Main Article Content
Abstract
Sexually transmitted infections (STIs) are caused by unhealthy sexual behaviors pose serious health burdens on the health of the individual and scarce health resources. The study evaluated the effectiveness of a virtual risk reduction program on the health-seeking behavior of female undergraduates in the Port Harcourt metropolis in Rivers State, Nigeria. A quasi-experimental study design used a multi-stage sampling method to recruit 90 female undergraduates in Port Harcourt Metropolis, Rivers State. Participants were randomly sampled into intervention and control groups of 45 participants, where the latter did not receive the virtual intervention. The intervention was an online HIV/AIDS Modified Minimum Prevention Package Intervention (MPPI) program that was conducted in three phases over three months. Data were compiled before and after the intervention using an online self-administered questionnaire designed with Google Forms and were analyzed using Statistical Package for Social Science (SPSS) Version 22.0. At baseline, the proportion of the sexually active who contracted sexually transmitted infections was 44% in the intervention group, 51.28% in the control group, and all sought treatment in both groups (P-value=0.569, χ2=0.32).
Post-intervention, the proportion of the sexually active who contracted sexually transmitted infections was 37.50% in the intervention group, 51.28% in the control group, and all sought treatment in both groups. (P-value=0.387, χ2=1.36). The results indicate a 6.5% decrease in the proportion of those seeking STI treatment at post-intervention for the intervention group and no difference in the control group.
A pharmacy or chemist was the most preferred place to seek treatment for the majority of the respondents, followed by government hospitals, private hospitals, and self-medication. The levels of health-seeking behavior for STI among the students were good, but there was no significant difference in the level of health-seeking behavior among the students after the intervention.
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References
- Ajike, S.O., Elendu, Z., Ajike, S., Ogunsanmi, O., Olaoye, T., (2016). Health Seeking Behavior Towards Sexually Transmitted Infections among Students of a Nigerian Tertiary Institution. South American Journal of Public Health, Volume 4, Issue 2.
- Alubo, O., Oyediran, K., Odiachi, A., (2002). Adolescent Sexuality and Reproductive Health in Benue State, Nigeria, Centre for Development and Population Activities CEDPA/Nigeria.
- Amu, E.O., Adegun, P.T., (2015). Awareness and Knowledge of Sexually Transmitted Infections among Secondary School Adolescents in Ado Ekiti, South Western Nigeria. Hindawi Publishing Corporation: Journal of Sexually Transmitted Diseases Volume 2015, Article ID 260126, 7 pageshttp://dx.doi.org/10.1155/2015/260126.
- Anwar, M., Sulaiman, S.A.S., Ahmadi, K., Khan,T.M., (2010). Awareness of school students on sexually transmitted infections (STIs) and their sexual behavior: a cross-sectional study conducted in Pulau Pinang, Malaysia. BMC Public Health, vol.10, article47,2010.
- Bell, J., (2009). Why embarrassment inhibits the acquisition and use of condoms: A qualitative approach to understanding risky sexual behavior, Journal of Adolescence, Volume 32, Issue 2,2009, Pages 379-391, ISSN 0140-1971,https://doi.org/10.1016/j.adolescence.2008.01.002.
- Faxelid, E., Ahlberg, B.M., Ndulo, J., Krantz, I., (1998). Health-seeking behavior of patients with sexually transmitted diseases in Zambia. East Afr Med J. 1998 Apr; 75(4):232-6. PMID: 9745841.Joda, A.E., Tayo, F., Aina, B.A., (2013). Undergraduate Students' Knowledge and Practice of
- Gonorrhea and other Sexually Transmitted Infections. Nig Q Journal Hospital Medical. 2013 Oct-Dec; 23(4):302-8.
- Fortenberry, J.D., McFarlane, M.M., Hennessy, M., Bull, S.S., Grimley, D.M., St Lawrence, J., Stone B.P., VanDevanter, N., (2001). Relation of health literacy to gonorrhoea related care. Sex Transm Infect. 2001 Jun; 77(3):206–11. doi: 10.1136/sti.77.3.206. https://sti.bmj.com/lookup/pmidlookup?view=long&pmid=11402232
- Kadiri, k. k., Ahmad, M. K., &Mustaffa, C. S. (2014). Knowledge and treatment seekingbehaviour of University of Ilorin students in Kwara State, Nigeria. New Media and communication, 27,1-8.
