Uche R. Oluoha

Sexual Abuse among Female Undergraduates in Tertiary Institutions in IMO State, Southeast Nigeria: Prevalence, Pattern and Determinants

Introduction: Sexual abuse is a global public health problem that cuts across social class, cultures, tribes etc. and has permeated the fabrics of tertiary institutions and many work places as long as humans have reasons to interact. Aim: To determine the prevalence, pattern and determinants of sexual abuse among undergraduates in tertiary institutions in Imo State, Nigeria. Methodology: This study was a descriptive, cross sectional survey of 600 female students in tertiary institutions in Imo State Nigeria. They were selected using the multistage sampling technique and data were collected using a pretested, semi-structural and self-administered questionnaire and analyzed using a computer soft-ware (EPI INFO version 3.3.2). Descriptive statistics was presented using summary indices, frequency tables and percentages. Associations between variables were done using the chi-square and logistic regression. A p-value of less than 0.05 was considered significant. Results: The mean age of the respondents was 21.7 3.2 years. The current and life-time prevalence of sexual abuse among the respondents was 15.2% and 34% respectively and the commonest form of sexual abuse experienced was founding/grabbing of sensitive body parts (52.5%). Factors found to influence current occurrence of sexual abuse among the students were; age (p = 0.010), tribe (p = 0.008), marital status (p < 0.001), type of student in secondary school attended (p = 0.001), faculty of study (p = 0), year in school (p < 0.0001), persons currently shared room with (p < 0.0001) and level of knowledge about sexual abuse (p = 0.007). Conclusion: The prevalence of abuse as revealed in this study was high. There is need to develop appropriated prevention strategies by the universities to curb this menace against our women.

Sexual Behavior and Abuse: A Case Study of University Undergraduates in Tertiary Institutions in Imo State, Nigeria

Introduction: In young people including adolescents, risky sexual behavior has been recognized as an important health, social and demographic concern in the developing world. Aim: To assess sexual behaviors and their association with current and life-time occurrence of sexual abuse among female undergraduates in tertiary institutions in Imo State, Nigeria. Methodology: This was a school based cross sectional study involving 600 female students selected from tertiary institutions in Imo State Nigeria, using the multistage sampling technique. Data was collected using a semi-structured, self-administered questionnaire and analyzed using a data software (EPI-INFO version 3.3.2). Descriptive variables were presented using summary indices, frequency tables/percentages, and graph while associations between variables were done using the Chi-square and binary regression. A p-value of < 0.05 was considered significant. Results: The mean age of the students was 21.7+3.2 years. About 65.2% of the respondents have initiated sexual intercourse and of this proportion, 75.6% were sexually active in the last one year preceding survey. The mean age at initiation of sexual debut among the students was 18.9+3.8 years and the commonest form of sexual act practiced was penile/vaginal sex. About 15.2% of the students had been currently abused. Predictors of current sexual abuse were; ever had sexual intercourse (OR.4.63), being within 14-19 years of age at first sexual initiation, (OR: 0.42), had first sexual exposure with a casual partner (OR: 12.38), and being sexually active in the last 1 year preceding study, (OR: 2.16). Conclusion: Risky sexual behaviors were prevalent and were found to influence the occurrence of sexual abuse, among the students. Thus, there is need to institute appropriate prevention strategies to limit risky sexual behaviors and it consequences among adolescents and young adults.

Socio-Demographic Determinants of Psychoactive Substance Use among Students of Tertiary Institutions in Imo State, Nigeria

Background: Psychoactive substance use among undergraduate students is a major public health problem globally and over 29 million people worldwide suffer from drug use disorders. Methodology: This study was carried out in February 2017 and the study design was an institution based descriptive cross-sectional type. The study population comprised undergraduate students in selected tertiary institutions of the state. A multistage sampling technique was used in the selection of study subjects. Data was collected using a pretested, semi-structured and self-administered questionnaire and analysis was done using IBM SPSS version 20. The level of statistical significance was set at p-value of ≤ 0.05. Results: The mean age of the respondents was 22.2 ± 3.8 years. The prevalence of the life time and current use of stimulants were 45.3% and 29.1% respectively and tobacco was the commonest stimulant used both in the past (50.3%) and currently (48.0%). Peer group influence was the commonest reason for initiating use of psychoactive substances. Factors significantly associated with current use of stimulants among the students were; gender (p<0.0001), level of study (p=0.012), accommodation statues (p<0.0001) and status of parents union (p=0.007). Conclusion: This study showed a high prevalence of psychoactive substance use among the respondents thus appropriate preventive measures should be adopted to minimise this menace.

Stigmatization and the Predictors of Reported Discrimination among HIV Positive Patients Receiving Care in Hospitals in Imo State, Nigeria

Background: HIV related Stigma and discrimination is a reflection of fear of the unknown, driven by ignorance and helplessness that results in negative attitude, beliefs and unfair treatment towards those living with HIV. Objective: To assess knowledge of stigmatization, prevalence of reported discrimination and the socio-demographic and care predictors of discrimination among HIV positive patients receiving care in Health Care Institutions in Imo State, Nigeria. Methods: A cross sectional analytical design using a simple random sampling technique to select 422 HIV positive patients attending the adult HIV clinics from two public health care institutions in Imo State. Data was collected using a pretested semi structured questionnaire. Descriptive analyses were done with frequencies and summary statistics. Chi square statistics were computed to determine significant relationships and simple binary logistic regression was used to determine predictors of HIV related discrimination. The p-value was set at 0.05 significance level. Results: The mean age of the respondents was 37 ± 6.3 with a male to female ratio of 1:1.7. The overall level of knowledge of stigmatization and discrimination was poor in more than half of the respondents (55.2%). The prevalence of stigmatization and reported discrimination was 33.2% of which, close to two thirds of it occurred among the females (62.9%). The main source of discrimination was from family and relatives (45.0%) with close to half of the respondents having suicidal thoughts after experiencing discrimination (46.4%). The predictors of HIV related discrimination and stigmatization reported in this study were; being within the ages of 26-35 years, (OR 2.16), having at least one or more children (OR: 3.72), residing in their community of origin (2.00), residing in Orlu (OR: 3.77) or Okigwe (OR: 3.29) zones of Imo State, receiving advice to do the HIV test from a health personnel (OR: 2.52) and doing a HIV test and receiving a positive result from a private hospital (OR:2.22) or health centre OR: 2.11). Conclusion: Stigmatization and discrimination of people living with HIV/AIDS are created by individuals and communities influenced by socio-demographic and care factors which continues to perpetuate the transmission of HIV; and therefore, it remains an important issue of public health concern that must be addressed.