%0 Journal Article
%T A multilevel analysis of effect of neighbourhood and individual wealth status on sexual behaviour among women: evidence from Nigeria 2003 Demographic and Health Survey
%A Olalekan A Uthman
%A Eugene J Kongnyuy
%J BMC International Health and Human Rights
%D 2008
%I BioMed Central
%R 10.1186/1472-698x-8-9
%X We analyzed data from 6362 sexually active women aged 15 每 49 years who participated in the Nigeria 2003 Demographic and Health Survey using multilevel logistic regression models. Results are presented as odds ratio with 95% confidence interval.Independent of other factors, compared to women aged 15每24 years, those 25 每 34 years (odds ratio [OR] 0.59; 95% CI: 0.44 每 0.79) and 35 years or older (OR 0.36; 95% CI: 0.24 每 0.54) were less likely to have reported multiple concurrent sex partners in the last 12 years. As expected, women currently or formerly married were less likely to have reported multiple concurrent sex partners than women never married. Women who drank alcohol in the last three months were more likely to have reported multiple concurrent sex partners. Compared to women from richest household, women from poorest and middle household were 83% and 51% more likely to multiple concurrent sex partners in the last 12 month respectively. After individual compositional and contextual factors, community wealth status was statistically significant with sexual behaviour.The study has demonstrated that individual and community wealth status are independent predictors of women's sexual behaviour, and that there is significant neighbourhood variation in odds of multiple concurrent sex partners, even after controlling for effects of both individual- and community-level characteristics. Scholars trying to understand variation individual high risk sexual behaviour should pay attention to the characteristics of both individuals and places of residence.Nigeria is home to more people living with HIV than any other country in the world, except South Africa and India 每 where an estimated 2.9 million [1.7 million 每 4.2 million] people were living with the virus in 2005 [1]. As is the case in most of sub-Saharan Africa, women greatly surpass men in the number of people living with HIV/AIDS, and in many areas women double the number of men with the virus [1]. Reasons for women'
%U http://www.biomedcentral.com/1472-698X/8/9