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Factors associated with sexual and reproductive health behaviour of street-involved young people: findings from a baseline survey in southwest Nigeria
Atinuke O Olaleye
Babcock University
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4935-3926
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: To achieve the Sustainable Development Goal 3, which is to ensure healthy lives and promote well-being for all persons of all ages, street-involved young people (SIYP) must be assured of universal access to sexual and reproductive healthcare. This study aims to determine the factors associated with age- and sex-specific differences in the sexual and reproductive health (SRH) behaviour of SIYP in southwest Nigeria.
Methods: This was a cross-sectional study that recruited 1505 SIYP aged 10-24 years by use of respondent-driven and time-location sampling. Data were collected through interviewer-administered questionnaires on socioeconomic characteristics; access to SRH information; contraceptive knowledge and use; sexual behavior; and sexual practice. The outcome variables were inconsistent condom use, multiple sexual partners, and transactional sex. Binomial regression analysis models were developed to determine risk indicators for outcome variables.
Results: Although 968 (64.3%) participants were sexually active and 1089 (72.4%) knew about modern contraception, only 300 (31.0%) sexually active respondents used modern contraceptives. Knowledge of modern contraception (AOR: 0.11; 95% C.I: 0.01-0.82, p=0.03) and being employed (AOR: 0.38; 95% C.I: 0.15-0.95, p=0.04) reduced the odds for inconsistent condom use among male SIYPs. For female SIYPs, knowledge of modern contraception reduced the odds for inconsistent condom use (AOR: 0.26; 95% C.I: 0.08-0.90, p=0.03), whereas access to SRH information significantly increased the odds for inconsistent condom use (AOR: 5.06; 95% C.I: 1.67-15.37, p=0.004).
Conclusion: Age- and sex- related factors associated with risky sexual behaviors vary among SIYP. Addressing these differences in the delivery of targeted interventions to reduce sexual health risk of SIYP may be required.
Keywords
Street youth; street children; contraception; adolescents; sexual and reproductive health; Nigeria
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CURRENT STATUS: Under Review
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Posted 19 May, 2020
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On 07 May, 2020
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On 06 May, 2020
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Editorial decision: Major revision
On 27 Apr, 2020
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Received 26 Apr, 2020
Reviewer #2 agreed
On 27 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewers invited
Invitations sent on 28 Feb, 2020
Reviewer #1 agreed
On 28 Feb, 2020
Editor assigned
On 17 Feb, 2020
Editor invited
On 16 Feb, 2020
Submission checks complete
On 14 Feb, 2020
First submitted
On 13 Feb, 2020
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Subject Areas
Sexual & Reproductive Medicine
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This preprint is under consideration at Reproductive Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Factors associated with sexual and reproductive health behaviour of street-involved young people: findings from a baseline survey in southwest Nigeria
Atinuke O Olaleye
Babcock University
Corresponding Author
ORCiD: https://orcid.org/0000-0003-4935-3926
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 2
Posted 19 May, 2020
No community comments so far
Editor assigned
On 07 May, 2020
Submission checks complete
On 06 May, 2020
Editor invited
On 06 May, 2020
No comments provided
Editorial decision: Major revision
On 27 Apr, 2020
Review #2 received
Received 26 Apr, 2020
Reviewer #2 agreed
On 27 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewers invited
Invitations sent on 28 Feb, 2020
Reviewer #1 agreed
On 28 Feb, 2020
Editor assigned
On 17 Feb, 2020
Editor invited
On 16 Feb, 2020
Submission checks complete
On 14 Feb, 2020
First submitted
On 13 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: To achieve the Sustainable Development Goal 3, which is to ensure healthy lives and promote well-being for all persons of all ages, street-involved young people (SIYP) must be assured of universal access to sexual and reproductive healthcare. This study aims to determine the factors associated with age- and sex-specific differences in the sexual and reproductive health (SRH) behaviour of SIYP in southwest Nigeria.
Methods: This was a cross-sectional study that recruited 1505 SIYP aged 10-24 years by use of respondent-driven and time-location sampling. Data were collected through interviewer-administered questionnaires on socioeconomic characteristics; access to SRH information; contraceptive knowledge and use; sexual behavior; and sexual practice. The outcome variables were inconsistent condom use, multiple sexual partners, and transactional sex. Binomial regression analysis models were developed to determine risk indicators for outcome variables.
Results: Although 968 (64.3%) participants were sexually active and 1089 (72.4%) knew about modern contraception, only 300 (31.0%) sexually active respondents used modern contraceptives. Knowledge of modern contraception (AOR: 0.11; 95% C.I: 0.01-0.82, p=0.03) and being employed (AOR: 0.38; 95% C.I: 0.15-0.95, p=0.04) reduced the odds for inconsistent condom use among male SIYPs. For female SIYPs, knowledge of modern contraception reduced the odds for inconsistent condom use (AOR: 0.26; 95% C.I: 0.08-0.90, p=0.03), whereas access to SRH information significantly increased the odds for inconsistent condom use (AOR: 5.06; 95% C.I: 1.67-15.37, p=0.004).
Conclusion: Age- and sex- related factors associated with risky sexual behaviors vary among SIYP. Addressing these differences in the delivery of targeted interventions to reduce sexual health risk of SIYP may be required.