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Exploring factors influencing sexual and reproductive health knowledge among in-school adolescents in Nigeria
Abstract
This study examines the factors influencing sexual and reproductive health (SRH) knowledge among in-school adolescents in Nigeria. Data were collected from a sample of 1,133 adolescents through a semi-structured survey questionnaire. Descriptive statistics, and logistic regression analysis were employed to analyze the data. Adolescents' knowledge levels on critical aspects of SRH education reveal varying levels of comprehension across domains. While 35.7% of adolescents demonstrate understanding of the anatomy and physiology of the reproductive system, only 8.0% display comprehension of contraception and birth control methods. Logistic regression coefficients unveil significant predictors of SRH knowledge, with senior secondary students demonstrating higher odds of SRH knowledge compared to junior secondary students (OR = 2.482, 95% CI [1.335, 3.693]). Urban residence is associated with higher odds of SRH knowledge (OR = 1.172, 95% CI [0.084, 1.350]). Healthcare providers significantly influence adolescents' SRH knowledge (OR = 3.519, 95% CI [2.853, 4.271]), while comfortable discussing SRH topics with teachers predicts higher odds of SRH knowledge (OR = 3.101, 95% CI [2.245, 3.355]). These findings underscore the need for tailored and comprehensive SRH education programs to address knowledge gaps and empower adolescents with accurate information and skills necessary for making informed decisions regarding their sexual health.
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Abdurahman, C., Oljira, L., Hailu, S., & Mengesha, M. M. (2022). Sexual and reproductive health services utilization and associated factors among adolescents attending secondary schools. Reproductive Health, 19(1), 24–36. https://doi.org/10.1186/s12978-022-01468-w
African Union Commission. (2016). Maputo Plan of Action 2016-2030 for the operationalisation of the continental policy framework for sexual and reproductive health and rights. https://au.int/sites/default/files/pages/32895-file-maputo_plan_of_action_english.pdf
Agu, O., Agu, I. C., Eigbiremolen, G., Akamike, I., Okeke, C., Mbachu, C., & Onwujekwe, O. (2024). Sexual and reproductive health information needs: An inquiry from the lens of in-school adolescents in Ebonyi State, Southeast Nigeria. BMC Public Health, 24(1), 56–70. https://doi.org/10.1186/s12889-024-18584-w
Akande, O. W., Muzigaba, M., Igumbor, E. U., Elimian, K., Bolarinwa, O. A., Musa, O. I., & Akande, T. M. (2024). The effectiveness of an m-Health intervention on the sexual and reproductive health of in-school adolescents: A cluster randomized controlled trial in Nigeria. Reproductive Health, 21(1), 88–101. https://doi.org/10.1186/s12978-023-01735-4
Arije, O., Madan, J., & Hlungwani, T. (2024). Preferences in adolescents and young people’s sexual and reproductive health services in Nigeria: A discrete choice experiment. Health Economics Review, 14(1), 24–46. https://doi.org/10.1186/s13561-024-00497-4
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. PrenticeHall.
Bandura, A. (2001). Social cognitive theory: An agentic perspective. Social Cognitive Theory: An Agentic Perspective, 52(1), 1–26.
Bekele, D., Deksisa, A., Abera, W., & Megersa, G. (2022). Parental communication on sexual and reproductive health issues to their adolescents and affecting factors at Asella town, Ethiopia: A community-based, cross-sectional study. Reproductive Health, 19(1), 24–43 https://doi.org/10.1186/s12978-022-01408-8
Boku, G., Garoma Abeya, S., Ayers, N., & Abera Wordofa, M. (2024). The effect of school-linked module-based friendlyhealth education on adolescents’ sexual and reproductive health knowledge, Guji Zone, Ethiopia. Adolescent Health, Medicine and Therapeutics, 15, 5–18. https://doi.org/10.2147/AHMT.S441957
Brunelli, L., Bravo, G., Romanese, F., Righini, M., Lesa, L., De Odorico, A., Bastiani, E., Pascut, S., Miceli, S., & Brusaferro, S. (2022). Sexual and reproductive health-related knowledge, attitudes and support network of Italian adolescents. Public Health in Practice, 3, 77–91. https://doi.org/10.1016/j.puhip.2022.100253
Dayal, R., & Gundi, M. (2022). Assessment of the quality of sexual and reproductive health services delivered to adolescents at Ujala clinics: A qualitative study in Rajasthan, India. PLoS ONE, 17, 120–134. https://doi.org/10.1371/journal.pone.0261757
