IntroductionComprehensive sexuality education (CSE), recognized globally as a fundamental human right, offers a curriculum-based approach to teaching about the cognitive, emotional, physical, and social dimensions of sexuality. When implemented effectively, it improves health outcomes, and cultivates resilience, respect for diversity, and lifelong decision-making skills. Desire for CSE is critical to maximizing its benefits among adolescents. This study aimed to identify the sexual and reproductive health needs of adolescents in Ekiti State, Nigeria, and the determinants of desire for CSE among them.MethodsThis cross-sectional study was conducted among 1211 adolescents from three (rural, urban, and semi-urban) LGAs. A structured interviewer-administered questionnaire was used to collect data. Independent variables included adolescents’ sociodemographic characteristics (age, sex, location, school enrolment status), sexual and reproductive health needs, access to reproductive health services, and perceptions on youth-friendly clinic. The outcome variable was adolescents’ desire for CSE, defined as desire for sexuality on three or more of the following subject matters: functioning of sexual organs, prevention of unintended pregnancy, contraceptive use, management of sexual relationships, sexually transmitted infections, and prevention of sexual violence. The level of statistical significance was set at 5%.ResultsAdolescents’ average age was 15.9 ± 1.8 years, 630 (52.0%) were females, 601 (49.6%) lived in urban areas, while 465 (38.4%) had completed high school. Overall, 994 (82.1%) adolescents had received sexuality education, and 935 (77.2%) adolescents desired CSE. Totally, 497 (82.7%) adolescents in urban communities desired CSE compared to 132 (66.0%) in peri-urban and 306 (74.6%) in rural communities (Chi-square = 26.106, p ≤ 0.001). Also, 836 (84.1%) adolescents who had received any form of sexuality education desired CSE compared to 99 (45.6%) with no previous sexuality education (Chi-square = 149.90, p ≤ 0.001). Compared to rural dwellers, the odds of desiring CSE was higher among urban dwellers (aOR = 1.38, p = 0.060) but lower among those in peri-urban communities (aOR = 0.44, p ≤ 0.001). Adolescents who have ever received sexuality education had five times higher odds of desiring CSE (aOR = 4.98, p ≤ 0.001) compared to others.ConclusionCapacity-building trainings should be organized by governmental and non-governmental organizations to provide CSE for adolescents in Ekiti State, Nigeria.
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