Influence of household wealth status on transactional sex and condom use among Nigerian youth: A cross-sectional analysis of the 2018 Demographic and Health Survey
Globally, despite the increasing social and economic interventions to achieve better health behavior outcomes for the younger generation, the rising rate of engagement in risky sexual behaviors (RSBs) among young people is alarming, particularly in developing countries. This could be attributed to households’ wealth conditions that contribute to poor access to sexual and reproductive health services. This study investigates the influence of household wealth status on RSBs (transactional sex and non-condom use) among unmarried youth aged 15–24 years in Nigeria. Survey data from the 2018 Nigeria Demographic and Health Survey were used to better understand RSBs among a weighted sample of 12,664 unmarried adolescents and young adults in Nigeria. Descriptive statistics were presented using frequency tables, while analytical methods included Pearson’s Chi-square test and multivariate logistic analysis. The study found that individuals aged 20–24 were significantly more likely to engage in RSBs, particularly among those from households in the poorest wealth quintile (odds ratio [OR]: 1.69, 95% confidence interval [CI]: 1.04–2.76), living in communities with average poverty levels (OR: 1.34, 95% CI: 0.69–2.59), with higher education (OR: 3.22, 95% CI: 1.20–8.66), with community media access (OR: 2.04, 95% CI: 1.27–3.26), and residing in high-poverty communities (OR: 1.54, 95% CI: 0.94–2.54). To mitigate the negative effects of RSBs and their consequences, youth support initiatives should be prioritized by governments and non-governmental organizations through adaptation and mitigation strategies, particularly for those residing in low-wealth households, to discourage them from engaging in RSBs.
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