Jump to ContentJump to Main Navigation
Show Summary Details
More options …

International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

See all formats and pricing
More options …
Volume 29, Issue 2


Knowledge and perception of young adults in Nigeria on effectiveness of condom use in prevention of sexually transmitted infections

Philip Emeka Anyanwu / John Fulton
Published Online: 2015-11-04 | DOI: https://doi.org/10.1515/ijamh-2015-0050



Although sexually transmitted infections (STIs) are a global health problem affecting every region of the world, the higher prevalence and mortality rate of STIs in developing countries of the world, like Nigeria, make them serious public health issues in this region.


The aim of this study is to assess the knowledge and perception of young adults in Nigeria on the role of condom (both male and female condoms) as a preventive measure against STIs during heterosexual and homosexual intercourse.

Materials and methods:

Data was collected from participants selected from the northern and southern Nigeria using self-administered questionnaire specifically designed for this study.


Knowledge of condom efficacy in STI prevention was satisfactory. However, knowledge and practice of the correct use of condom was poor. Only 47.1% of the 102 participants in this study reported correct condom use of wearing condoms before staring intercourse and removing condoms after ejaculation. As a strategy to include the experiences, knowledge and perception of men who have sex with men, this study asked the question on condom use during anal sex. Only 24.4% of the male participants indicated they have never had anal sex while for females, the percentage was more than half (53.5%). Condom use during anal sex was low with only 20.6% of participants reporting condom use during anal sex. Negative perceptions about condom use – such as that condom use promotes sexual promiscuity, and not using condoms with steady sexual partners – were significant in this study. Also, condom use errors were common in this study.


There is a wide gap in knowledge of correct condom use in this population. There is need for interventions that address the issue of condom use during anal and same-sex sexual intercourse in this population.

Keywords: condom; knowledge; perception; sexually transmitted infections; young adults


  • 1.

    WHO: World Health Organization. Sexually transmitted infections fact sheet. Geneva: WHO, 2013. Available on http://www.who.int/mediacentre/factsheets/fs110/en/. (Accessed 29 August, 2014).

  • 2.

    Gewirtzman A, Bobrick L, Conner K, Tyring S. Epidemiology of sexually transmitted infections. In: Sexually transmitted infections and sexually transmitted diseases. Berlin, Heidelberg: Springer, 2011:13–34.Google Scholar

  • 3.

    Mayaud P, Mabey D. Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sexual Transm Infect 2004;80: 174–82.CrossrefGoogle Scholar

  • 4.

    Da Ros C, da Silva Schmitt C. Global epidemiology of sexually transmitted diseases. Asian J Androl 2008;10:110–4.PubMedCrossrefWeb of ScienceGoogle Scholar

  • 5.

    Milhausen R, McKay A, Graham C, Crosby R, Yarber W, et al. Prevalence and predictors of condom use in a national sample of Canadian university students. Canad J Hum Sexual 2013;22:142–51.CrossrefGoogle Scholar

  • 6.

    WHO: World Health Organization. New data on male circumcision and HIV prevention: policy and programme implications. WHO/UNAIDS technical consultation. Male circumcision and HIV prevention: research implications for policy and programming, 2007. Available at: http://www.who.int/hiv/mediacentre/Mcrecommendations_en.pdf. (Accessed: 13 June, 2008).

  • 7.

    PPFA: Planned Parenthood Federation of America. The condom, 2006. http/:www.plannedparenthoodvotes.org.

  • 8.

    Benagiano G, Carrara S, Filippi V, Brosens I. Condoms, HIV and the roman catholic church. Repr Bio Online 2011;22: 701–9.CrossrefGoogle Scholar

  • 9.

    Kalbian A. Sex, Violence, and Justice: Contraception and the Catholic Church. Georgetown: University Press, 2014.Google Scholar

  • 10.

    Khan S, Hudson-Rodd N, Saggers S, Bhuiyan M, Bhuiya A. Safer sex or pleasurable sex? Rethinking condom use in the AIDS era. Sexual Health 2004;1:217–25.PubMedCrossrefGoogle Scholar

  • 11.

    Oyediran K, Feyisetan O, Akpan T. Predictors of condom-use among young never-married males in Nigeria. J Health Popul Nutr 2012;29:3.Web of ScienceGoogle Scholar

  • 12.

