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Peer-driven contraceptive choices and preferences for contraceptive methods among students of tertiary educational institutions in Enugu, Nigeria

机译：同伴驱动的避孕选择和尼日利亚埃努古高等教育机构学生对避孕方法的偏爱

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Purpose: To describe the methods preferred for contraception, evaluate preferences and adherence to modern contraceptive methods, and determine the factors associated with contraceptive choices among tertiary students in South East Nigeria.Methods: A questionnaire-based cross-sectional study of sexual habits, knowledge of contraceptive methods, and patterns of contraceptive choices among a pooled sample of unmarried students from the three largest tertiary educational institutions in Enugu city, Nigeria was done. -Statistical analysis involved descriptive and inferential statistics at the 95% level of confidence.Results: A total of 313 unmarried students were studied (194 males; 119 females). Their mean age was 22.5±5.1 years. Over 98% of males and 85% of females made their contraceptive choices based on information from peers. Preferences for contraceptive methods among female students were 49.2% for traditional methods of contraception, 28% for modern methods, 10% for nonpharmacological agents, and 8% for off-label drugs. Adherence to modern contraceptives among female students was 35%. Among male students, the preference for the male condom was 45.2% and the adherence to condom use was 21.7%. Multivariate analysis showed that receiving information from health personnel/media/workshops (odds ratio 9.54, 95% confidence interval 3.5–26.3), health science-related course of study (odds ratio 3.5, 95% confidence interval 1.3–9.6), and previous sexual exposure prior to university admission (odds ratio 3.48, 95% confidence interval 1.5–8.0) all increased the likelihood of adherence to modern contraceptive methods.Conclusion: An overwhelming reliance on peers for contraceptive information in the context of poor knowledge of modern methods of contraception among young people could have contributed to the low preferences and adherence to modern contraceptive methods among students in tertiary educational institutions. Programs to reduce risky sexual behavior among these students may need to focus on increasing the content and adequacy of contraceptive information held by people through regular health worker-led, on-campus workshops.
机译：目的：描述尼日利亚的首选避孕方法，评估对现代避孕方法的偏爱和依从性，并确定尼日利亚东南部大专学生避孕选择的相关因素。方法：基于问卷调查的性习惯，知识横断面研究尼日利亚Enugu市三个最大的高等教育机构的未婚学生的汇总样本中，对避孕方法的看法以及避孕方式的选择进行了调查。 -统计分析包括描述性和推断性统计，置信度为95％。结果：总共研究了313名未婚学生（男194名;女119名）。他们的平均年龄是22.5±5.1岁。根据同龄人的信息，超过98％的男性和85％的女性做出了避孕选择。女学生对避孕方法的偏爱传统避孕方法占49.2％，现代避孕方法占28％，非药物治疗占10％，非处方药物占8％。女学生对现代避孕药的遵守率为35％。在男学生中，男性使用安全套的比例为45.2％，坚持使用安全套的比例为21.7％。多变量分析显示，从卫生人员/媒体/车间获得信息（赔率9.54，95％置信区间3.5–26.3），与健康科学相关的学习过程（赔率3.5、95％置信区间1.3–9.6）和以前的信息大学入学前的性接触（比值3.48，95％置信区间1.5-8.0）均增加了采用现代避孕方法的可能性。结论：在对现代避孕方法知识了解不足的情况下，绝大多数人都依赖同龄人提供避孕信息年轻人中的避孕措施可能导致高等院校的学生偏低和坚持现代避孕方法。减少这些学生中危险的性行为的计划可能需要着重于通过定期由卫生工作者主持的校园内研讨会上增加人们掌握的避孕信息的内容和充分性。

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