Ige et al
Greener Journal of Medical Sciences Vol. 2 (3), pp. 070-076, June 2012
Sexual Risk Behaviours among Young People with Adverse Childhood Experiences in Ibadan, Nigeria.
Ige Olusimbo Kehinde1, Ilesanmi Olayinka Stephen*1
and Adebayo Ayodeji Matthew2
1Department of Community Medicine, University College Hospital, Ibadan, Nigeria
2Department of Community Health, Federal Medical Centre, Owo, Nigeria
*Corresponding Author’s E-mail: ileolasteve@ yahoo. co.uk
This study aimed to examine the association between adverse
childhood experiences (ACE) and sexual risk behaviours and
sexual re-victimization among young people. A
cross-sectional survey of 347 young people residing in a low
socioeconomic urban community in Ibadan, Nigeria was
conducted. Predictors of sexual risk behaviour and sexual
re-victimization after the age of 16 years were determined
with logistic regression analysis. At least one form of
adverse experience was reported by all respondents. The
order of occurrence was: physical neglect (98%), emotional
abuse (38.3%), physical abuse (35.7%) and sexual abuse
(29.1%) and emotional neglect (28.8%). In all, 15.0%
reported at least one risky sexual behaviour. The risk
factors for sexual risk behaviours were: age ≥20 years [OR:
9.8 (3.8- 25.6)], lack of family connectedness [OR:
4.2(1.5-11.6)] and history of child sexual abuse [OR:
6.9(3.5-14.1)].The odds of sexual risk behaviour increased
by 2.3(1.7-3.2) with each additional ACE reported. Child
sexual abuse [OR 12.1(4.4-32.7] was the only risk factor for
sexual re-victimization. Our findings support the evidence
of the interrelatedness of child sexual abuse, lack of
parental connectedness and subsequent sexual risk behaviour
particularly with increasing age. A cycle of sexual re-victimisation
was also identified. These suggest preventive targets for
Keywords: adverse childhood experiences; sexual behaviours; sexual re-victimization; young people; Nigeria
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