ArticleBMC health services research2022
Exploring the why: risk factors for HIV and barriers to sexual and reproductive health service access among adolescents in Nigeria.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Risk factors associated with sexually transmitted infections in Nigeria: a systematic review.BMC public health · 2026Pooled it
- Descriptive comparison of comprehensive HIV knowledge and condom non-use at last sexual intercourse among unmarried adolescent girls and young women in Nigeria.BMC women's health · 2026Article
- Trends in HIV-related knowledge, behaviors and determinants of HIV testing among adolescent women aged 15-24 in Nigeria.Tropical medicine and health · 2025Article
- Consensus on Adolescent and Young Adult HIV Research Consent in Low- and Middle-Income Countries.JAMA network open · 2025Article
- Healthcare workers' attitudes and factors affecting provision of sexual and reproductive health services to adolescents in refugee settlements, Western Uganda.Frontiers in reproductive health · 2025Article
- Sexual and Reproductive Health Service Seeking Scale (SRHSSS): development, validity, and reliability.BMC public health · 2024Article
- Understanding inequalities in the coverage of adolescent sexual and reproductive health services: a qualitative case study of the selected regions of Zambia.Frontiers in reproductive health · 2024Article
- Article
- Associations between mental health and HIV status among sexual minority and heterosexual adolescents in Nigeria.BMJ global health · 2022Article
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly sexual debut, low educational attainment, history of rape and transactional and intergenerational sex have been associated with HIV infection among Nigerian adolescents, especially females. We sought to understand the "why", and how to mitigate against these determinants and barriers to addressing adolescent sexual and reproductive health (SRH) and HIV prevention needs.
methodsThis qualitative study generated data from 49 focus group discussions with male and female adolescents living with and without HIV, healthcare workers, members of civil society organizations working with young people, and parents of adolescents living with HIV. Participants were recruited from all six geopolitical zones in Nigeria. Data was analysed with ATLAS.ti software. Hermeneutic units were created, and codes developed from focus group transcripts. Network View Manager was used to create maps of codes, memos and quotations, and relevant quotes were retrieved from transcripts.
resultsFour major themes were identified, relating to individual, parental, community and government roles in reducing the risk of HIV and unplanned pregnancy among adolescents in Nigeria. Individual factors influencing sexual risk behaviours of adolescents include peer pressure, poor risk perception for HIV, and misconceptions about the efficacy of contraceptives and condoms. Respondents entrusted State responsibilities such as facilitation of HIV-affected adolescents' access to education, rather, to individuals, parents and the community; and placed the blame for rape on rape survivors. Findings also highlighted the inadequacy of health systems to address adolescents' needs for treatment of sexually transmitted infections and to provide appropriate education on secondary HIV prevention for those living with HIV.
conclusionRigorous studies are needed to understand dynamics between adolescents' risk behavior, HIV risk perception, parental roles in mitigating HIV risk in adolescents, and the role of communities and government in HIV prevention and treatment for adolescents in Nigeria.
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