Top 10 Countries with the Highest Rates of HIV (CIA 2020): Eswatini 26.8% Lesotho 21.1% Botswana 19.9% South Africa 19.1% Zimbabwe 11.9% Namibia 11.6% Mozambique 11.5% Zambia 11.1% Malawi 8.1% Clicking on the following button will update the content below. These limitations notwithstanding, this study provides important insights on sexual behavior among Nigerian women. As of 2005, people in the United States stated that they have had an average of 10.7 . doi: 10.1080/00224490209552202, 27. In a recent study on secondary school students in Ido-ekiti, of South-West Nigeria found that the mean age of sexual debut was 13.10 with more than two-third of the students had early sexual debut (27). Age at sexual debut was used as the predictor of multiple sexual partnerships which was assessed by multinomial regression models with logit link function in complex sample analysis mode. This is the first country representative study to show the association between age at sexual debut and number of life times sexual partners among Nigerian women. Early sexual initiation and multiple sexual partners among Vietnamese women: analysis from the Multiple Indicator Cluster Survey, 2011, Early sexual initiation and subsequent sex-related risks among urban minority youth: the reach for health study, https://dhsprogram.com/data/available-datasets.cfm, http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.557.1448&rep=rep1&type=pdf, http://dhsprogram.com/publications/publication-fr293-dhs-final-reports.cfm, Human immunodeficiency virus infection and acquired immune deficiency syndrome. The basic sociodemographic variables were also described alongside Chi-square bivariate tests to examine the group differences (age of sexual debut below 15, 1517, and at least 18 years, and number of sexual partners 1, 23, >3). The authors thank the MEASURE DHS project for their support and for free access to the original data. Acta Biol Szegediensis (2000) 44:15565. Individual's sexual behavior, including fertility preference and number of sexual relationships, is a complex construct which is shaped by values embedded within various familial, religion, cultural, and social contexts. West Indian Med J. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 25% of Nigerian adolescents are sexually active NURHI. SY had final responsibility to submit for publication. There is a need for more in-depth researches to explore the underlying cultural and sociodemographic factors that might be contributing to early sexual intercourse in Nigeria. Clark S. Early marriage and HIV risks in sub-Saharan Africa. Results The spatial distribution of LARC use among sexually active women of reproductive age in Nigeria ranges between 20 and 34.8%. Montazeri S, Gharacheh M, Mohammadi N, Alaghband Rad J, Eftekhar Ardabili H. Determinants of early marriage from married girls' perspectives in iranian setting: a qualitative study, Influences on adolescents' decision to postpone onset of sexual intercourse: a survival analysis of virginity among youths aged 13 to 18 years, Coital debut: the role of religiosity and sex attitudes in the Add Health Survey. In contrast those who experienced first intercourse at 18 and above were more likely to be from North Central region, followers of Christianity and had secondary level education. Of the sexually active SIYP, 300 (31.0%) had ever used any form of modern contraception. Volume 8, 2015 - Issue 1 Open access 1,591 Views 37 CrossRef citations to date 0 Altmetric Listen Special Issue: Countdown to 2015 for Maternal, Newborn and Child Survival Patterns and trends of contraceptive use among sexually active adolescents in Burkina Faso, Ethiopia, and Nigeria: evidence from cross-sectional studies Sennen Hounton , Which country lasts the longest in bed? You have undoubtedly never visited Kaduna or experienced its vibrant nightlife. Model adjusted for age, region, place of residence, religion, education, wealth index. The country has in place since 2000 a national health policy to preventing adolescent behavioral risk factors of STIs, including HIV, associated adolescents. These findings imply the role that religious institutions can play in influencing the collective standards and values that direct individual sexual behavior. Fifteen of the 36 states (excluding the Federal Capital . All authors read and approved the final manuscript. Published by Statista Research Department , Nov 16, 2022 In 2018, the average prevalence of sexual abuses in Nigeria was of nine percent. The p 0.25 was chosen to allow the inclusion of more explanatory variables in the regression model. Received: 18 March 2018; Accepted: 17 May 2018; Published: 08 June 2018. liability for the information given being complete or correct. In no particular order, here is a list of the most sexually active tribes in the country: FULANI TRIBE While there are more than 250 