American Journal of Medical Sciences and Medicine
ISSN (Print): 2327-6681 ISSN (Online): 2327-6657 Website: http://www.sciepub.com/journal/ajmsm Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Medical Sciences and Medicine. 2016, 4(1), 1-7
DOI: 10.12691/ajmsm-4-1-1
Open AccessArticle

Determinants of Age at Sexual Initiation among Nigerian Adolescents: A Study of Secondary Schools Students in a Military Barracks in Nigeria

Chinomnso C Nnebue1, , Uzoh C Chimah2, Chukwuma B Duru3, Amobi L Ilika4 and Taiwo O Lawoyin5

1Department of HIV Care and Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi, Nigeria

2Medical Department, Ministry of Defence Headquarters Abuja, Nigeria

3Department of Community Medicine, Imo State University/University Teaching HospitalOrlu, Nigeria

4Department of Community Medicine, Nnamdi Azikiwe University/University Teaching HospitalNAU/NAUTH, Nnewi, Nigeria

5Department of Preventive and Social Medicine, University College Hospital, Ibadan, Nigeria

Pub. Date: January 26, 2016

Cite this paper:
Chinomnso C Nnebue, Uzoh C Chimah, Chukwuma B Duru, Amobi L Ilika and Taiwo O Lawoyin. Determinants of Age at Sexual Initiation among Nigerian Adolescents: A Study of Secondary Schools Students in a Military Barracks in Nigeria. American Journal of Medical Sciences and Medicine. 2016; 4(1):1-7. doi: 10.12691/ajmsm-4-1-1

Abstract

Context: Adolescent sexual behavior is shaped by series of interlinking individual and family related factors. Information on how these factors influence early sexual debut could help in mounting programmatic strategies to modify adolescent sexual behavior. Objective: To determine the age at first sexual intercourse and its determinants among senior secondary schools students in Ojo military barracks, Lagos. Materials and methods: This was a cross-sectional study of 400 senior secondary schools students in Ojo military barracks, Lagos, selected using multistage sampling technique. Datawas collected using pretested, self- administered semi- structured questionnaires and analysed using statistical package for social sciences version 17. Tests of statistical significance were carried out using chi-square and t-tests. A p value of < 0.05 was considered significant. Results: The age group at which respondents had their first sexual intercourse ranged from10 to19 years, the mean ages are 14.1±1.2 and 13.4±1.5 for males and females, while the modal and median ages at first sexual intercourse for both gender are 11 and 12 years respectively with a cumulative frequency percent of 56.5. The girls initiated sex earlier than the boys (p= 0.001). Those brought up by one parent initiated sex at an earlier age (p= 0.000), while age of sex initiation increased with maternal (p= 0.000) and paternal education (p= 0.001). Conclusions: Age at sexual debut was found to be associated with younger age, gender, living with a one parent and parents’ educational status. We recommend formal comprehensive sex education programs targeted at delaying age at first sex.

Keywords:
adolescents determinants sexual initiation military barracks Lagos

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Upchurch DM, Levy-Storms L, Sucoff CA, Aneshensel CS. Gender and ethnic differences in the timing of first sexual intercourse. Family Planning Perspectives. 1998; 30(3):121-127.
 
[2]  Centers for Disease Control and Prevention (CDC). Trends in sexual risk behaviors among high school students- United States, 1991-1997. Morb Mortal Wkly Rep.1998; 47(36): 749-752.
 
[3]  Eggleston E, Jackson J, Hardee K. Sexual attitudes and behavior among young adolescents in Jamaica. IntFam Plan Perspect. 1999: 25(2), 78-84.
 
[4]  Ekundayo OJ, Dodson-Stallworth J, Roofe M, Aban IB, Bachmann LH, Ehiri J, et al., The determinants of sexual intercourse before age 16 years among rural Jamaican adolescents. The Scientific World Journal: Child Health & Human Development. 2007; 7(94): 493-503.
 
[5]  Alexander E, Rickner J. First coitus for adolescents: Understanding why and when. J Am Board Fam Pract.1997;10:96-103.
 
[6]  Brewster KL, Billy JOG, Grady WR, Social context and adolescent behavior: the impact of community on the transition to sexual activity, Social Forces. 1993; 71(3):713-740.
 
[7]  Seidman SN, Mosher WD, Aral SO. Predictors of high-risk behavior in unmarried American women: adolescent environment as a risk factor, Journal of Adolescent Health. 1994; 15(2): 126-132.
 
[8]  Mmbaga EJ, Leonard F, Leyna GH. Incidence and predictors of adolescent's early sexual debut after three decades of HIV interventions in Tanzania: A time to debut analysis. PLoS ONE 2012, 7(7): 1-9.
 
[9]  Masatu MC, Kazaura MR, Ndeki S, Mwampambe R. Predictors of risky sexual behavior among adolescents in Tanzania. AIDS and Behaviours. 2009; 13: 94-99.
 
[10]  World Health Organization (WHO).Helping parents in developing countries improve adolescents’ health. WHO publication. 2004. p 4.
 
[11]  Doyle AM, Weiss HA, Maganja K, Kapiga S, McCormack S, Watson-Jones D, et al. The long-term impact of the MEMA kwaVijana adolescent sexual and reproductive health intervention: effect of dose and time since intervention exposure. PloS ONE.2011; 6: e24866.
 
[12]  World Health Organization. Reproductive health through schools in low income countries: an information brief Geneva. World Health Organization. 2008. Available at http://whqlibdoc.who.int/. Accessedon June 17, 2015.
 
[13]  United Nations Populations Fund (UNFPA). Generation of change: Young people and culture, youth supplement to state of the world. New York. 2008; 5(8):1-13.
 
