Abstract
Background:
As adolescents transition from childhood to adulthood, effective mother-daughter communication on sexuality plays a role in reducing high-risk behaviours linked to human immunodeficiency virus (HIV) infection and early pregnancy and childbirth. The objective of the study was to examine the prevalence of mother-daughter communication on sexuality and associated factors in Sagamu, southwest Nigeria.
Methods:
Using multistage sampling, surveys were conducted using 234 female youth enrolled at a secondary school. The chi-square or Fisher’s exact test was used to examine associations between categorical variables. The independent sample t-test was used to compare mean values of variables with reported evidence of mother-daughter communication on sexuality.
Results:
The mean age of respondents was 16+1.56 years. The majority (89.7%) had engaged in mother-daughter communication on sexuality, but three-quarters (80.8%) of the respondents could not freely discuss sexuality with their mothers. About one-third (31.6%) of the respondents reported at least one sexual encounter with the mean age of sexual debut of 14.23±2.12 years. Mother-daughter communication on sexuality was significantly associated with religion (p=0.047), mother’s age (p=0.019), who the respondents live with (p=0.029), mother’s highest educational status (p<0.001), age of sexual debut (p=0.030), and condom use (p<0.001), but not with freedom to discuss sexuality with their mother (p=0.552) or freedom to introduce male friends to their mother (p=0.077).
Conclusion:
Despite the high prevalence of mother-daughter communication on sexuality, mothers’ approach appeared unfriendly, as most girls could not freely discuss topics concerning sexuality with their mothers. Poor communication on sexuality was associated with sexual risk behaviours. Mothers should engage in adolescent-friendly transferring of knowledge on sexuality in order to reduce pregnancy rates and HIV transmission in female adolescents.
Acknowledgments
The authors thank Dr O.O. Sholeye for the advisory and supervisory role played in the completion of this study.
Conflict of interest statement: The authors declare that they have no conflicts of interest.
Funding: None.
Authors contributions: OAO and VJA designed, prepared and revised the manuscript. HJC prepared and revised the manuscript. All authors reviewed and approved the final manuscript.
References
1. World Health Assembly. Resolution WHA 64.28: Youth and health risks. Geneva, World Health Organization, 2011. Available at: http://apps.who.int/gb/ebwha/pdf_files/WHA64/A64_R28-en.pdf. Accessed August 3, 2016.Search in Google Scholar
2. Christie D, Viner R. Adolescent development. Br Med J 2005;330:301–4.10.1136/bmj.330.7486.301Search in Google Scholar
3. World Health Organization. Adolescents: Health risks and solutions. Fact sheet No. 345. 2016. Available at: http://www.who.int/mediacentre/factsheets/fs345/en/. Accessed August 3, 2016.Search in Google Scholar
4. Newton-Levinson A, Leichliter JS, Chandra-Mouli V. Sexually transmitted infection services for adolescents and youth in low- and middle-income countries: perceived and experienced barriers to accessing care. J Adolesc Health 2016;59:7–16.10.1016/j.jadohealth.2016.03.014Search in Google Scholar PubMed
5. Catalano RF, Berglund ML, Ryan JAM, Lonczak HS, Hawkins JD. Positive youth development in the United States: research findings on evaluations of positive youth development programs. Ann Am Acad Polit SS 2004;591:98–124.10.1177/0002716203260102Search in Google Scholar
6. Markham CM, Lormand D, Gloppen KM, Peskin MF, Flores B, et al. Connectedness as a predictor of sexual and reproductive health outcomes for youth. J Adolesc Health 2010;46:S23–41.10.1016/j.jadohealth.2009.11.214Search in Google Scholar PubMed
7. Beckett MK, Elliott MN, Martino S, Kanouse DE, Corona R, et al. Timing of parent and child communication about sexuality relative to children’s sexual behaviors. Pediatrics 2010;125:34–42.10.1542/peds.2009-0806Search in Google Scholar PubMed
8. Biddlecom A, Awusabo-Asare K, Bankole A. Role of parents in adolescent sexual activity and contraceptive use in four African countries. Int Perspect Sex Reprod Health 2009;35:72–81.10.1363/3507209Search in Google Scholar PubMed
9. Eisenberg ME, Sieving RE, Bearinger LH, Swain C, Resnick MD. Parents’ communication with adolescents about sexual behavior: a missed opportunity for prevention? J Youth Adolescence 2006;35:893–902.10.1007/s10964-006-9093-ySearch in Google Scholar
