ArticleBMC infectious diseases2025
Sexual behaviors and self-reported sexually transmitted infections (STIs) among male and female youths in Nigeria.
Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and Factors Associated With Risky Sexual Behaviors Among Young People in Ethiopia: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Predictors of self-reported sexually transmitted infections (STIs) among men in 54 low and middle income countries (LMICs): a comparison of deep learning and classical machine learning algorithms.BMC infectious diseases · 2026Article
- Epidemiology of Chlamydia trachomatis, Mycoplasma genitalium, Neisseria gonorrhoeae, and Ureaplasma urealyticum in males of andrology clinics in Nanjing, China: a 10 years retrospective study.Frontiers in cellular and infection microbiology · 2026Article
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Abstract
backgroundSexually transmitted infections (STIs) remain a global public health issue and are highly prevalent in sub-Saharan Africa, with current literature indicating that risky sexual behaviors are major risk factors. Studies have shown that STIs are more common among young people engaging in risky sexual behaviors. We examined the associations between sexual behaviors and self-reported STIs, including the role of marital status, among male and female Nigerian youths (aged 15-29).
methodsWe pooled and analyzed data from the 2008, 2013, and 2018 Nigeria Demographic and Health Surveys (NDHS). The secondary data were collected using a stratified two-stage cluster sampling technique across the states in Nigeria. We categorized sexual behaviors (in the last twelve months) into six groups ranging from abstinence to non-condom use and sexual infidelity, and measured STI status through self-reporting. We performed chi-square tests of associations and multivariable logistic regressions to examine the relationships between sexual behaviors and self-reported STIs among married and never-married youths.
resultsThe findings of this study revealed that the associations between sexual behaviors and self-reported STI depended on sex and marital status. Among never-married women, those who did not use condoms and who were engaged in sexual infidelity were four times more likely to report having a STI (OR = 4.88; 95% CI = 2.84-8.37) compared to those who practiced abstinence. Among married women, the odds of self-reporting of a STI were seven times higher for those who used condoms but engaged in sexual infidelity (OR = 7.60; 95% CI = 2.06-28.09). For never-married men, those who used condoms but engaged in sexual infidelity were five times more likely to report STIs (OR = 5.54; 95% CI = 2.87-10.68) than those who practiced abstinence. For married men, sexual behaviors were not significantly associated with self-report of STI.
conclusionThis study showed that sexual behaviors were associated with self-reported STIs among never-married and married female youths and never-married male youths in Nigeria. These findings can inform programs aimed at reducing STI transmission among youths in Nigeria. Specifically, they can guide the development of educational programs to increase youth awareness of the risks associated with their sexual behaviors.
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