Sexual Behaviour and Determinants of Reproductive Health Services Utilization Among Young People in a Rural Nigerian Community
Bibliographic record
Abstract
Background: Adolescents in West Africa face humungous sexual and reproductive health (SRH) challenges unlike their counterparts in developed countries. It is thus, important to contextually understand some of the factors influencing uptake of SRH services among young people in a low resource setting. Objectives: This study assessed sexual behaviour and predictors of SRH-services access and utilization of youths in Ejigbo, Osun-State, Nigeria. Methods: Cross-sectional design was used and multi-stage sampling method deployed in recruiting 430 study participants. Data were collected using pretested, semi-structured, interviewer-administered questionnaire. Summary statistics were done using proporption, mean and standard deviation. Inferential statistics were done using chi-squared test and binary logistic regression at p≤0.05. Results: Mean age (±SD) of the respondents was 19.07±2.78, 54.1% of them were males while 56.8% were schooling as at the time of the survey. More than a quarter (38.6%) of the respondents were sexually active prior to the survey and 14.6% of the recent sexual encounters were forced/coerced. While 25.2% had multiple sexual partners, only 43.0% used contraception (mainly condom) in their recent sexual experiences. The predictors of contraceptive (hence SRH-service) use were respondents’ schooling status (OR=5.45, 95%CI=1.26-4.388), living situation (OR=0.430, 95%CI=1.960-3.8111) and demand for SRH services in the last clinic visits (OR=2.976, 95%CI=1.960-7.848). Conclusion: There was high prevalence of risky sexual behaviour and low SRH service utilization in the study setting. Nigerian government and its development partners need to be more proactive at ensuring universal access and utilization of SRH-services particularly to young people in the rural areas.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.008 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".