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2015 ; 10
(7
): e0129106
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Differences in Sexual Practices, Sexual Behavior and HIV Risk Profile between
Adolescents and Young Persons in Rural and Urban Nigeria
#MMPMID26171859
Folayan MO
; Adebajo S
; Adeyemi A
; Ogungbemi KM
PLoS One
2015[]; 10
(7
): e0129106
PMID26171859
show ga
INTRODUCTION: We aimed to determine differences in sexual practices, HIV sexual
risk behaviors, and HIV risk profile of adolescents and young persons' in rural
and urban Nigeria. METHODOLOGY: We recruited 772 participants 15 to 24 years old
from urban and rural townships in Nigeria through a household survey. Information
on participants' socio-demographic profile (age sex, residential area, number of
meals taken per day), sexual practices (vagina, oral and anal sex; heterosexual
and homosexual sex; sex with spouse, casual acquaintances, boy/girlfriend and
commercial sex workers), sexual behavior (age of sexual debut, use of condom,
multiple sex partners, transactional sex and age of sexual partner), and other
HIV risk factors (use of alcohol and psychoactive substances, reason for sexual
debut, knowledge of HIV prevention and HIV transmission, report of STI symptoms)
were collected through an interviewer administered questionnaire. Differences in
sexual behavior and sexual practices of adolescents and HIV risk profile of
adolescents and young persons resident in urban and rural areas were determined.
RESULTS: More than half (53.5%) of the respondents were sexually active, with
more residing in the rural than urban areas (64.9% vs 44.1%; p<0.001) and more
resident in the rural area reporting having more than one sexual partner (29.5%
vs 20.4%; p = 0.04). Also, 97.3% of sexually active respondents reported having
vaginal sex, 8.7% reported oral sex and 1.9% reported anal sex. More male than
female respondents in the urban area used condoms during the last vaginal sexual
intercourse (69.1% vs 51.9%; p = 0.02), and reported sex with casual partners
(7.0% vs 15.3%; p = 0.007). More female than male respondents residing in the
rural area engaged in transactional sex (1.0% vs 6.7%; p = 0.005). More females
than males in both rural (3.6% vs 10.2%; p = 0.04) and urban (4.7% vs 26.6%;
p<0.001) areas self-reported a history of discharge. More females than males in
both rural (1.4% vs 17.0%; p = 0.04) and urban (15.0% vs 29.1%; p<0.001) areas
self-reported a history of itching. CONCLUSION: There are differences in the
sexual behavior and practices of adolescents and young persons' residing in the
urban and rural area with implication for HIV prevention programming.
|Adolescent
[MESH]
|Female
[MESH]
|HIV Infections/*epidemiology/transmission
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Nigeria/epidemiology
[MESH]
|Risk
[MESH]
|Rural Population/*statistics & numerical data
[MESH]
|Sexual Behavior/*statistics & numerical data
[MESH]
|Urban Population/*statistics & numerical data
[MESH]
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