different ethnicities in Nigeria, the Fulanis are the most populated and promiscuous tribe in Nigeria today. The dataset was screened for missing values and then merged to perform pooled analysis. In south Africa, MSP was found to be significantly more common among men and women who reported early sexual debut compared with those who had late sexual debut (29). The country has in place since 2000 a national health policy to preventing adolescent behavioral risk factors of STIs, including HIV, associated adolescents. At that time, a median of 11.5 percent of sex workers tested were HIV Glob Health Action (2016) 9:29575. doi: 10.3402/gha.v9.29575, 32. Is sexual behavior healthy for adolescents? Son DT, Oh J, Heo J, Van Huy N, Van Minh H, Choi S, et al.. They both critically reviewed the manuscript for its intellectual content. The main explanatory variable was age at sexual debut, which was measured based on the responses to the question: age at first intercourse. Secular trends in puberty. (2017) 7:16. But in actuality, several people really enjoy it much more and arent aware that this act has its health challenges like contacting STDs. In total 60,611 women aged between 15 and 49 years were selected for this analysis. Similarly, there can be broad range of pathways through which early sexual debut can lead to MSPs. 9. Besides the main explanatory variables, the following factors were likely to be correlated with age at sexual debut and number of sexual partners: Age groups (1524/2529/3034/3549), Region: North Central/North East/North West/South East/South South/South West, Residency (rural/urban) usually determined based on community population size, availability of basic amenities and predominant occupation, Religion (Christian/Islam/Other), Education (Nil/Primary/Secondary/Higher), DHS obtain wealth scores by principal components analysis, based on a list of household assets owned by respondents, which could include; type of floor, wall, roof, water supply, sanitation facilities, radio, electricity, television, refrigerator, cooking fuel, furniture, number of persons per room. The same study also reported that first sexual intercourse before 19 years increased the likelihood of having multiple sexual partners by a factor of five. Peltzer K, Pengpid S. Early sexual debut and associated factors among in-school adolescents in six Caribbean Countries. In multivariable analysis after adjusting for confounding factors, women having sexual debut below 18 years were found to be significantly more likely to have 23 and more than 3 lifetime sexual partner. EAs were used to form the survey clusters called primary sampling units. Trends in rape cases in a Nigerian state - PMC - National Center for In Kano, the rate at which sexual assaults are increasing is disturbing. In the present study, we attempted to explore the patterns of age of sexual debut and multiple sexual partnerships among women of reproductive age in Nigeria. The findings suggest that early sexual debut is associated with multiple sexual partnerships which may increase the risk of unsafe sexual practices such as STIs and HIV/AIDS. Table 4. We did the analyses using publicly available data from demographic health surveys. Determining the level of sexually transmitted diseases (STDs The spatial distribution of LARC use among sexually active women of reproductive age in Nigeria ranges between 20 and 34.8%. First published on Wed 5 Jul 2023 09.08 EDT. J Environ Public Health (2016) 2016:8615929. doi: 10.1155/2016/8615929, 25. doi: 10.1016/j.jadohealth.2015.08.001, 10. Between 1991 and 2020, the teen birth rate declined by an impressive 75% nationwide. Published by Statista Research Department , Dec 31, 2005. They both critically reviewed the manuscript for its intellectual content. Studies on sexual maturation of Hungarian children. Currently there is insufficient evidence on sexual behavior among men and women in Nigeria. There is a need for more in-depth researches to explore the underlying cultural and sociodemographic factors that might be contributing to early sexual intercourse in Nigeria. doi: 10.1177/10598405010170060401, PubMed Abstract | CrossRef Full Text | Google Scholar, 3. Therefore, it is important to design effective interventions to encourage women delay sexual debut to help prevent unintended pregnancies and decrease the disproportionate burden of adverse health outcomes. However, there are empirical evidences on the positive role religious beliefs delayed onset of sexual intercourse among adolescents (25, 26). Methods: Women who responded to the questions about the age at first sex and number of lifetime sex partners were selected from two latest rounds Nigeria Demographic and Health Survey (DHS). Despite that, developing intervention programs have been hampered by inadequate information on contextual factors associated with sexual behavior