Prevalence and Predictors of Risky Sexual Behavior in HIV-Infected Adolescents: A Study from Kaduna, Nigeria

Abstract

Background: The prevalence of risky sexual behavior among HIV-infected adolescents is a public health challenge, especially in regions with a high HIV burden like Sub-Saharan Africa. This study explores the prevalence and predictors of such behaviors among adolescents receiving care in a youth-friendly clinic in Kaduna, Nigeria. Methods: In a cross-sectional study conducted at a tertiary hospital's youth-friendly clinic, we analyzed data from 200 HIV-infected adolescents aged 13 to 19 years. The revised Risky Sexual Behaviour Questionnaire (RSBQ) provided comprehensive data, which was subjected to logistic regression analysis to identify significant predictors of risky sexual behaviors. Results: The study found a 45% prevalence of risky sexual behaviors among participants. Logistic regression analysis indicated significant predictors including male gender (OR = 2.1), lower education level (OR = 2.5), and poor HIV-related knowledge (OR = 2.8). Conclusions: Nearly half of the HIV-infected adolescents engaged in risky sexual practices, with significant predictors identified across gender, education, and HIV knowledge domains. These findings underscore the urgent need for targeted educational and behavioral interventions tailored to this vulnerable population.