- Kassie, B.A., Yenus, H., Berhe, R., Kassahun, E.A., (2019). Prevalence of sexually transmitted infections and associated factors among the University of Gondar students, Northwest Ethiopia: a cross-sectional study. Reproductive Health. 2019 Nov 8;16(1):163. doi: 10.1186/s12978-019-0815-5.
- Handebo, S., (2020). Sexually transmitted infections related care-seeking behavior and associated factors among reproductive age women in Ethiopia: further analysis of the 2016 demographic and health survey. BMC Women's Health 20, 274 (2020). https://doi.org/10.1186/s12905-020-01145-9
- Yuen-Ha Wong, J., Zhang, W., Wu, Y., Pui Hang Choi, E., Ming Lo, H., Wong, W., HinMaChio, J., Cherry Tam, H.L., Ngai, F.W.,Tarrant, M., Wang, M.P.,
- Yuen-SheungNgan,H., and Daniel Yee-Tak Fong.(2021). An Interactive Web-Based Sexual Health Literacy Program for Safe Sex Practice for Female Chinese University Students: Multicenter Randomized Controlled Trial Journal of Medical Internet Research J Med Internet Res. 2021 Mar; 23(3): e22564.2021 Mar 12. doi: 10.2196/22564
- Nigussie, T., Yosef, T., (2020). Knowledge of sexually transmitted infections and its associated factors among polytechnic college students in Southwest Ethiopia. Pan Afr Med J. 2020 Sep 17;37:68. doi: 10.11604/pamj.2020.37.68.22718.
- Rana M, Kamath R, Ashok L, Shetty B, Guddattu V, Chandrasekaran V. (2015). Knowledge and attitude regarding STIs including HIV and RTIs among college adolescent girls in urban UdupiTaluk. Glob J Med PUBLIC Heal. 2015;4(1)
- Tsadik, M., Lul Lam, Z.H., (2019). Delayed health care seeking is high among patients presenting with sexually transmitted infections in HIV hotspot areas, Gambella town, Ethiopia. HIV AIDS. (Auckl) 2019 Aug 30; 11:201–209.
- Voeten,H.A., O'hara, H.B., Kusimba, J, Otido, J.M., Ndinya-Achola, J.O., Bwayo, J.J., Varkevisser, C.M., Habbema, J.D., (2004). Gender differences in health care-seeking behavior for sexually transmitted diseases: a population-based study in Nairobi, Kenya. Sex Transm Dis. 2004 May; 31(5):265-
- doi: 10.1097/01.olq.0000124610.65396.52.
- National Agency for the Control of Aids (2010).Minimum Prevention Package Intervention (MPPI) .A simple Implementation Guide. https://www.academia.edu/28993171/Minimum_Prevention_Package_Intervention_MPPI_A_simple_Implementation_Guide
References
Ajike, S.O., Elendu, Z., Ajike, S., Ogunsanmi, O., Olaoye, T., (2016). Health Seeking Behavior Towards Sexually Transmitted Infections among Students of a Nigerian Tertiary Institution. South American Journal of Public Health, Volume 4, Issue 2.
Alubo, O., Oyediran, K., Odiachi, A., (2002). Adolescent Sexuality and Reproductive Health in Benue State, Nigeria, Centre for Development and Population Activities CEDPA/Nigeria.
Amu, E.O., Adegun, P.T., (2015). Awareness and Knowledge of Sexually Transmitted Infections among Secondary School Adolescents in Ado Ekiti, South Western Nigeria. Hindawi Publishing Corporation: Journal of Sexually Transmitted Diseases Volume 2015, Article ID 260126, 7 pageshttp://dx.doi.org/10.1155/2015/260126.
Anwar, M., Sulaiman, S.A.S., Ahmadi, K., Khan,T.M., (2010). Awareness of school students on sexually transmitted infections (STIs) and their sexual behavior: a cross-sectional study conducted in Pulau Pinang, Malaysia. BMC Public Health, vol.10, article47,2010.