of adolescents (15). doi: 10.1371/journal.pone.0014826, 7. Besides the main explanatory variables, the following factors were likely to be correlated with age at sexual debut and number of sexual partners: Age groups (1524/2529/3034/3549), Region: North Central/North East/North West/South East/South South/South West, Residency (rural/urban) usually determined based on community population size, availability of basic amenities and predominant occupation, Religion (Christian/Islam/Other), Education (Nil/Primary/Secondary/Higher), DHS obtain wealth scores by principal components analysis, based on a list of household assets owned by respondents, which could include; type of floor, wall, roof, water supply, sanitation facilities, radio, electricity, television, refrigerator, cooking fuel, furniture, number of persons per room. The rape victims increased more than twice (88/ 100. Comprehensive knowledge about HIV in Nigeria 2018, by gender, Facebook: quarterly number of MAU (monthly active users) worldwide 2008-2023, Quarterly smartphone market share worldwide by vendor 2009-2023, Number of apps available in leading app stores Q3 2022. Gambadauro P, Carli V, Hadlaczky G, Sarchiapone M, Apter A, Balazs J, et al. Lastly, the possibility of recall bias cannot be ignored as most of the respondents were above adolescent age. HHS Vulnerability Disclosure, Help Lancet (2006) 368:170628. Guttmacher Inst. The cut-off for early sexual debut ranges from <15 (22), <16 (23) to <18 years (23) in different studies. The best of the best: the portal for top lists & rankings: Strategy and business building for the data-driven economy: People living with HIV receiving ART treatment in Nigeria 2010-2021, Contraceptive prevalence rate among women in Nigeria 2022, by civil status, Modern contraceptive prevalence rate among women in Nigeria 2022, by civil status, Knowledge of mother-to-child transmission of HIV in Nigeria 2018, by gender, Fertility rate in Nigeria from 2011 to 2021, Decisions on sexual health among women in Nigeria 2018, Share of women who make their own decisions regarding sexual and reproductive health and rights in Nigeria between 2007 and 2018, Pregnant women health care in Nigeria 2018, by state, Share of pregnant women who had 4 or more antenatal care visits in Nigeria in 2018, by state, Pregnant women with malaria in Nigeria 2017-2019, Number of pregnant women with malaria in Nigeria from 2017 to 2019, Prevalence rate of any contraceptive method among women in Nigeria as of 2022, by civil status, Prevalence rate of modern contraceptive method among women in Nigeria as of 2022, by civil status, Use of condoms and HIV prevalence among sex workers in Nigeria 2020, Use of condoms, HIV prevalence, and ART coverage among sex workers in Nigeria in 2020, Use of condoms and HIV prevalence among people injecting drugs in Nigeria 2020, Use of condoms, HIV prevalence, and ART coverage among people injecting drugs in Nigeria in 2020, Number of deaths due to AIDS in Nigeria as of 2021 (in 1,000s), People living with HIV in Nigeria in 2021 (in 1,000s), Prevalence of HIV in Nigeria 2020, by gender, Prevalence rate of HIV in Nigeria as of 2020, by gender, People living with HIV who know their status in Nigeria 2021, People living with HIV who know their status in Nigeria as of 2021 (in 1,000s), Number of people living with HIV receiving ART treatment in Nigeria 2021, by gender, Number of adults and children receiving antiretroviral therapy (ART) in in 2021, by gender, Share of people living with HIV receiving antiretroviral therapy (ART) in Nigeria from 2010 to 2021, Knowledge about HIV prevention in Nigeria 2013-2018, by gender, Knowledge about HIV prevention among young people in Nigeria in selected years between 2013 and 2018, by gender, Women tested for syphilis in antenatal clinics in Nigeria 2017, Share of women tested for syphilis in antenatal clinics (ANC) in Nigeria in 2017, People tested for hepatitis B and C in Nigeria 2017, Share of people starting antiretroviral therapy who were tested for hepatitis B and hepatitis C in Nigeria as of 2017, Prevalence of chlamydia in Africa 2020, by gender, Number of people infected with chlamydia in Africa as of 2020, by gender (in 1,000s), Prevalence of gonorrhea in Africa 2020, by gender, Number of people infected with gonorrhea in Africa as of 2020, by gender (in 1,000s), Prevalence of female genital mutilation in Nigeria 2013-2018, by area, Prevalence of female genital mutilation in Nigeria in 2013 and 2018, by area, Age at female genital mutilation in Nigeria 2018, Age at which women had undergone female genital mutilation in Nigeria as of 2018, Attitudes towards female genital mutilation in Nigeria 2018, by circumcision status, Attitudes towards female genital mutilation among women in Nigeria as of 2018, by circumcision status, Attitudes towards female genital mutilation in