Abstract:

Background: Sexual-Risk behaviours contribute to the leading causes of morbidity, mortality and social problems among youths. Although there are many studies conducted on this subject, the predictors of sexual-risk behaviours among youths have not been well explored. This study was therefore, designed to contribute to existing knowledge and enhance the development of strategies that will positively influence the perception and attitude of youths regarding sexual health risk related matters.

Methods: A descriptive cross-sectional study design using multistage sampling methods was conducted among randomly selected 360 youths (15-24 years) using data collected via pre-tested interviewer administered semi-structured questionnaire, which measured the following variables: socio-demographic characteristics; sexual-risk behavior and predictors of sexual-risk. Data was analyzed using Chi-square test and binary logistics regression at p=0.05. Social learning theory was adopted in the development of the instrument.

Results: Almost half (49.7%) of the respondents reported to have ever had sex, 57.5% and 71.2% of them had sexual intercourse with casual partners and multiple partners respectively, also 68.7% of them did not use condom during their last sexual activity. Age and gender were the most significant predictors of sexual-risk behavior. Youths aged between 15-17 and 18-20 years are about 5.7 and 3.1 times respectively more likely than those older than 21 years to have an early sexual debut (OR = 5.693, CI = 1.205-26.901; 3.067, CI = 1.260-7.465) while male youths were about 2.6 times more likely than females to use condoms (OR = 2.563, CI = 1.171-5.607).

Conclusion: Dearth of information available to youths about sexual health and the dangers associated with risky sexual behaviours can be held responsible for increased levels in participation in sexual-risk behaviours among youths. There is need for concerted effort of all to promote healthy behaviour, via youth-centered programmes and youth targeted behavioural change interventions.

Keywords: Youths, Sexual health, Sexual-risk behaviour, Predictors, Ibadan.

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