Bell, J., (2009). Why embarrassment inhibits the acquisition and use of condoms: A qualitative approach to understanding risky sexual behavior, Journal of Adolescence, Volume 32, Issue 2,2009, Pages 379-391, ISSN 0140-1971,https://doi.org/10.1016/j.adolescence.2008.01.002.
Faxelid, E., Ahlberg, B.M., Ndulo, J., Krantz, I., (1998). Health-seeking behavior of patients with sexually transmitted diseases in Zambia. East Afr Med J. 1998 Apr; 75(4):232-6. PMID: 9745841.Joda, A.E., Tayo, F., Aina, B.A., (2013). Undergraduate Students' Knowledge and Practice of
Gonorrhea and other Sexually Transmitted Infections. Nig Q Journal Hospital Medical. 2013 Oct-Dec; 23(4):302-8.
Fortenberry, J.D., McFarlane, M.M., Hennessy, M., Bull, S.S., Grimley, D.M., St Lawrence, J., Stone B.P., VanDevanter, N., (2001). Relation of health literacy to gonorrhoea related care. Sex Transm Infect. 2001 Jun; 77(3):206–11. doi: 10.1136/sti.77.3.206. https://sti.bmj.com/lookup/pmidlookup?view=long&pmid=11402232
Kadiri, k. k., Ahmad, M. K., &Mustaffa, C. S. (2014). Knowledge and treatment seekingbehaviour of University of Ilorin students in Kwara State, Nigeria. New Media and communication, 27,1-8.
Kassie, B.A., Yenus, H., Berhe, R., Kassahun, E.A., (2019). Prevalence of sexually transmitted infections and associated factors among the University of Gondar students, Northwest Ethiopia: a cross-sectional study. Reproductive Health. 2019 Nov 8;16(1):163. doi: 10.1186/s12978-019-0815-5.
Handebo, S., (2020). Sexually transmitted infections related care-seeking behavior and associated factors among reproductive age women in Ethiopia: further analysis of the 2016 demographic and health survey. BMC Women's Health 20, 274 (2020). https://doi.org/10.1186/s12905-020-01145-9
Yuen-Ha Wong, J., Zhang, W., Wu, Y., Pui Hang Choi, E., Ming Lo, H., Wong, W., HinMaChio, J., Cherry Tam, H.L., Ngai, F.W.,Tarrant, M., Wang, M.P.,
Yuen-SheungNgan,H., and Daniel Yee-Tak Fong.(2021). An Interactive Web-Based Sexual Health Literacy Program for Safe Sex Practice for Female Chinese University Students: Multicenter Randomized Controlled Trial Journal of Medical Internet Research J Med Internet Res. 2021 Mar; 23(3): e22564.2021 Mar 12. doi: 10.2196/22564
Nigussie, T., Yosef, T., (2020). Knowledge of sexually transmitted infections and its associated factors among polytechnic college students in Southwest Ethiopia. Pan Afr Med J. 2020 Sep 17;37:68. doi: 10.11604/pamj.2020.37.68.22718.
Rana M, Kamath R, Ashok L, Shetty B, Guddattu V, Chandrasekaran V. (2015). Knowledge and attitude regarding STIs including HIV and RTIs among college adolescent girls in urban UdupiTaluk. Glob J Med PUBLIC Heal. 2015;4(1)
Tsadik, M., Lul Lam, Z.H., (2019). Delayed health care seeking is high among patients presenting with sexually transmitted infections in HIV hotspot areas, Gambella town, Ethiopia. HIV AIDS. (Auckl) 2019 Aug 30; 11:201–209.
Voeten,H.A., O'hara, H.B., Kusimba, J, Otido, J.M., Ndinya-Achola, J.O., Bwayo, J.J., Varkevisser, C.M., Habbema, J.D., (2004). Gender differences in health care-seeking behavior for sexually transmitted diseases: a population-based study in Nairobi, Kenya. Sex Transm Dis. 2004 May; 31(5):265-
doi: 10.1097/01.olq.0000124610.65396.52.
National Agency for the Control of Aids (2010).Minimum Prevention Package Intervention (MPPI) .A simple Implementation Guide. https://www.academia.edu/28993171/Minimum_Prevention_Package_Intervention_MPPI_A_simple_Implementation_Guide