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Knowledge and Behavioural Intentions for Intergenerational Sexual Relationships among Young Female Students in a Pre-Varsity Institution in Southwest Nigeria | ||
Women’s Health Bulletin | ||
دوره 7، شماره 3 - شماره پیاپی 26، مهر 2020، صفحه 18-26 اصل مقاله (597.69 K) | ||
نوع مقاله: Research Article | ||
شناسه دیجیتال (DOI): 10.30476/whb.2020.87315.1069 | ||
نویسندگان | ||
Sunday Joseph Ayamolowo1؛ Love Bukola Ayamolowo* 2؛ Esther Kikelomo Afolabi2 | ||
1Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Nigeria | ||
2Medical and Health Services, Obafemi Awolowo University, Ile-Ife, Nigeria | ||
چکیده | ||
Background: Sexual relationship between young women and older men is a major contributor to women’s risk of HIV/AIDS and other sexually transmitted infections (STIs). This study assessed the knowledge, attitude, and behavioural intentions for intergenerational sexual relationships (IGS) among young female students in Nigeria. Methods: We conducted study between July and August 2018 using a descriptive cross-sectional design. Using convenience sampling method, we selected 160 young female students enrolled in a Joint Universities Pre-Degree Educational Programme in a Nigeria university. For data collection, we employed a self-report questionnaire. Data were analysed by use of a Chi-square test. Alpha was set at 5%. Results: The study revealed that 60% of the respondents had a moderate level of knowledge regarding IGS. More than half (56.3%) of the respondents had indifferent attitudes towards IGS. About two-thirds (62.5%) of the respondents had a moderate level of behavioural intentions. The main motive of young girls for IGS was to get money and gifts (83.8%). There was a significant association between monthly stipend (P≤0.0001), level of knowledge (P≤0.0001), attitude (P≤0.0001), and overall behavioural intentions to practice IGS among the students. Conclusion: The study concluded that female students had a moderate level of behavioural intentions to practice intergenerational sexual relationships. There is a need for appropriate health interventions that will address both present and future engagement in intergenerational sexual relationships among young women and prevent negative health outcomes from unsafe sex among this age group. | ||
کلیدواژهها | ||
Transactional sex؛ Adolescent؛ Young women؛ Sexually transmitted infections؛ Sexual behaviour | ||
مراجع | ||
1. Anema A, Marshall BD, Stevenson B, Gurm J, Montaner G, Small W, et al. Intergenerational sex as a risk factor for HIV among young men who have sex with men: a scoping review. Curr HIV/AIDS Rep. 2013;10:398-407. doi: 10.1007/s11904-013-0187-3. [PubMed: 24272070]; [PubMed Central: PMC4727934]. ## 2. Harling G, Newell ML, Tanser F, Kawachi I, Subramanian SV, Bärnighausen T. Do age-disparate relationships drive HIV incidence in young women? Evidence from a population cohort in rural KwaZulu-Natal, South Africa. J Acquir Immune Defic Syndr. 2014;66:443-51. doi: 10.1097/QAI.0000000000000198. [PubMed: 24815854]; [PubMed Central: PMC4097949]. ## 3. UNFPA, UNESCO, WHO. Sexual and Reproductive Health of Young people in Asia and the Pacific: A review of issues, policies and programmes. 2015; Bangkok: UNFPA. ## 4. Shiferaw Y, Alemu A, Girma A, Getahun A, Kassa A, Gashaw A, et al. Assessment of knowledge, attitude and risk behaviours towards HIV/AIDS and other sexual transmitted infection among preparatory students of Gondar town, North-West Ethiopia. BMC Research Notes. 2011;4:505 -512. doi. org/10.1186/1756-0500-4-505. ## 5. Shrestha R, Karki P, Copenhaver M. Early Sexual Debut: A risk factor for STIs/HIV acquisition among a nationally representative sample of adults in Nepal. J Community Health. 2016;41:70-7. doi: 10.1007/s10900-015-0065-6. [PubMed: 26184108]; [PubMed Central: PMC4715759]. ## 6. Kassahun EA, Gelagay AA, Muche AA, Dessie AA, Kassie BA. Factors associated with early sexual initiation among preparatory and high school youths in Woldia town, northeast Ethiopia: a cross-sectional study. BMC Public Health. 2019;19:378. doi: 10.1186/s12889-019-6682-8. [PubMed: 30947690]; [PubMed Central: PMC6450012]. ## 7. Muche AA, Kassa GM, Berhe AK, Fekadu GA. Prevalence and determinants of risky sexual practice in Ethiopia: Systematic review and Meta-analysis. Reprod Health. 2017;14:113. doi: 10.1186/s12978-017-0376-4. [PubMed: 28877736]; [PubMed Central: PMC5588747]. ## 8. UNICEF. HIV and AIDS in adolescents. c2019- [cited 2020 Jul 5]. Available from: https://data.unicef.org/topic/adolescents/hiv-aids/.## 9. Avert.org. Young people, HIV and AIDS. c2020- [cited 2020 May 20]. Available from: https://www.avert.org/professionals/hiv-social-issues/key-affected-populations/young-people. 