Multiple sexual partnership mediates the association between early sexual debut and sexually transmitted infection among adolescent and young adult males in Nigeria

Department of Community Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
The European Journal of Contraception and Reproductive Health Care (Impact Factor: 1.39). 04/2009; 14(2):134-43. DOI: 10.1080/13625180802601110
Source: PubMed


To assess the relationship between early sexual debut, risky sexual behaviours and sexually transmitted infections (STIs) among young males.
The study was cross-sectional analytical in design and involved 1278 Nigerian males aged 15-24 years. Logistic regression was used in assessing the statistical relationship between early sexual debut (<16 years) and self-reported STIs (history of at least one of three symptoms - painful urination, genital discharge, and genital ulcer/sore - within the past 12 months), with demographic factors, sexual behaviours and psychosocial measures controlled for.
The prevalence of self-reported symptoms was 4.2% for genital discharge, 4.1% for painful urination, and 2.0% for genital sore/ulcer. Overall, 6.8% had STI symptom(s). At bivariate analysis, early sexual debut (p = 0.021), multiple partners (p < 0.001), concurrent partners (p = 0.002), and sex with casual/commercial partners (p = 0.013) were associated with STIs. At multivariate analysis, early sexual debut (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.17-3.84) remained significantly associated with STIs. Multiple sexual partnership (OR = 2.00, 95% CI = 1.13-3.52) was also significantly associated with STIs, and is a mediator of the association between early debut and STI.
Multiple sexual partners and early sexual debut are associated with STIs among adolescent and young adult males.

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    • "Health behavior research to date has examined how the debut of specific risk behaviors among youth is predictive of various negative health outcomes among those individuals later in life as adults [6] [7] [8] [9] [10] [11] [12] [13] [14] [15]. For example, early sexual debut has been linked to short-term negative outcomes such as higher levels of depression among adolescents [16] and delinquency [17], as well as longer-term negative outcomes including lowered expectations for pursuing higher education [18] [19], poorer ISRN AIDS academic performance [20], less consistent contraceptive use [21], unintended pregnancies [14], increasingly risky sexual behaviors [22] [23] [24] [25] [26] [27] [28] [29] [30] [31] [32] [33] [34] [35], and likelihood of having multiple partners [36] [37] [38]. Conversely, other studies indicate that the delay of sexual initiation tends to be protective of future risk behavior [3] [16] [18] [39]. "
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    ABSTRACT: Researchers examining injection drug users (IDUs) in drug treatment have been trying for decades to determine the optimal way to intervene to prevent the transmission and spread of human immunodeficiency virus (HIV) in this population. Although efficacious HIV risk reduction interventions are widely available, questions remain about what specific factors are most related to HIV risk behavior and defined as unprotected sexual activity and/or high risk drug use. This review involved an evaluation of the research literature in order to better understand the association between drug use and sexual behavior debut on HIV risk behavior. Findings suggest that drug use debut and sexual behavior debut may be related to subsequent HIV risk behavior. Evidence to date implies that intervening at an earlier age to assist youth to avoid or delay these high risk behaviors may be an additional means of reducing subsequent HIV risk.
    12/2013; 2013(4):976035. DOI:10.1155/2013/976035
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    • "Involvement in multiple sexual partnerships is a major indicator of risky sexual behaviour in that such relationships have greater potential of exposing partners to dreadful consequences such as the risk of HIV/AIDS infection and other sexually transmitted diseases (Boyce et al. 2003; McKay 2004; Maticka-Tyndale 2007; Fatusi and Wang 2009; Gyimah et al. 2010c). Accordingly, the prevalence of multiple sexual partnerships in any population represents a potential health threat to its wellbeing. "

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    Lung Vu ·
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    ABSTRACT: Using couple data from a national survey, this article examines couple's characteristics associated with extramarital sex among Nigerian men. We found 15.4% of married men had extramarital sex in the past 12 months. Extramarital sex was significantly associated with men's attitude toward extramarital sex (OR = 1.7 [1.4–3.0]), early sexual debut (OR = 1.9 [1.6–2.3]), alcohol use (OR = 1.7 [1.4–2.1]), and intimate partner violence against wife (IPV) (OR = 1.4 [1.2–1.7]). Increased wife's education was associated with decreased husband's extramarital sex. Men living in rural areas and in the Central and Southern regions were also more likely to have extramarital sex. The findings suggest useful implications for HIV prevention programs in Nigeria. Interventions should focus on influencing social norms around protective behaviors for men to avoid risks associated with extramarital sex and IPV, helping men to change attitudes toward extramarital sex and IPV, and promoting delay in age at first sex among young men.
    International Journal of Sexual Health 01/2011; 23(4):258-268. · 0.36 Impact Factor
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