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Determinants of premarital sex in Maiduguri, Nigeria: Implications for Human Papilloma Virus vaccination


M Bukar
BM Audu
MB Kawuwa
SM Ibrahim
F Ali

Abstract

Background: Early coital exposure is associated with multiple sexual partners and higher risk of sexually transmitted infections including oncogenic human papilloma virus (HPV) which is a precursor of cervical cancer.
Aim: To document the determinants of premarital sex with a view to determine the age of HPV vaccination.
Methods: A cross sectional study of 221 respondents carried out between January and April 2010.
Results: The majority, 188(85.1%) were aged 20-29 years. The mean age was 24.73+4.929. Males constituted 125 (56.6%) with 165(74.7%) being single. One hundred and eighty (81.4%) were university students. Most, 111 (50.2%) have not had premarital sex. Twenty four (10.9%) had early sexual exposure (2=10.844, P=0.004). Ninety five percent of respondents agree that an STI vaccine should be given with most respondents (96; 43.4%) citing age group 10-15years as the most appropriate age for vaccination. After logistic regression analysis, determinants of premarital sex were religion (OR 3.1, 95% CI 1.0-4.7) and occupation (OR 2.5, 95% CI 1.7-14).
Conclusion: Age at sexual debut ranged between 16 and 20 years and appeared to be later in females than in males. With the overwhelming number of respondents endorsing the use of an STI vaccine, the introduction of HPV vaccine is unlikely to suffer a major setback in Maiduguri.

Key words: Premarital sex, HPV vaccine, sexual debut, Nigeria

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eISSN: 2315-5019
print ISSN: 2277-0941