10. NACA. National HIV Strategy for Adolescents and Young People – NACA Nigeria. c2016- [cited 2020 Mar 23]. Available from: https://naca.gov.ng/national-hiv-strategy-adolescents-young-people/.## 11. Beauclair R, Dushoff J, Delva W. Partner age differences and associated sexual risk behaviours among adolescent girls and young women in a cash transfer programme for schooling in Malawi. BMC Public Health. 2018;18:403. doi: 10.1186/s12889-018-5327-7. PubMed: 29587710]; [PubMed Central: PMC5872581]. ## 12. National Population Commission. Nigeria Demographic and Health Survey. Calverton, MD: National Population Commission and ORC/Macro. c2013- [cited 2020 Apr 20]. Available from: https://dhsprogram.com/pubs/pdf/FR293/FR293.pdf. ## 13. Bantebya G, Ochen E, Pereznieto P, Walker D. Cross-generational and transactional sexual relations in Uganda: Income poverty as a risk factor for adolescents. Overseas Development Institute, London. Available from: http://www.refworld.org/pdfid/547ed63c4.pdf. ## 14. Dana LM, Adinew YM, Sisay MM. Transactional Sex and HIV Risk among Adolescent School Girls in Ethiopia: Mixed Method Study. Biomed Res Int. 2019;2019:4523475. doi: 10.1155/2019/4523475. [PubMed: 31346517]; [PubMed Central: PMC6620836]. ## 15. Toska E, Cluver LD, Boyes M, Pantelic M, Kuo C. From ‘sugar daddies’ to ‘sugar babies’: exploring a pathway among age-disparate sexual relationships, condom use and adolescent pregnancy in South Africa. Sex Health. 2015;12:59-66. doi: 10.1071/SH14089. [PubMed: 25702156]; [PubMed Central: PMC4546918]. ## 16. Ranganathan M, Kilburn K, Stoner MCD, Hughes JP, MacPhail C, Gomez-Olive FX, et al. The mediating role of partner selection in the association between transactional sex and HIV incidence among young women. J Acquir Immune Defic Syndr. 2020;83:103-110. doi: 10.1097/QAI.0000000000002225. [PubMed: 31714368]; [PubMed Central: PMC6970545]. ## 17. Folayan MO, Adebajo S, Adeyemi A, Ogungbemi KM. Differences in sexual practices, sexual behavior and hiv risk profile between adolescents and young persons in rural and urban Nigeria. PLoS One. 2015;10(7):e0129106. doi: 10.1371/journal.pone.0129106. [PubMed: 26171859]; [PubMed Central PMC4501747]. ## 18. National Agency for Control of AIDS. Global AIDS Response Country Progress Report. Federal Republic of Nigeria, Abuja. 2015. ## 19. Fetene N, Mekonnen W. The prevalence of risky sexual behaviours among youth center reproductive health clinics users and non-users in Addis Ababa, Ethiopia: A comparative cross-sectional study. PLoS One. 2018;13(6):e0198657. doi: 10.1371/journal.pone.0198657. [PubMed: 29879164]; [PubMed Central: PMC5991709]. ## 20. UNAIDS. Transactional sex and HIV risk: From analysis to action. Joint United Nations Programme on HIV/AIDS, Avenue Appia, 1211 Geneva 27 Switzerland. c2018 [updated 2017 Dec; cited 2020 Jul. 08]: Available from: https://www.unaids.org/sites/default/files/media_asset/transactional-sex-and-hiv-risk_en.pdf. ## 21. Ranganathan M, MacPhail C, Pettifor A, Kahn K, Khoza N, Twine R, et al. Young women’s perceptions of transactional sex and sexual agency: a qualitative study in the context of rural South Africa. BMC Public Health. 2017;17:666. doi: 10.1186/s12889-017-4636-6. PubMed: 28830394]; [PubMed Central: PMC5568133]. ## 22. Bhatta D, Koirala A. Adolescent students’ attitude towards premarital sex and unwanted pregnancy. Health Renaissance. 2013; 11:145-149. doi: 10.3126/hren.v11i2.8222. ## 23. Nilsson B, Edin K, Kinsman J, Kahn K, Norris SA. Obstacles to intergenerational communication in caregivers’ narratives regarding young people’s sexual and reproductive health and lifestyle in rural South Africa. BMC Public Health. 2020;20:791. doi: 10.1186/s12889-020-08780-9. [PubMed: 32460806]; [PubMed Central: PMC7251858]. ## 24. Aji J, Aji M, Ifeadike C, Emelumadu O, Ubajaka C, Nwabueze S, et al. Adolescent Sexual Behaviour and Practices in Nigeria: A Twelve Year Review. Afrimedic Journal. 2013; 4:10-16. ## 25. Wamoyi J, Heise L, Meiksin R, Kyegombe N, Nyato D, Buller AM. Is transactional sex exploitative? A social norms perspective, with implications for interventions with adolescent girls and young women in Tanzania. PLoS One. 2019;14:4:e0214366. doi: 10.1371/journal.pone.0214366. [PubMed: 30939145]; [PubMed Central: PMC6445416]. ## 26. Ranganathan M, Heise L, MacPhail C, Stöckl H, Silverwood RJ, Kahn K, et al. ‘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/s12978-018-0539-y. [PubMed: 29843814]; [PubMed Central: PMC5972444]. ## 27. Godin G, Kok G. The Theory of Planned Behaviour: A Review of its applications to health-related behaviours. American Journal of Health Promotion. 1996;11(2)87-98. doi:10.4278/0890-1171-11.2.87. ## | ||
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