The Effects of Health Education on Sexual Behavior and Uptake of HIV Counseling and Testing Among out of School Youths in a Nigerian Border Market

Sekoni, AO; Onajole, AT; Odeyemi, KO; Otoh, DO

doi:10.4314/jmt.v13i1.69327

Cited by 2 publications

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“…Five studies (n = 5,321) provided sufficient information to assess the association between alcohol consumption and sexual activity [33][34][35][36][37]. Alcohol use was associated with sexual activity such that participant who consumed alcohol were nearly four times as likely to have had sex (OR = 3.66, 95% CI = 3.09, 4.33; d+ = 0.71, 95% CI = 0.62, 0.81; Q = 1.06, p = .90, df = 4; I 2 = 0, 95% uncertainty limits = 0, 58).…”

Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

“…Alcohol use was associated with sexual activity such that participant who consumed alcohol were nearly four times as likely to have had sex (OR = 3.66, 95% CI = 3.09, 4.33; d+ = 0.71, 95% CI = 0.62, 0.81; Q = 1.06, p = .90, df = 4; I 2 = 0, 95% uncertainty limits = 0, 58). Similarly, alcohol use was associated with multiple sex partners such that participants who consumed alcohol were three times as likely to have had multiple sexual partners (OR = 3.22, 95% CI = 2.38, 4.36; d+ = 0.64, 95% CI = 0.48, 0.81; Q = 0.33, p = .90, df = 2; I 2 = 0, 95% uncertainty limits = 0, 87; n = 1,100; [37][38][39]). Alcohol use was negatively associated with condom use such that participants who consumed alcohol were two times as likely to have condomless sex or use condoms inconsistently (OR = 2.30, 95% CI = 1.54, 3.43; d+ = 0.46, 95% CI = 0.24, 0.68; Q = 0.89, p = .64, df = 2; I 2 = 0, 95% uncertainty limits = 0, 96; n=895; [37][38][39]).…”

Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

“…Similarly, alcohol use was associated with multiple sex partners such that participants who consumed alcohol were three times as likely to have had multiple sexual partners (OR = 3.22, 95% CI = 2.38, 4.36; d+ = 0.64, 95% CI = 0.48, 0.81; Q = 0.33, p = .90, df = 2; I 2 = 0, 95% uncertainty limits = 0, 87; n = 1,100; [37][38][39]). Alcohol use was negatively associated with condom use such that participants who consumed alcohol were two times as likely to have condomless sex or use condoms inconsistently (OR = 2.30, 95% CI = 1.54, 3.43; d+ = 0.46, 95% CI = 0.24, 0.68; Q = 0.89, p = .64, df = 2; I 2 = 0, 95% uncertainty limits = 0, 96; n=895; [37][38][39]). Finally, alcohol use was not associated with HIV (OR = 1.10, 95% CI = 0.49, 2.48; d+ = 0.05, 95% CI = −0.40, 0.50; Q = 7.24, p = .03, df = 2; I 2 = 72, 95% uncertainty limits = 7, 92; n=1,956; [40][41][42]) but the Q and I 2 tests suggests substantial heterogeneity between studies.…”

Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

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Alcohol Consumption, Risky Sexual Behaviors, and HIV in Nigeria: A Meta-Analytic Review

Okoro

Carey

Johnson

et al. 2019

CDRR

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Background: Alcohol consumption is associated with risky sex, which increases the risk of acquiring and transmitting HIV. Objective: To examine the prevalence of, and associations among alcohol, risky sex, and HIV, in Nigeria. Methods: We searched electronic databases and reviewed reference sections of relevant papers to locate studies that sampled people living in Nigeria and assessed both alcohol and sexual risk behavior. We calculated effect sizes to determine (a) prevalence of alcohol and sex behaviors and (b) associations between alcohol consumption and risky sex, and examined moderators to determine if sample characteristics predicted behavioral or biological outcomes. Results: Of the 696 unique records identified, 35 manuscripts reporting on 42 separate studies met the inclusion criteria. Participants in these studies (N = 83,350; M age = 26 years; 48% women; 10% HIV-infected) reported high rates of heavy drinking (63%) and low rates of consistent condom use (24%). One-third of participants (30%) also reported using alcohol before sexual activity. Participants who consumed alcohol were more likely to report sexual activity (OR = 3.66, 95% CI = 3.09, 4.33), multiple partners (OR = 3.22, 95% CI = 2.38, 4.36), and condomless sex or inconsistent use of condoms (OR = 2.30, 95% CI = 1.54, 3.43). Conclusion: High rates of heavy drinking and low rates of condom use have been well-documented in Nigeria. Results from this meta-analysis can be used to inform critically needed alcohol-related HIV interventions.

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Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

Section: Associations Between Alcohol Use and Sexual Risk Behaviorsmentioning

confidence: 99%

See 1 more Smart Citation

Alcohol Consumption, Risky Sexual Behaviors, and HIV in Nigeria: A Meta-Analytic Review

Okoro

Carey

Johnson

et al. 2019

CDRR

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Factors associated with unsafe sexual behavior among sexually active Chinese University students, Hebei Province, 2019

Ren

Zhou²,

Liu

2021

BMC Public Health

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Background Healthy sexual behavior is critical for controlling the HIV/AIDS epidemic among university students, particularly in regions with increasing infection rates among university students in China. Methods This study investigated the prevalence of unhealthy sexual behavior in the past 6 months and the associated demographic and psychosocial factors among sexually active Chinese university students. Self-identified sexually active Chinese university students were recruited for the study. Results The study found that most students used condoms inconsistently during sexual intercourse (54.8%), and logistic regression showed that condomless sex was associated with being raised by a single parent (AOR = 1.934, 95% CI 1.234–3.031) or by grandparents or others (AOR = 1.583, 95% CI 1.003–2.50) and with sometimes using dating apps (AOR = 1.496, 95% CI 1.106–2.024). The independent protective factors for condomless sex were HIV knowledge scores between 15 and 18 compared to scores of 0 to 4 (AOR = 0.434, 95% CI 0.244–0.771). Among sexually active university students, 15.5% reported that they had multiple sexual partners; having multiple sexual partners was associated with sometimes (AOR = 2.543, 95% CI 1.553–4.167) or always (AOR =4.048, 95% CI 2.177–7.527) using dating apps. Being female (AOR = 0.402, 95% CI 0.231–0.699) and in a relationship (AOR = 0.236, 95% CI 0.154–0.363) were protective factors against having multiple sexual partners. Conclusions There is an urgent need to promote HIV prevention and to implement psychosocial interventions by providing comprehensive sex education and access to condoms and health care on campuses to decrease the potential factors related to unhealthy sexual behaviors among university students.

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The Effects of Health Education on Sexual Behavior and Uptake of HIV Counseling and Testing Among out of School Youths in a Nigerian Border Market

Cited by 2 publications

References 0 publications

Alcohol Consumption, Risky Sexual Behaviors, and HIV in Nigeria: A Meta-Analytic Review

Alcohol Consumption, Risky Sexual Behaviors, and HIV in Nigeria: A Meta-Analytic Review

Factors associated with unsafe sexual behavior among sexually active Chinese University students, Hebei Province, 2019

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