuses on modification of sexual behaviour should be adopted to allow young people to prevent transmission of the HIV/AIDS virus.