10. Ogle S, Glasier A, Riley SC. Communication between parents and their children about sexual health. Contraception 2008;77:283–8.10.1016/j.contraception.2007.12.003Search in Google Scholar PubMed
11. Godswill J. Adolescents’ sexual and reproductive health challenges in northern Nigeria: road map to effective interventions. Int Lett Soc Humanist Sci 2014;24:1–11.10.18052/www.scipress.com/ILSHS.24.1Search in Google Scholar
12. Joint United Nations Programme on HIV/AIDS. The Gap Report. 2014. Available at: http://www.unaids.org/sites/default/files/media_asset/UNAIDS_Gap_report_en.pdf. Accessed August 10, 2016.Search in Google Scholar
13. Hutchinson MK, Jemmott JB, 3rd, Jemmott LS, Braverman P, Fong GT. The role of mother-daughter sexual risk communication in reducing sexual risk behaviors among urban adolescent females: a prospective study. J Adolesc Health 2003;33:98–107.10.1016/S1054-139X(03)00183-6Search in Google Scholar PubMed
14. Miller KS, Levin ML, Whitaker DJ, Xu X. Patterns of condom use among adolescents: The impact of mother-adolescent communication. Am J Public Health 1998;88:1542–4.10.2105/AJPH.88.10.1542Search in Google Scholar PubMed
15. Population Reference Bureau. World population data sheet, 2013. 2013. Available at: http://www.prb.org/pdf13/2013-population-data-sheet_eng.pdf. Accessed August 3, 2016.Search in Google Scholar
16. Nigeria Data Portal. Census data: population distribution by age, 2006. Available at: http://nigeria.opendataforafrica.org/xlomyad/population-distribution-by-age-2006. Accessed August 3, 2016.Search in Google Scholar
17. Federal Ministry of Health. National reproductive health policy and strategy to achieve quality reproductive and sexual health for all Nigerians. Abuja, Nigeria: Federal Ministry of Health, 2001. Available at: http://www.youth-policy.com/Policies/Nigeria%20National%20Reproductive%20Health%20Policy%20and%20Strategy.pdf. Accessed August 3, 2016.Search in Google Scholar
18. Slap GB, Lot L, Huang B, Daniyam CA, Zink TM, et al. Sexual behaviour of adolescents in Nigeria: Cross sectional survey of secondary school students. Br Med J 2003;326:15.10.1136/bmj.326.7379.15Search in Google Scholar
19. Federal Ministry of Health. National policy on the health and development of adolescents and young people in Nigeria. Abuja, Nigeria: Federal Ministry of Health, 2007. Available at: http://www.health.gov.ng/doc/policy.pdf. Accessed August 3, 2016.Search in Google Scholar
20. Banspach S, Zaza S, Dittus P, Michael S, Brindis CD, et al. CDC grand rounds: Adolescence – preparing for lifelong health and wellness. MMWR Morb Mortal Wkly Rep 2016;65:759–62.10.15585/mmwr.mm6530a2Search in Google Scholar PubMed
21. Animasahun VJ, Sholeye OO, Oduwole AD. Promoting the sexual and reproductive health of adolescent females in Ijebu-Ode, southwest, Nigeria: a study of sexual risk-taking. Int J Adolesc Med Health 2017;29:20160021.10.1515/ijamh-2016-0021Search in Google Scholar
22. Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick B, et al. Adolescence: a foundation for future health. Lancet 2012;379:1630–40.10.1016/S0140-6736(12)60072-5Search in Google Scholar PubMed
23. Omeonu PE, Babalola DA, Agbede OC. Qualitative analysis of adolescents’ sexual behavior in Ogun state, Nigeria: implications of HIV/AIDS policy. J Biol Agric Healthc 2014;4:162–6.Search in Google Scholar
24. Amoran OE, Onadeko MO, Adeniyi JD. Parental influence on adolescent sexual initiation practices in Ibadan, Nigeria. Int Q Community Health Educ 2005;23:73–81.10.2190/U8VJ-0UFE-HRYU-J48LSearch in Google Scholar
25. Musa OI, Akande TM, Salaudeen AG, Soladoye OM. Family communication on HIV/AIDS among secondary school students in a northern state of Nigeria. Afr J Infect Dis 2008;2:1–5.10.4314/ajid.v2i1.42090Search in Google Scholar
26. Bushaija E, Sunday FX, Asingizwe D, Olayo R, Abong’o B. Factors that hinder parents from the communicating of sexual matters with adolescents in Rwanda. Rwanda J Health Sci 2013;2:13–9.10.4314/rjhs.v2i2.2Search in Google Scholar
27. Bhana A, Petersen I, Mason A, Mahintsho Z, Bell C, et al. Children and youth at risk: adaptation and pilot study of the CHAMP (Amaqhawe) programme in South Africa. Afr J AIDS Res 2004;3:33–41.10.2989/16085900409490316Search in Google Scholar PubMed
28. Khadijeh D, Khadijah N, Movahed Zahra P, Hamideh D. Teachers’ attitudes regarding sex education to adolescent. Int J Phys Beh Res 2015;4:73–8.Search in Google Scholar
29. Miller BC, Norton MC, Fan X, Christopherson CR. Pubertal development, parental communication and sexual values in relation to adolescent sexual behaviors. J Early Adolesc 1998;18:27–52.10.1177/0272431698018001002Search in Google Scholar