Ekpenyong, A., & Michael, T. O. (2016). Social media and sexual reproductive health behaviour among adolescents in Bayelsa State, Nigeria. American International Journal of Research in Humanities, Arts and Social Sciences, 16–155. http://www.iasir.net
Ekwueme, C. N., Okeke, C., Eze, I. I., Mbachu, C. O., & Onwujekwe, O. (2024). To what extent did implementing a communityembedded intervention align with the goals and roles of stakeholders in adolescent sexual and reproductive health? Reproductive Health, 21(1), 65–73. https://doi.org/10.1186/s12978-024-01753-w
Embleton, L., Braitstein, P., Di Ruggiero, E., Oduor, C., & Wado, Y. D. (2023). Sexual and reproductive health service utilization among adolescent girls in Kenya: A cross-sectional analysis. PLOS Global Public Health, 3(2), e0001508. https://doi.org/10.1371/journal.pgph.0001508
Emenike, N. W., Onukwugha, F. I., Sarki, A. M., & Smith, L. (2023). Adolescents’ sexual and reproductive health education: Perspectives from secondary school teachers in Northern Nigeria. Sex Education, 23(1), 66–80. https://doi.org/10.1080/14681811.2022.2028613
Esievo, J. N., & Ese, A. (2023). Contraception knowledge among secondary school students in Port Harcourt metropolis Rivers State Nigeria. EPRA International Journal of Multidisciplinary Research, 9(11), 208–214. https://doi.org/10.36713/epra2013
Eze, I. I., Mbachu, C. O., Agu, I. C., Akamike, I. C., Eigbiremolen, G., & Onwujekwe, O. (2023). Determinants of awareness, value perception, and societal support for sexual and reproductive health services among in-school adolescents in South-eastern Nigeria. BMC Health Services Research, 23(1), 43–59. https://doi.org/10.1186/s12913-023-09470-z
Ezelote, C. J., Osuoji, N. J., Mbachu, A. J., Odinaka, C. K., Okwuosa, O. M., Oli, C. J., & Ignatius, C. G. (2024). Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria. BMC Public Health, 24(1), 29–40. https://doi.org/10.1186/s12889-024-18536-4
Federal Ministry of Health. (2019). National policy on the health and development of adolescents and young people in Nigeria: 2020–2024. In Federal Republic of Nigeria. https://scorecard.prb.org/wp-content/uploads/2022/03/National-Adolescent-Health-Policy_Revised_2019_Post-NAHDWG_PostNDHS_FNL_15Nov2019.pdf
Fubam, R. M., Tendongfor, N., Olayemi, O., & Odukogbe, A. T. A. (2022). Sexual and reproductive health knowledge of secondary school adolescents in Fako, Cameroon. The Pan African Medical Journal, 41, 340. https://doi.org/10.11604/pamj.2022.41.340.31686
Hensen, B., Floyd, S., Phiri, M. M., Schaap, A., Sigande, L., Simuyaba, M., Mwenge, L., Zulu-Phiri, R., Mwape, L., Fidler, S., Hayes, R., Simwinga, M., & Ayles, H. (2023). The impact of community-based, peer-led sexual and reproductive health services on knowledge of HIV status among adolescents and young people aged 15 to 24 in Lusaka, Zambia: The Yathu Yathu cluster-randomised trial. PLoS Medicine, 20(4), 231–250. https://doi.org/10.1371/journal.pmed.1004203
Ismail, H. T., Amole, T. G., Tsiga-Ahmed, F. I., Jalo, R. I., Adamu, A. L., Sani, M. U., Salihu, H. M., Wester, C. W., & Aliyu, M. H. (2024). Factors associated with utilization of sexual and reproductive health services among married adolescent girls in Kano, Northern Nigeria. International Journal of Maternal and Child Health and AIDS, 13, e001. https://doi.org/10.25259/IJMA_13_2023
Janighorban, M., Boroumandfar, Z., Pourkazemi, R., & Mostafavi, F. (2022). Barriers to vulnerable adolescent girls’ access to sexual and reproductive health. BMC Public Health, 22(1), 54–67. https://doi.org/10.1186/s12889-022-14687-4
Khan, M. D., Daniyal, M., Abid, K., Tawiah, K., Tebha, S. S., & Essar, M. Y. (2023). Analysis of adolescents’ perception and awareness level for sexual and reproductive health rights in Pakistan. Health Science Reports, 6(1), 29–41. https://doi.org/10.1002/hsr2.982
Langat, E. C., Mohiddin, A., Kidere, F., Omar, A., Akuno, J., Naanyu, V., & Temmerman, M. (2024). Challenges and opportunities for improving access to adolescent and youth sexual and reproductive health services and information in the coastal counties of Kenya: A qualitative study. BMC Public Health, 24(1), 484–492. https://doi.org/10.1186/s12889-024-17999-9
Leekuan, P., Kane, R., Sukwong, P., & Kulnitichai, W. (2022). Understanding sexual and reproductive health from the perspective of late adolescents in Northern Thailand: A phenomenological study. Reproductive Health, 19(1), 66–74. https://doi.org/10.1186/s12978-022-01528-1