    Warner L, Gallo M, Macaluso M. Condom use around the globe: how can we fulfill the prevention potential of male condoms? Sexual Health 2012;9:4–9.CrossrefGoogle Scholar

  • 13.

    FMHN: Federal Ministry of Health Nigeria. Epidemiology Reports 2012. Available at: http://www.health.gov.ng/index.php?option=com_content&view=article&id=128:weekly-epidemiology-report&catid=90&Itemid=544. (Accessed: 20 March, 2014).

  • 14.

    Akinyemi A, Aransiola J, Banjo O, Bamiwuye O, Fadeyibi O. et al. Influence of independent and proximate variables on condom use in selected States in Nigeria. Afr J Reprod Health 2010;14:51–60.PubMedGoogle Scholar

  • 15.

    Ibrahim M, Arisegi S, Awosan K, Erhiano E. Knowledge of HIV/AIDS, risk perception, sexual lifestyle and condom use among drivers in Sokoto, Nigeria. J Infect Dis Immun 2014;6:19–25.CrossrefGoogle Scholar

  • 16.

    Coyle K, Franks H, Glassman J, Stanoff N. Condom use: slippage, breakage, and steps for proper use among adolescents in alternative school settings. J School Health 2012;82:345–52.Web of ScienceCrossrefGoogle Scholar

  • 17.

    Crosby R, Milhausen R, Sanders S, Graham C, Yarber W. Condom use errors and problems: a study of high-risk young Black men residing in three Southern US cities. Int J STD AIDS 2014. DOI: 10.1177/0956462414526707.PubMedWeb of ScienceGoogle Scholar

  • 18.

    World bank. Country profile overview, 2013. Available at: http://www.worldbank.org/en/country/nigeria (Accessed: 18 November 2014).

  • 19.

    NPCN: National Population Commission Nigeria. Nigeria Demographic and Health Survey 2013. Abuja: NPC, 2013. Available at: http://dhsprogram.com/publications/publication-FR293-DHS-Final-Reports.cfm. (Accessed on 4 September, 2014).

  • 20.

    Nardi P. Doing survey research: a guide to qualitative methods, 2nd ed. Boston: Pearson, 2006.Google Scholar

  • 21.

    Creswell J. Research design: qualitative, quantitative and mixed method approaches, 4th ed. London: Sage, 2013.Google Scholar

  • 22.

    World bank. Poverty and equity data, 2014. Available at: http://povertydata.worldbank.org/poverty/country/NGA (Accessed: 1 August 2014).

  • 23.

    Crosby R, Sanders S, Yarber W, Graham C. Condom-use errors and problems: a neglected aspect of studies assessing condom effectiveness. Am J Health Behav 2003;24:367–70.Google Scholar

  • 24.

    Grimley D, Annang L, Houser S, Chen H. Prevalence of condom use errors among STD clinic patients. Am J Health Behav 2005;29:324–30.CrossrefPubMedGoogle Scholar

  • 25.

    Crosby R, Charnigo R, Weathers C, Caliendo A, Shrier L. Condom effectiveness against non-viral sexually transmitted infections: a prospective study using electronic daily diaries. Sex Transm Infect 2012;88:484–8.PubMedCrossrefWeb of ScienceGoogle Scholar

About the article

Corresponding author: Philip Emeka Anyanwu, Science Complex, Department of Pharmacy Health and Well-being, University of Sunderland City Campus, SR1 3SD, Sunderland, UK, E-mail: anyanwuphilipemeka@gmail.com

Received: 2015-05-28

Accepted: 2015-08-16

Published Online: 2015-11-04

Published in Print: 2017-04-01

Conflict of interest statement: The authors declare no conflict of interest.

Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150050, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0050.

Export Citation

©2015 Walter de Gruyter GmbH, Berlin/Boston.Get Permission

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

Sheila A. Bishop, Hilary I. Okagbue, and Victor O. Adoghe
Journal of Public Health, 2019
Imran O. Morhason-Bello, Severin Kabakama, Kathy Baisley, Suzanna C. Francis, and Deborah Watson-Jones
Reproductive Health, 2019, Volume 16, Number 1
Luchuo Engelbert Bain, Nkeh Charles Clovis, Chobufo Muchi Ditah, Nkoke Clovis Ekukwe, and Eugene Justine Kongnyuy
Journal of Archives in Military Medicine, 2017, Volume In Press, Number In Press

Comments (0)

Please log in or register to comment.
Log in