title: Sexual behaviour and contraceptive use among secondary school students in Ilesha south west Nigeria.
abstract: Data from several parts of Nigeria point to increasing sexual activity among single adolescents of both sexes with progressive decreasing age at initiation and poor contraceptive use. This paper investigates the sexual behaviour and contraceptive use among teenage secondary school students in Ilesha, southwest Nigeria. This is a cross-sectional population survey of 300 male and female secondary school students within the age group of 13-19 years. The setting is secondary school coaching classes in Ilesha, southwest Nigeria. The outcome measures include prevalence of sexual activity, age at first sexual debut, circumstances leading to first sexual debut, number of sexual partners and family planning use. The result shows that out of the 300 studied, 50% were sexually active, the predominant age at first coitus was 15-19 years, and circumstances leading to sexual debut included mutual agreement, coercion and curiosity. Predominant proportion of sexually active teenagers (86.7%) did not use contraception at the time of first coitus and most of them had more than one sexual partner. The conclusion from this study is that 50% of teenage secondary school girls in this part of Nigeria are sexually active; 68.7% whom, have multiple sexual partners, and 86.7% of them did not use contraception at sexual debut. This unsafe sexual behaviour therefore put them at a great risk of acquiring STDs including HIV infection, and unwanted pregnancy. This study therefore recommends sex education/family life education for young people to encourage them to delay sexual activity as much as possible and practice safe sex when it eventually commences. There is also the need to sensitise the young people, parents, teachers, the community and all stake holders on the magnitude of the problem and to open up dialogue that will break the social, cultural and other mysteries hindering adolescents and youth reproductive health education and services in Nigeria.
authors.affiliation: Department of Obstetrics & Gynaecology, Obafemi Awolowo University, Ile-Ife, Nigeria. eoorji11@yahoo.com
authors.forename: E O
authors.initials: EO
authors.lastname: Orji
authors.forename: O A
authors.initials: OA
authors.lastname: Esimai
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D003268:Contraception Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009549:Nigeria; D012725:Sexual Behavior