Ma, X., Yang, Y., Chow, K. M., & Zang, Y. (2022). Chinese adolescents’ sexual and reproductive health education: A quasi-experimental study. Public Health Nursing, 39(1), 116–125. https://doi.org/10.1111/phn.12914
Michael, T. O. (2024). Influence of social media on secondary school students’ learning of sexual education in Nigeria. Didaktika: Jurnal Kependidikan, 13(1), 813–822. https://doi.org/10.58230/27454312.518
Michael, T. O., Ojo, T. F., Ijabadeniyi, O. A., Ibikunle, M. A., Oni, J. O., & Agboola, A. A. (2024). Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries. PLOS ONE, 19(2), e0297411. https://doi.org/10.1371/journal.pone.0297411
National Agency for the Control of AIDS. (2017). National HIV and AIDS strategic framework 2017–2021. https://www.childrenandaids.org/sites/default/files/2017-11/NATIONAL-HIV-AND-AIDS-STRATEGIC-FRAMEWORK.pdf
National Bureau of Statistics. (2020). Demographic statistics bulletin. file:///C:/Users/Admi/Downloads/DEMOGRAPHIC%20BULLETIN%202020%20(1).pdf
O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245–1251. https://doi.org/10.1097/ACM.0000000000000388
Odii, A., Akamike, I. C., Mbachu, C. O., & Onwujekwe, O. (2024). Factors influencing adoption of sexual and reproductive health intervention for adolescents in Ebonyi, Nigeria. BMC Health Services Research, 24(1), 643–654. https://doi.org/10.1186/s12913-024-11103-y
Parmar, D., Berhe, S., Bradley, S., Fenny, A., Aziato, L., & Ceesay, H. (2024). Access to adolescent sexual and reproductive health services in Accra, Ghana: An exploratory qualitative study. Global Public Health, 19(1), 89–101. https://doi.org/10.1080/17441692.2024.2341420
Tilahun, B. D., Yilak, G., Amena, S., Abebe, G. K., & Ayele, M. (2024). Exploring the perceptions of health service providers and adolescents on the utilization of adolescent sexual and reproductive health services in Tikur, 2023: A qualitative study. SAGE Open Medicine, 12, 231–245. https://doi.org/10.1177/20503121231223660
UNESCO. (2018). International technical guidance on sexuality education: An evidence-informed approach. UNESCO. https://cdn.who.int/media/docs/default-source/reproductive-health/sexual-health/international-technical-guidance-on-sexuality-education.pdf?sfvrsn=10113efc_29&download=true
UNFPA. (2014). UNFPA operational guidance for comprehensive sexuality education: A focus on human rights and gender. www.unfpa.org
UNFPA. (2024, April). Sexual & reproductive health. United Nations Population Fund. https://www.unfpa.org/sexualreproductive-health
UNICEF. (2024, April). Adolescents statistics — UNICEF DATA. United Nations Children’s Fund. https://data.unicef.org/topic/adolescents/overview/
United Nations. (2015). The 17 goals | Sustainable Development Goals. United Nations. https://sdgs.un.org/goals
Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., Egger, M., Blettner, M., Boffetta, P., Brenner, H., Chêne, G., Cooper, C., Davey-Smith, G., Gagnon, F., Greenland, P., Greenland, S., Infante-Rivard, C., & Zou, G. Y. (2014). Strengthening the reporting of observational studies in epidemiology (STROBE): Explanation and elaboration. International Journal of Surgery (London, England), 12(12), 1500–1524. https://doi.org/10.1016/J.IJSU.2014.07.014
Vincent, R., & Krishnakumar, K. (2022). School-based interventions for promoting sexual and reproductive health of adolescents in India: A review. Journal of Psychosexual Health, 4(2), 102–110. https://doi.org/10.1177/26318318221089621
West African Health Organization. (2016). West African Health Organization (WAHO) strategic plan 2016–2020. https://www.wahooas.org/web-ooas/sites/default/files/publications/1084/VERSION_ANGLAISE_CORRIGEE.pdf
World Health Organization. (2018). WHO recommendations on adolescent sexual and reproductive health and rights. https://iris.who.int/bitstream/handle/10665/275374/9789241514606-eng.pdf
World Health Organization. (2024, April). Adolescent health. WHO. https://www.who.int/health-topics/adolescenthealth#tab=tab_1
Zepro, N. B., Ali, N. T., Tarr, N., Medhanyie, A. A., Paris, D. H., Probst-Hensch, N., & Merten, S. (2023). Sexual and reproductive health services use among adolescents in pastoralist settings, northeastern Ethiopia. BMC Health Services Research, 23(1), 78–90. https://doi.org/10.1186/s12913-023-09616-z
DOI: https://doi.org/10.21107/sml.v7i1.25522
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