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Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria
BACKGROUND: Early sexual debut, low educational attainment, history of rape and transactional and intergenerational sex have been associated with HIV infection among Nigerian adolescents, especially females. We sought to understand the “why”, and how to mitigate against these determinants and barrie...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508705/ https://www.ncbi.nlm.nih.gov/pubmed/36151543 http://dx.doi.org/10.1186/s12913-022-08551-9 |
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author | Folayan, Morenike O. Sam-Agudu, Nadia A. Harrison, Abigail |
author_facet | Folayan, Morenike O. Sam-Agudu, Nadia A. Harrison, Abigail |
author_sort | Folayan, Morenike O. |
collection | PubMed |
description | BACKGROUND: Early sexual debut, low educational attainment, history of rape and transactional and intergenerational sex have been associated with HIV infection among Nigerian adolescents, especially females. We sought to understand the “why”, and how to mitigate against these determinants and barriers to addressing adolescent sexual and reproductive health (SRH) and HIV prevention needs. METHODS: This qualitative study generated data from 49 focus group discussions with male and female adolescents living with and without HIV, healthcare workers, members of civil society organizations working with young people, and parents of adolescents living with HIV. Participants were recruited from all six geopolitical zones in Nigeria. Data was analysed with ATLAS.ti software. Hermeneutic units were created, and codes developed from focus group transcripts. Network View Manager was used to create maps of codes, memos and quotations, and relevant quotes were retrieved from transcripts. RESULTS: Four major themes were identified, relating to individual, parental, community and government roles in reducing the risk of HIV and unplanned pregnancy among adolescents in Nigeria. Individual factors influencing sexual risk behaviours of adolescents include peer pressure, poor risk perception for HIV, and misconceptions about the efficacy of contraceptives and condoms. Respondents entrusted State responsibilities such as facilitation of HIV-affected adolescents’ access to education, rather, to individuals, parents and the community; and placed the blame for rape on rape survivors. Findings also highlighted the inadequacy of health systems to address adolescents’ needs for treatment of sexually transmitted infections and to provide appropriate education on secondary HIV prevention for those living with HIV. CONCLUSION: Rigorous studies are needed to understand dynamics between adolescents’ risk behavior, HIV risk perception, parental roles in mitigating HIV risk in adolescents, and the role of communities and government in HIV prevention and treatment for adolescents in Nigeria. |
format | Online Article Text |
id | pubmed-9508705 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-95087052022-09-25 Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria Folayan, Morenike O. Sam-Agudu, Nadia A. Harrison, Abigail BMC Health Serv Res Research BACKGROUND: Early sexual debut, low educational attainment, history of rape and transactional and intergenerational sex have been associated with HIV infection among Nigerian adolescents, especially females. We sought to understand the “why”, and how to mitigate against these determinants and barriers to addressing adolescent sexual and reproductive health (SRH) and HIV prevention needs. METHODS: This qualitative study generated data from 49 focus group discussions with male and female adolescents living with and without HIV, healthcare workers, members of civil society organizations working with young people, and parents of adolescents living with HIV. Participants were recruited from all six geopolitical zones in Nigeria. Data was analysed with ATLAS.ti software. Hermeneutic units were created, and codes developed from focus group transcripts. Network View Manager was used to create maps of codes, memos and quotations, and relevant quotes were retrieved from transcripts. RESULTS: Four major themes were identified, relating to individual, parental, community and government roles in reducing the risk of HIV and unplanned pregnancy among adolescents in Nigeria. Individual factors influencing sexual risk behaviours of adolescents include peer pressure, poor risk perception for HIV, and misconceptions about the efficacy of contraceptives and condoms. Respondents entrusted State responsibilities such as facilitation of HIV-affected adolescents’ access to education, rather, to individuals, parents and the community; and placed the blame for rape on rape survivors. Findings also highlighted the inadequacy of health systems to address adolescents’ needs for treatment of sexually transmitted infections and to provide appropriate education on secondary HIV prevention for those living with HIV. CONCLUSION: Rigorous studies are needed to understand dynamics between adolescents’ risk behavior, HIV risk perception, parental roles in mitigating HIV risk in adolescents, and the role of communities and government in HIV prevention and treatment for adolescents in Nigeria. BioMed Central 2022-09-23 /pmc/articles/PMC9508705/ /pubmed/36151543 http://dx.doi.org/10.1186/s12913-022-08551-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Folayan, Morenike O. Sam-Agudu, Nadia A. Harrison, Abigail Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title | Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title_full | Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title_fullStr | Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title_full_unstemmed | Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title_short | Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria |
title_sort | exploring the why: risk factors for hiv and barriers to sexual and reproductive health service access among adolescents in nigeria |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508705/ https://www.ncbi.nlm.nih.gov/pubmed/36151543 http://dx.doi.org/10.1186/s12913-022-08551-9 |
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