Nigeria 2018, by area, Attitudes towards female genital mutilation among women in Nigeria as of 2018, by area. (2013) 34:2938. While this changing trend is being felt in both high-income and low-and-middle income countries, the consequences are particularly worrisome for regions or countries with high rates of HIV/AIDS such as sub-Saharan Africa (SSA). The early maturity could be accompanied by a decreasing trend in the age at sexual debut. More so, National programs aimed at controlling early sexual debut and multiple sexual partners should emphasize on promoting comprehensive sexual health education. Girls are often more vulnerable to the risks of adverse consequences of early sexual debut due to poor women's empowerment such as inadequate decision making power, susceptibility to intimate partner violence (higher rate of reporting forced sexual initiation), lack of access to health information and economic support. We conducted 45 IDIs and 7 FGDs with 80 sexually active males and females across Anambra, Kano and Lagos states. Table 1 summarizes the basic sociodemographic characteristics of the sample population. In this study, we examine the effect of ethnic origin on three measures of risky sexual behavior; age at first sex, condom use and multiple sexual partners among youth in Nigeria. Given the high prevalence rates of HIV/AIDS in the country, policy makers should invest on developing strategies to prevent of risky sexual behavior as an effort to reduce the risk of transmission. doi: 10.1136/adc.2009.178707, 12. In the second model after adjusting for all potential confounding variables, compared with those who had first sex after age 18 years, the odds of having 23 lifetime sexual partners were 1.4 times higher among those who had first sex before reaching 15, and 1.5 times higher among those who had first sex before 18 (between 15 and 17 years). Tulloch T, Kaufman M. Adolescent sexuality. (2006) 43:4758. Find your information in our database containing over 20,000 reports. government site. Sexual activity among 534 Nigerian female . We study youth in the Nigerian context because the country has a youthful population and understanding the influence of ethnicity on the sexual behavior of youth can . More research needs to be undertaken to understand the risk factors of risky sexual behavior among men and women in Nigeria. Significant differences in the age at sexual debut and MSPs were observed for religious groups as well. The focus of this article will be prostitution, which in itself is increasingly widespread in very many Nigerian states. Transgender people and those with disabilities are twice as likely to be victims of sexual assault or rape. More than half of the respondents reported experiencing sexual debut before reaching 18 years, among which more than quarter reported same before becoming 15 years. In a recent study on secondary school students in Ido-ekiti, of South-West Nigeria found that the mean age of sexual debut was 13.10 with more than two-third of the students had early sexual debut (27). People who frequently engage in sexual activity with several partners fall under this practice. Sexual behaviour in context: a global perspective. Prostitution in Edo State has reached a new level where the women are transported to other nations like Italy and South Africa. The states with the highest open brothels in Nigeria is Edo, Lagos and Imo states respectively. DHS are nationally representative that collect information on a wide range of public health related topics such as anthropometric, demographic, socioeconomic, family planning, and domestic violence amongst others. The corresponding odds of having >3 were respective lifetimes partners were 1.3 and 1.7 times higher among those who had first intercourse before 15 and before 18. Slap GB, Lot L, Huang B, Daniyam CA, Zink TM, Succop PA. doi: 10.1136/bmj.320.7244.1243, 14. Extent of regretted sexual intercourse among young teenagers in Scotland: a cross sectional survey. We did the analyses using publicly available data from demographic health surveys. Many young women in Ogun no longer feel the need to work hard at a respectable career. Results The spatial distribution of LARC use among sexually active women of reproductive age in Nigeria ranges between 20 and 34.8%. Therefore, this study recommends active participation and integration of all duty bearers in the socialization process especially of the girl-child and enforcement of reproductive health and behavior laws in order to reduce the prevalence of early sexual debut. No use, distribution or reproduction is permitted which does not comply with these terms. and over 1Mio. This difference might be explained by the educational, economic, and healthcare disparities between these regions. Sexual activity among 534 Nigerian female secondary school students was studied using self-administered questionnaire. Top 10 Most Promiscuous States in Nigeria (2023) - Nigerian Infopedia The datasets were secondary; therefore, we had no control over the selection and measurement of variables. Similarly, there can be broad range of pathways through which early sexual debut can lead to MSPs. Am J Med Med Sci. Rostosky SS, Regnerus MD, Wright MLC. Data were analyzed using SPSS version 24. 