30. Manu AA, Mba CJ, Asare GQ, Odoi-Agyarko K, Asante RKO. Parent–child communication about sexual and reproductive health: evidence from the BrongAhafo region, Ghana. Reprod Health 2015:12:16.10.1186/s12978-015-0003-1Search in Google Scholar PubMed PubMed Central
31. Izugbara CO. Home-based sexuality education: Nigerian parents discussing sex with their children. Youth Society 2008;39:575–600.10.1177/0044118X07302061Search in Google Scholar
32. Bastien S, Leshabari MT, Klepp KI. Exposure to information and communication about HIV/AIDS and perceived credibility of information sources among young people in northern Tanzania. Afr J AIDS Res 2009;8:213–22.10.2989/AJAR.2009.8.2.9.861Search in Google Scholar PubMed
33. Kawai K, Kaaya SF, Kajula L, Mbwambo J, Kilonzo GP, et al. Parents’ and teachers’ communication about HIV and sex in relation to the timing of sexual initiation among young adolescents in Tanzania. Scand. J Public Health 2008;36:879–88.10.1177/1403494808094243Search in Google Scholar PubMed
34. Adeyemo MO, Brieger WR. Dissemination of family life education to adolescents by their parents in suburban Ibadan, Nigeria. Int Q Community Health Educ 1994;15:241–52.10.2190/5D3N-J0DF-YDM5-JE2DSearch in Google Scholar PubMed
35. Adu-Mireku S. Family communication about HIV/AIDS and sexual behaviour among senior secondary school students in Accra, Ghana. Afr Health Sci 2003;3:7–14.Search in Google Scholar PubMed
36. Bastien S, Kajula LJ, Muhwezi WW. A review of studies of parent-child communication about sexuality and HIV/AIDS in sub-Saharan Africa. Reprod Health 2011;8:25.10.1186/1742-4755-8-25Search in Google Scholar PubMed PubMed Central
©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- Tribute to a giant: Emanuel Chigier, MD, 1928–2017
- Original Articles
- Sustainability of the results of a non communicable diseases prevention program among youth in the region of Sousse, Tunisia
- Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls
- Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study
- A pilot study of depression, stigma, and attitudes towards seeking professional psychological help among Arab adolescents
- Caffeine consumption patterns and determinants among adolescents in Serbia
- More like him, me, or us: the impact of trait similarity on adolescent women’s sexual risk behaviors in relationships
- Prevalence of physical inactivity and its association on oral conditions in adolescents
- Barriers to adolescent contraception use and adherence
- Eating attitudes and its relationship with nutritional status: a micro level study on a group of adolescent girls in the city of Howrah, West Bengal
- Prevalence of communication between mothers and daughters on sexuality and associated factors in Sagamu, southwest Nigeria
- Case Report
- An unusually long electric wire in a urethra and bladder
- Short Communications
- Examination of YouTube videos related to synthetic cannabinoids
- A cross-sectional study to assess awareness about menstruation in adolescent girls of an urban slum in western Maharashtra
Articles in the same Issue
- Editorial
- Tribute to a giant: Emanuel Chigier, MD, 1928–2017
- Original Articles
- Sustainability of the results of a non communicable diseases prevention program among youth in the region of Sousse, Tunisia
- Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls
- Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study
- A pilot study of depression, stigma, and attitudes towards seeking professional psychological help among Arab adolescents
- Caffeine consumption patterns and determinants among adolescents in Serbia
- More like him, me, or us: the impact of trait similarity on adolescent women’s sexual risk behaviors in relationships
- Prevalence of physical inactivity and its association on oral conditions in adolescents
- Barriers to adolescent contraception use and adherence
- Eating attitudes and its relationship with nutritional status: a micro level study on a group of adolescent girls in the city of Howrah, West Bengal
- Prevalence of communication between mothers and daughters on sexuality and associated factors in Sagamu, southwest Nigeria
- Case Report
- An unusually long electric wire in a urethra and bladder
- Short Communications
- Examination of YouTube videos related to synthetic cannabinoids
- A cross-sectional study to assess awareness about menstruation in adolescent girls of an urban slum in western Maharashtra