ORIGINAL RESEARCH
CONTRACEPTIVE KNOWLEDGE AND PRACTICE: A SURVEY OF TERTIARY INSTITUTION STUDENTS IN LAGOS, NIGERIA
Arinola E. Joda1, Segun Balogun2

Department of Clinical Pharmacy and Biopharmacy,Faculty of Pharmacy, University of Lagos, Idiaraba Campus, Idiaraba, Lagos, Nigeria
*  Corresponding author: arinolaj@yahoo.com; ajoda@unilag.edu.ng, 234-802-307-3233

ABSTRACT

Background: Students in tertiary institutions are usually teenagers, adolescents and/or young adults and are known to be adventurous and engage in risky sexual behavior such as unprotected sex. Unprotected sex carries a multitude of risks including sexually transmitted infections like gonorrhea, syphilis and even HIV, unwanted pregnancies, abortion, loss of education, to mention a few.

The objective of this study was to document tertiary institution students’ knowledge and experience with contraceptives and unprotected sex.

Methods: Pretested, semi-structured questionnaires were administered to 150 undergraduate students in the University of Lagos, Akoka Campus and the Yaba College of Technology, Yaba, the two tertiary educational institutions selected for this study in Lagos State. Results obtained were analyzed using Microsoft Excel and SPSS. Descriptive and inferential statistics were carried out as required.

Results: A percent recovery of 80% was obtained. The mean age of respondents was 21.2 ± 2.5, and female to male sex ratio was 1.7: 1. From the findings, most of the students had good knowledge of contraception. The most common contraceptives known and used were condoms and contraceptive pills (OCPs). Just about half of the respondents used contraception and the most common reason for failure to use were pressure from partners and friends, perceived or real effects of some methods as well as difficulty of access. Less than a quarter of the respondents could correctly state outcomes of unprotected sex. There was a statistically significant association between those who engaged in unprotected sexual intercourse and their religion as well as their gender. There was no significant association between those engaging in unprotected sexual intercourse and age.

Conclusion: It can be concluded from this work that though undergraduate students had acceptable levels of knowledge about contraception and contraceptive methods, a good proportion still engaged in risky sexual behaviours such as having unprotected sex and the practice  of withdrawal as a contraceptive method.  Awareness campaigns should be mounted to further educate adolescents with a view to changing their practices.

KEYWORDS: Contraception, Family Planning, Tertiary Schools, Students, Unprotected Sex, Knowledge and Practice

TO DOWNLOAD THE FULL TEXT: CLICK HERE

REFERENCES

 