[14]  Slap GB, Lot L, Huang B, Daniyam CA, Zink TM, Succop PA. Sexual behavior of adolescents in Nigeria: cross sectional survey of secondary school students. BMJ. 2003;326:15
 
[15]  Adegoke AA. Adolescent in Africa: revealing the problems of teenagers in contemporary African society. Ibadan: Hadassah publishing, 2003; p 1-7.
 
[16]  Imaledo JA, Peter-Kio OB, Asuquo EO. Pattern of risky sexual behavior and associated factors among undergraduate students of the University of Port Harcourt, Rivers State, Nigeria. Pan African Medical Journal. 2012; 9:97.
 
[17]  Araoye MO. Research methodology with statistics for health and social sciences. Nathadex Publications, saw-mill, Ilorin 2nd ed.2008: p 115- 122.
 
[18]  Statistical Package for Social Sciences (IBM SPSS) 17.0 version. United States; 2010.
 
[19]  Federal Ministry of Health (FMOH), World Health Organization (WHO), Nigeria. Adolescent sexuality and reproductive health. Grange A, Odemwingwe T, Oyeledun B, editors. Training manual and facilitator's guide. Lagos: Fidel Enterprises, 1999; p. 1-198.
 
[20]  National Population Commission (NPC) Nigeria and ORC Macro Nigeria, Nigeria Demographic and Health Survey 2003. Calverton, Maryland: National Population Commission and ORC/ Macro. 2004; p 51-197.
 
[21]  Duru CB, Ubajaka CF, Nnebue CC, Ifeadike CO, Okoro OP. Sexual behaviour and practices among secondary school adolescents in Anambra State Nigeria. AfmedJ.2010; (1) 2: 22-27.
 
[22]  Omobuwa O, Asekun-Olarinmoye EO, Olajide FO. Knowledge and perception of reproductive health services among in-school adolescents in Ile-Ife, Osun State, Nigeria. Journal of Medicine and Medical Sciences. 2012; 3(7): 481-488.
 
[23]  Cherie A, Berhane Y. Knowledge sexually transmittd infections and barriers to seeking health services among high school adolescents in Addis Ababa, Ethopia. J AIDS Clinic Res. 2012;3:153.
 
[24]  deIrala J, Carlos S, Ruiz-Canela M, López-del Burgo C. Mean age of first sex: Do they know what we mean? Arch Sex Behav. 2011; 40(5): 853-855.
 
[25]  Chartsbin statistics collector. Average age at first sex by country. 2008. Accessed online @ http://chartsbin.com/view/xxj on 08.05.15.
 
[26]  Olugbenga-Bello A, Wasiu O Adebimpe WO, Abodunrin OL. Sexual risk behavior among in-school adolescents in public secondary schools in a southwestern City in Nigeria. International Journal of Health Research,.2009; 2(3): 243-251.
 
[27]  Mathews C, Aaro LE, Grimsrud A, Flisher AJ, Kaaya S, Onya H, et al. Effects of the SATZ teacher-led school HIV prevention programmes on adolescent sexual behaviour: cluster randomised controlled trials in three sub-Saharan African sites. Trop Med Int Health. 2012;4:111-122.
 
[28]  Maswanya ES, Moji K, Aoyagi K, Takemoto T. Sexual behavior and condom use in female students in Dar-es-Salaam, Tanzania: differences by steady and casual partners. East Afr J Public Health. 2011:8: 69-76.
 
[29]  Hipwell AE, Keenan K, Loeber R, Battista D. Early predictors of sexually intimate behaviors in an urban sample of young girls. Developmental Psychology. 2010;46(2): 366-378.
 
[30]  Longmore MA, Eng AL, Giordano PC, Manning,WD, Buehler C. Parenting and adolescents' sexual initiation. Journal of Marriage and Family. 2010;71(4): 969-982.
 
[31]  Manlove J, Logan C, Moore K,Ikramullah E. Pathways from family religiosity to adolescent sexual activity and contraceptive use. Perspectives on Sexual and Reproductive Health,2008; 40, 105-117.
 
[32]  Whitbeck LB, Conger R, Kao M. The influence of parental support, depressed affect, and peers on the sexual behavior of adolescent girls, Journal of Family Issues, 1993, 14(2):261-278
 
[33]  Fergusson DM, Horwood LJ, Lynskey MT, Parental separation, adolescent psychopathology, and problem behaviors, Journal of the American Academy of Child and Adolescent Psychiatry, 1994; 33(8): 1122-1131.
 
[34]  Commendador KA. Parental influences on adolescent decision making and contraceptive use. Pediatric Nursing, 2010: 36(3):147-156 .
 
[35]  Bastien S, Kajula LJ, Muhwezi WW. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod Health. 2011; 8: 25.
 
[36]  DiClemente RJ, Wingood GM, Crosby R, Cobb BK, Harrington K, et al. Parent-adolescent communication and sexual risk behaviors among African American adolescent females. J Paed. 2001;139: 407-412.
 
[37]  Price M, Hyde J. When two isn't better than one: Predictors of early sexual activity in adolescence using a cumulative risk model. Journal of Youth and Adolescence, 2009;38(8): 1059-1071.
 
[38]  Envuladu EA, Agbo HA, Ohize VA, Zoakah AI. Social factors associated with teenage sexual behavior: A risk factor for STI/HIV among female adolescents in a rural Community in Plateau State, Nigeria. Journal of Medical Research. 2013; 2(2):117-122.
 
[39]  Overturf JV, Downs B. Adolescent behaviour and family relationships. Presentation: Annual meeting of the Population Association of America. Mineapolis. 2003:p 1-8. Accessed online @ http:// www.census.gov/spd/workpaper/Adolescent_Behavior_ Family.pdf on 08/05/15.