Festus Udo Bassey ABASIUBONG, Sundey Bassey UDOH, Edem A. NTUK, Uwemedimbuk Smart EKANEM, Etiobong Akpan ETUKUMANA

Nijerya’da yüksek okul öğrencileri arasında kondom kullanımı ve cinsel davranış tutumlarının cinsler arası farkları

AMAÇ: Cinsel yolla bulaşan enfeksiyonlar (CYBE) yüksek okul öğrencileri arasında yaygındır. Kanıtlar kadınlar arasında trendin yükseleceğini desteklemektedir. Bu çalışma öğrenciler arasında kondom kullanımı ve enfeksiyon riski değerlendirme farklılıklarını incelemektedir. YÖNTEM: Akwa Ibom Eyaleti, Nijerya, Eğitim Yüksek Okulu‟ndan toplam 880 öğrenci kondom kullanım tutumu ve CYBE rölatif riski açısından “Cinsel Risk Soru Formu” kullanılarak değerlendirildi. BULGULAR: Ortalama yaş erkeklerde 22,4 ± 4,7 yıl, kadınlarda 21,9 ± 5,5 yıl idi. Öğrenciler arasında kondom kullanma tutumu ile ilgili değişkenler, güvenli olmayan cinsel ilişkide kullanma erkeklerde %24,3, kadınlarda %21,9 (RR=1.105), HIV‟den korunma %34,7‟ye karşı %27,4 (RR=1.179), ilişkiden zevk almayı engellediği için karşı çıkma %44,7‟ye karşı %37,9 (RR=1.132) bulundu. Partneri tarafında kondom kullanmama baskısı erkeklerde (%29,4) kadınlara göre %32,0) istatistiksel olarak anlamlı farklıydı (p=0.024). SONUÇ: Kondom kullanımı cinsel davranıştan etkilenmektedir. Olumsuz tutumlar ihmale neden olmakta, HIV/AIDS dahil cinsel yolla bulaşan enfeksiyon riskini artırmaktadır. Çevremizde CYBE kontrolü için tutum değişikliğine ihtiyaç vardır.

gender differences in attitude to use of condom and sexual practices among higher school students in Nigeria

AIM: Sexually transmitted infections (STIs) are common among college students. Evidence suggests there may be increasing trend in females. This study assesses the differences in attitude to use of condom to determine the risk of infections among students. METHOD: A total of 880 students from College of Education Akwa Ibom State, Nigeria were assessed for attitude to the use of condom and relative risk of STIs, using the Sexual Risk Questionnaire. RESULTS: The mean age for males was 22.4 ± 4.7 years and females 21.9 ± 5.5 years. There were variable attitudes to the use of condom among students; 24.2% males and 21.9% females were used to unsafe sex with 1.105 relative rate (RR) of STIs at 95% CI; 34.7% against 27.4 % who were of the same HIV status had 1.179 (RR) at 95% CI; while 44.7% against 37.9% who claimed to be enjoying sex without condom had 1.132 (RR). The difference in relative risk of STIs was statistically significant in 29.4% of males and 32.0% of females who were pressured by partners not to use condom (p=0.024). CONCLUSION: Condom use is influenced by sexual practices. Negative attitude leading to its neglect, encourages sexually transmitted infections including HIV/AIDS among students. There is need for attitudinal change in order to control STIs in our environment.

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