  1. United Nations. International Year of Youth August 2010 – 2011 Fact Sheet. Regional Overview: Youth in Africa. Available at: http://social.un.org/youthyear/docs/Regional%20Overview%20Youth%20in%20Africa.pdf. Accessed 15th January 2014
  2. Ejembi CL and Otu A. (2004). Sexual behaviour, contraceptive practice and reproductive health outcomes among Nigerian University Students. Journal of Community Medicine and Primary Health Care, 16(2):8-16
  3. Shonde OO and Lasode AO. (2010). Importance of Impacting Sex Education on Adolescents among Selected Secondary Schools in Odeda Local Government, Abeokuta. Available at: unaab.edu.ng/ugprojects/2010bscshondeoo. Accessed 15th January 2014
  4. Aggarwal O, Sharma AK and Chhabra P. (2000). Study in sexuality of medical college students in India. Journal of Adolescent Health, 26(3):226-229.
  5. Makinwa-Adebusoye P. (1992). Sexual behaviour, reproductive knowledge and contraceptive use among young urban Nigerians. International Family Planning Perspectives, 18:66-70.
  6. Brabin L, Kemp J, Dollimore N, Obunge OK, Ikimalo J, Briggs ND, Odu NN and Hart CA. (1996). Reproductive tract infections and abortions among adolescent girls in rural Nigeria. Lancet, 345:300-304.
  7. Singh S, Bankole A. and Woog V. (2005). Evaluating the need for sex education in developing countries: sexual behaviour, knowledge of preventing sexually transmitted infections/HIV and unplanned pregnancy. Sex Education, 5(4):307-331
  8. (2003). Adolescent Reproductive Health: The Effectiveness of Adolescent Reproductive health Interventions in Developing Countries. World Health Organization. Available at: www.who/entity/rhl/dare/dare-1203332471/en/ Accessed: 14/08/2013
  9. Moronkola OA, Amosu A and Okonkwo (2005-2006). Knowledge about Conception, Sexual Behavior and Procurement of Abortion among Female Undergraduate Students in a Nigerian University. International Quarterly of Community Health Education, 24(3):241-249
  10. Okonofua F.E. (1995). Factors associated with Youth and adolescent pregnancy in rural Nigeria, Journal of Youth and Adolescence, 24(4):419-438.
  11. Wellings K, Field J, Johnson A and Wadsworth J. (2002). Sexual Behaviour in Britain. BMJ, 324:1179
  12. Oni TE, Prinsolo EAM, Nortje JD and Joubert G. (2005). High School Students’ attitudes, practices and knowledge of contraception in Jozini, KwaZulu-Natal. South African Family Practice, 47(6):5457
  13. Adeyinka DA, Olanrewaju O, Adeyinka EF, Adekanbi IT, Falope Y and Aimakhu C. (2009). Contraceptive Knowledge and Practice: A Survey of Undergraduates in Ibadan, Nigeria. International Journal of Adolescent Medicine and Health, 21(3):405-411
  14. Foster DG, Higgins JA, Biggs MA, McCain C, Holtby S and Brindis CD. (2012). Willingness to have Unprotected Sex. Journal of SexResearch, 49(1):61-68
  15. Okafor II and Obi SN. (2005). Sexual Risk behavior among undergraduate students in Enugu, Nigeria. Journal of Obstetrics and Gynaecology, 25(6):592-595
  16. Oladapo OT, Sule-Odu AO, Daniel OJ and Fakoya TA. (2005). Sexual behavior and contraceptive practice of future doctors in Southwest Nigeria. Journal of Obstetrics and Gynaecology, 25(1):44-48
  17. Peltzer K. (2000). Factors Affecting Condom Use among South African University Students. East African Medical Journal, 77(1):46-52
  18. Oladipo SE. (2012). Demographic Predictors of Sexual Risk Susceptibility among Undergraduates in Two Universities in Nigeria. Global Journal of Human Social Science Linguistics & Education, 12(11):18-24
  19. Bengel J, Belz-Merk M and Farin, E. (1996). The role of risk perception and efficacy cognitions in the prediction of HIV-related preventive behaviour and condom use. Psychology and Health, 11:505-525
  20. Korra A and Haile M. (1999). Sexual behaviour and level of awareness on reproductive health among youths: Evidence from Harar, Eastern Ethiopia. Ethiopian Journal of Health Development, 13(2):107-113
  21. Huber LR and Ersek JL. (2009). Contraceptive Use among Sexually Active University Students. Journal of Women’s Health, 18(7):1063-1070.
  22. Turner C, Anderson P, Fitzpatrick R, Fowler G and Mayon-White R. (1988). Sexual behaviour, contraceptive practice and knowledge of AIDS of Oxford University students. Journal of Biosocial Science, 20:445-451.
  23. Sekirime WK, Tamale J, Lule JC and Wabwire-Mangen F. (2001). Knowledge, attitude and practice about sexually transmitted diseases among University students in Kampala. African Health Sciences, 1(1):16-20
  24. Arowojolu AO, Ilesanmi AO, Roberts OA and Okunola MA. (2002). Sexuality, Contraceptive Choice and AIDS Awareness among Nigerian Undergraduates. African Journal of Reproductive Health, 6(2):60-70
  25. Douthwaite M and Sareoun L. (2006). Sexual behaviour and condom use among unmarried young men in Cambodia. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 18(5):505-513.
  26. Agyei, WKA, Biritwum RB, Ashitey AG and Hill RB. (2000). Sexual Behaviour and Contraception among Unmarried Adolescents and Young Adults in Greater Accra and Eastern Regions of Ghana. Journal of Biosocial Science, 32(4):495-512
  27. Karafin L and Kendall AR. (1969). Advantages and disadvantages of the condom. Medical Aspects of Human Sexuality, Nov; 3(11):73-7. Available at: http://www.popline.org/node/519234. Accessed 24th January 2014
  28. Hatcher RA, Stewart GK, Stewart F, Guest F, Stratton P and Wright AH. The Condom. Contraceptive technology. Wright, AH. (ed.). 1978-1979. 9th rev. ed. New York, New York, Irvington Publishers. 1978. pp85-88. Available at: http://www.popline.org/node/436708. Accessed 24th January 2014.
  29. Oladosu M. (2005). Consistent Condom Use Dynamics among Sex Workers in Central America: 1997-2000. Journal of Biosocial Science, July;37(4):435-457
  30. Alarape AI, Olapegba PO and Chovwen CO. (2008). Condom Use Among Students: The Influence of Condom Self-Efficacy, Social Norms and Affective Attitude towards Condom. Journal of Social Sciences, 17(3):237-241.
  31. Olugbenga-Bello AI, Adekanle DA, Ojofeitimi EO and Adeomi AA. (2010). Barrier contraception among adolescents and young adults in a tertiary institution in Southwestern Nigeria: a cross-sectional descriptive study. International Journal of Adolescent Medicine and Health, 22(2):321-9.
  32. Pötsönen R and Kontula O. (1999). How are attitudes towards condoms related to gender and sexual experiences among adolescents in Finland? Health Promotion International, 14(3):211-220.
  33. Ekanem EE, Afolabi BM, Nuga AO and Adebajo SB. (2005). Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria. African Journal of Reproductive Health, April;9(1):78-87.
Close Menu