Universidad Peruana Cayetano Heredia

Associations between Forced Sexual Initiation, HIV Status, Sexual Risk Behavior, Life Stressors, and Coping Strategies among Adolescents in Nigeria

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dc.contributor.author Folayan, Morenike-Oluwatoyin
dc.contributor.author Harrison, Abigail
dc.contributor.author Brown, Brandon
dc.contributor.author Odetoyinbo, Morolake
dc.contributor.author Stockman, Jamila-K.
dc.contributor.author Ajuwon, Ademola-J.
dc.contributor.author Caceres Palacios, Carlos Fernando
dc.date.accessioned 2019-02-06T14:45:13Z
dc.date.available 2019-02-06T14:45:13Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5061
dc.description.abstract OBJECTIVES: Some individuals experience their first sexual intercourse through physically forced sex, which affects the way they experience and cope with stress. We examined differences in sexual risk behavior, experience of stressors, and use of stress-coping strategies among adolescents in Nigeria based on their history of forced sexual initiation and HIV status. METHODS: We analyzed data from 436 sexually active 10-19-year-old adolescents recruited through a population-based survey from 12 Nigerian states. Using Lazarus and Folkman's conceptual framework of stress and coping, we assessed if adolescents who reported forced sexual initiation were more likely to report HIV sexual risk practices, to report as stressors events related to social expectations, medical care and body images, and loss and grief, and to use more avoidance than adaptive coping strategies to manage stress. We also assessed if HIV status affected experience of stressors and use of coping strategies. RESULTS: Eighty-one adolescents (18.6%) reported a history of forced sexual initiation; these participants were significantly more likely to report anal sex practices (OR: 5.04; 95% CI: 2.14-11.87), and transactional sex (OR: 2.80; 95% CI: 1.56-4.95). Adolescents with no history of forced sexual initiation were more likely to identify as stressors, life events related to social expectations (OR: 1.03; 95% CI: 0.96-1.11) and loss and grief (OR: 1.34; 95% CI: 0.73-2.65), but not those related to medical care and body images (OR: 0.63; 95% CI: 0.34-1.18). They were also more likely to use adaptive responses (OR: 1.48; 95% CI: 0.62-3.50) than avoidance responses (OR: 0.90; 95% CI: 0.49-1.64) to cope with stress, though these differences were not significant. More adolescents with a history of forced sexual initiation who were HIV positive identified as stressors, life events related to medical care and body images (p = 0.03) and loss and grief (p = 0.009). Adolescents reporting forced sexual initiation and HIV-negative status were significantly less likely to use religion as a coping strategy (OR: 0.28; 95% CI: 0.09-0.83). CONCLUSION: History of forced sexual initiation and HIV status affected perception of events as stressors and use of specific coping strategies. Our study findings could inform best practice interventions and policies to prevent and address forced sexual initiation among adolescents in Nigeria and other countries. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adaptation, Psychological en_US
dc.subject Risk-Taking en_US
dc.subject Adolescent en_US
dc.subject Adolescent Behavior/psychology en_US
dc.subject Child en_US
dc.subject Female en_US
dc.subject HIV Seropositivity/epidemiology/psychology en_US
dc.subject Humans en_US
dc.subject Intimate Partner Violence/prevention & control/psychology/statistics & numerical data en_US
dc.subject Male en_US
dc.subject Mental Healing/psychology en_US
dc.subject Nigeria/epidemiology en_US
dc.subject Religion en_US
dc.subject Risk Factors en_US
dc.subject Sex Factors en_US
dc.subject Sex Offenses/prevention & control/psychology/statistics & numerical data en_US
dc.subject Sexual Behavior/psychology/statistics & numerical data en_US
dc.subject Stress, Psychological/epidemiology/rehabilitation en_US
dc.subject Surveys and Questionnaires en_US
dc.title Associations between Forced Sexual Initiation, HIV Status, Sexual Risk Behavior, Life Stressors, and Coping Strategies among Adolescents in Nigeria en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0155210
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn 1932-6203


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