1. doi: 10.1363/3326801, Keywords: age at sexual debut, multiple sexual partnerships, global health, maternal health, women's health, Nigeria, demographic and health survey, Citation: Yaya S and Bishwajit G (2018) Age at First Sexual Intercourse and Multiple Sexual Partnerships Among Women in Nigeria: A Cross-Sectional Analysis. Folayan MO, Odetoyinbo M, Brown B, Harrison A. Zuma K, Mzolo T, Makonko E. Determinants of age at sexual debut and associated risks among South African youths. In conclusion, the findings of the present study revealed that an increasing proportion of Nigerian women are experiencing sexual debut before reaching 15 years, and that women who experienced early initiation are more likely to have multiple sexual partners. Girls are often more vulnerable to the risks of adverse consequences of early sexual debut due to poor women's empowerment such as inadequate decision making power, susceptibility to intimate partner violence (higher rate of reporting forced sexual initiation), lack of access to health information and economic support. The good, the horrible, and the bizarre occur at this moment while it is still dark. doi: 10.1016/S1054-139X(99)00041-5, 26. The cut-off for early sexual debut ranges from <15 (22), <16 (23) to <18 years (23) in different studies. (2015) 64:3516. Sexually Active Comparison, 2019 | Power to Decide Concerned by the spate of unsafe sex by adolescents in the country, an NGO, the Nigerian Urban Reproductive Health Initiative, says there . Adolescents and Youth Dashboard - Nigeria - United Nations Population Fund In 1992, 14 sites outside of the major urban centers were reporting information on HIV prevalence among sex workers. As previous studies used different thresholds for early sexual debut, we used two different cut-offs instead of one. Gambadauro P, Carli V, Hadlaczky G, Sarchiapone M, Apter A, Balazs J, et al.. Correlates of sexual initiation among European adolescents, Is sexual behavior healthy for adolescents? For analysis it was categorized as: 1, 23, and >3 partners. LGAs are subdivisions of each of the 36 administrative states (including the Federal Capital Territory called Abuja) and classified under six developmental zones in the country. The majority (93.3%) of sexually active SIYP used the condom inconsistently; more than half (56.0%) had multiple sexual . Is it in urban, suburban or rural areas. HPV Vaccine Cost and Patient Assistance Programs In Nigeria, DHS field work is implemented by the National Population Commission (NPC) with the financial and technical assistance by ICF International provisioned through the USAID-funded MEASURE DHS program. Women could engage in early sexual initiation basically due to poverty, myth and socio-cultural misconceptions, curiosity, and experimenting, absence of duty bearers including religious leaders, parents, teachers, aunts, and uncles in the sexuality socialization process. Data were analyzed using SPSS version 24. In the present study, we attempted to explore the patterns of age of sexual debut and multiple sexual partnerships among women of reproductive age in Nigeria. This can be explained by the fact that many males marry two or perhaps more wives. Hence, understanding the patterns of risky sexual behavior and meeting the health needs remain key priorities for healthcare systems in developing countries. Multiple Indicator Cluster Survey study on Vietnam found significant association between early sexual debut with having lifetime multiple sexual partners (31). Sample size was large and findings are generalizable for women aged between 15 and 49 years. (2011) 10:18994. doi: 10.1363/3902213, 24. BMC Public Health (2008) 8:136. doi: 10.1186/1471-2458-8-136, 15. The analysis includes only women, therefore the findings cannot provide the scenario for the general population. Early sexual initiation and subsequent sex-related risks among urban minority youth: the reach for health study. Prevalence of sexual intercourse was 25.7%. Correlates of sexual initiation among European adolescents. Pettifor AE, van der Straten A, Dunbar MS, Shiboski SC, Padian NS. In these areas, prostitution is generally accepted or seen as the natural order of things. Owing to the clustered structure of DHS data, we used complex survey design method for all analyses. Fatusi AO, Blum RW. Afr J AIDS Res. Results: The median age at first sex was 16 years (Interquartile range 1624). and transmitted securely. Khadilkar VV, Stanhope RG. Copyright 