Survey of the risk behaviors and mental health of adolescents in Gabon

Abstract Background Adolescence shapes adulthood and is a time of vulnerability. This study explores risk behaviors among African adolescents from Gabon. Methods This study was done in 2021 and followed the Global School-Based Student Health Survey (GSHS) guidelines. Six core modules (alcohol, tobac...

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Main Authors: Joel Fleury Djoba Siawaya, Steeve Minto’o Rogombe, Mah Diawara, Rotimi Myrabelle Avome Houechenou, Nora Sylvana Efire Emagha, Zena Andrews, Lydie Armelle Moukambi, Anicet Christel Maloupazoa Siawaya, Amandine Mveang Nzoghe, Ofilia Mvoundza Ndjindji, Patrick Douada Mouguiama
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Communications Medicine
Online Access:https://doi.org/10.1038/s43856-024-00615-7
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Summary:Abstract Background Adolescence shapes adulthood and is a time of vulnerability. This study explores risk behaviors among African adolescents from Gabon. Methods This study was done in 2021 and followed the Global School-Based Student Health Survey (GSHS) guidelines. Six core modules (alcohol, tobacco, and drug use, sexual behaviors, mental health, and safety) were included. A self-administered questionnaire was used to gather data. The data were analyzed using Prism version 6 GraphPad software. Results This study includes 1009 adolescents aged 10–19 years (62% females and 38% males). 30.8% are under 16 years old. 41.3% have low to medium self-esteem. The prevalence of alcohol, tobacco, and cannabis use is 37%, 7.4%, and 4.3%, respectively. 15.4% of under 16 years are alcohol drinkers. 38% are sexually active (6% of them have had sexually transmitted diseases (STDs)). Alcohol increases by 6.1 (p < 0.0001) the odds of being sexually active. The age of the first sexual intercourse is 15.3 ± 1.9 years. Sexually active adolescents have, on average, 3.2 ± 2.2 sex partners. Also, 38% of sexually active adolescents experienced coerced sex. 11.3% of sexually active girls had an abortion, and 17.4% of them had kids. 19.4% have experienced sex under substance influence. Less than half of adolescents consistently use condoms. The odds of unprotected sex under the influence of alcohol or drugs is 10.7 (p < 0.001). Conclusions These results suggest Gabonese adolescents have a relatively high rate of alcohol use, risky sexual behaviors, sexual coercion, low to medium self-esteem, and vulnerability.”
ISSN:2730-664X