2018 Yaya and Bishwajit. facts. Please login with your Username and Password. Lesotho - 82.68. OR, odds ratios; CI, confidence interval. Results from Table Table33 showed that having 1, 23, and >3 lifetime sexual partners were 67.8% (67.068.6), 27.8% (27.228.5), and 4.3% (4.04.7), respectively. Median age at sexual debut was 16 years, which tended be lower among those currently aged below 19 years, located in the North East and North West region, rural residents, followers of Islam, had no formal education, and from households with lower wealth status. University of Nigeria Nsukka Nigeria Submitted : 31 Aug 2020 ; Published : 6 Oct 2020 Abstract This study was carried out to investigate the aetiologic agents of vaginitis in sexually active women in Ikot Ekpene, Akwa Ibom State, Nigeria. Therefore, sex trafficking is a part of living in the state of Edo, particularly in Benin, which serves as the states capital. This study aimed to measure the prevalence of early sexual debut and MSPs among women using data from two representative national surveys in Nigeria. They travel there to publicize the unethical conduct. The analysis includes only women, therefore the findings cannot provide the scenario for the general population. Kado-Kuchi Village in Abuja is referred to as the Sex zone by locals. Health (2000) 26:428. Montazeri S, Gharacheh M, Mohammadi N, Alaghband Rad J, Eftekhar Ardabili H. Determinants of early marriage from married girls' perspectives in iranian setting: a qualitative study. Dating groups, youth group, counseling services, and other activities have frequently been established in religious groups, which may have been successful at creating channels through which religion can influence the lives and behavior of young people and adolescents. The findings suggest that early sexual debut is associated with multiple sexual partnerships which may increase the risk of STIs. The early maturity could be accompanied by a decreasing trend in the age at sexual debut. New Dir Child Adolesc Dev. Background: Little is known about sexual behavior such as first sexual intercourse and number of sexual partnerships among women in Nigeria. *Correspondence: Sanni Yaya, sanni.yaya@uottawa.ca, https://dhsprogram.com/data/available-datasets.cfm, http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.557.1448&rep=rep1&type=pdf, http://dhsprogram.com/publications/publication-fr293-dhs-final-reports.cfm, Creative Commons Attribution License (CC BY), School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada. For analysis it was categorized as: 1, 23, and >3 partners. However, the level of significance in the regression model was set at p < 0.05. The variables that showed significance at p 0.25 in the bivariate tests were retained for final regression analysis. Sexually transmitted diseases (STDs) or sexually transmitted infections (STIs), are classes of non-communicable diseases that are primarily transmitted through unsafe sexual activities (vaginal intercourse, anal sex, and oral sex). PDF Nigeria : epidemiological fact sheets on HIV/AIDS and sexually Multinomial logistic regression on the association between early sexual debut and number of lifetime sexual partners. Prevalence of sexual debut before reaching 15 years were 45.4% (95%CI = 42.947.9) and that of between 15 and 17 years was 49.8% (95%CI = 47.851.7). Stakeholders in health care system need to be aware that early sexual debut can be associated with successive unsafe sexual practices which can lead to adverse health outcomes including HIV infection and STIs, early marriage, unwanted pregnancy, and abortion. From the nation's capital to Fort Worth, Texas, from Florin, California, in the west to the Bronx, New York, in the east, the Fourth of July long . Ethical procedures were the responsibility of the institutions that commissioned, funded, or managed the surveys. These exert long-term impact on their physical and psychological health and well-being, and ultimately influence their capacity to realize their full potential (5). Early sexual debut among women has become an emerging global concern since it exposes women to a myriad of reproductive health issues such as unwanted pregnancy, early marriages, abortions, sexually transmitted, and STIs. Age at sexual debut was used as the predictor of multiple sexual partnerships which was assessed by multinomial regression models with logit link function in complex sample analysis mode. UNAIDS estimate there are 46,630 sex workers in the country. (PDF) Profile Of Sexually Transmitted Infections (STIs With its large population, luxurious hotels, opulent spendthrifts, and a corresponding nightlife, brothels and motels thrive in major areas of this state. Besides early sexual initiation, multiple sexual partnership (MSPs) has also been recognized as a significant predictor of STIs and lower use of condom (18, 19).