Abstract

This study investigates the assessment of undergraduate students’ awareness and utilization of contraceptives at Prince Abubakar Audu University (PAAU), Anyigba, Kogi State, Nigeria. The study employed descriptive cross-sectional survey design, and data were randomly collected from 371 selected students through a structured questionnaire. The analysis revealed that 74.7% of respondents had engaged in sexual intercourse, yet only 56.6% reported ever using contraceptives, with condoms being the most frequently adopted method. Despite this, irregular use, reliance on less effective options, and widespread misconceptions were evident. Only 28.0% of participants demonstrated high awareness of contraceptive methods, while 67.9% reported no prior exposure to formal sexual health education. The findings further highlighted experiences of unprotected sex, unintended pregnancies, abortions, and instances of sexual violence among respondents. These results underscore persistent gaps in reproductive and sexual health literacy, access to youth-friendly services, and consistent contraceptive practice. The study concludes that although progress has been made in awareness, significant barriers remain. Strengthening comprehensive sexuality education, improving accessibility of reproductive health services, and implementing student-centered policy interventions are recommended to enhance safe sexual behavior and reduce reproductive health risks in university settings.

Keywords

  • Afghanistan’s Buddhist Heritage
  • Bamiyan Buddha Statues
  • Buddhist Centers in Afghanistan
  • Buddhist Religious Missionaries
  • Cultural Influence of Buddhism
  • Gandhara and Kushan Buddhism
  • Silk Road and Buddhism

References

  1. Adebayo, A. S., Durodola, A. O., & Olumide, A. O. (2016). Condom use among Nigerian university students. African Health Sciences, 16(3), 664–673. [https://doi.org/10.4314/ahs.v16i3.19](https://doi.org/10.4314/ahs.v16i3.19)
  2. Adebayo, S., & Okonkwo, C. (2019). Contraceptive choices and sexual practices among university students in Nigeria: A gender-based analysis. African Journal of Reproductive Health, 23(4), 112–120. [https://doi.org/10.29063/ajrh2019/v23i4.11](https://doi.org/10.29063/ajrh2019/v23i4.11)
  3. Adekeye, O. A., Adeusi, S. O., Chenube, O. O., Ahmadu, F. O., & Sholarin, M. A. (2020). Sexual behaviour, contraception and reproductive health knowledge among students of a Nigerian tertiary institution. International Journal of Psychology and Counselling, 12(4), 22–27. [https://doi.org/10.5897/IJPC2020.0606](https://doi.org/10.5897/IJPC2020.0606)
  4. Ajuwon, A. J., Brieger, W. R., Oladepo, O., & Adeniyi, J. D. (2006). Indigenous contraceptive practices among adolescents in Ibadan, Nigeria. Journal of Adolescent Research, 21(3), 228–247. [https://doi.org/10.1177/0743558406287404](https://doi.org/10.1177/0743558406287404)
  5. Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. [https://doi.org/10.1016/0749-5978(91)90020-T](https://doi.org/10.1016/0749-5978%2891%2990020-T)
  6. Akinlabi, A., & Omotosho, A. (2023). Transactional sex and condom negotiation among Nigerian university students. Journal of Sexual and Reproductive Health, 47(2), 88–101. [https://doi.org/10.1080/26410397.2023.1984206](https://doi.org/10.1080/26410397.2023.1984206)
  7. Asekun-Olarinmoye, E. O., Adebimpe, W. O., Bamidele, J. O., Odu, O. O., & Asekun-Olarinmoye, I. O. (2014). Barriers to use of modern contraceptives among university students in South-Western Nigeria: A descriptive cross-sectional study. BMC Public Health, 14, 66. [https://doi.org/10.1186/1471-2458-14-66](https://doi.org/10.1186/1471-2458-14-66)
  8. Becker, M. H., & Rosenstock, I. M. (1984). Compliance with medical advice. In A. Steptoe & A. Mathews (Eds.), Health care and human behavior (pp. 135–152). Academic Press.
  9. Eze, U., & Alabi, O. (2023). Awareness and utilization of long-term contraceptive methods among female undergraduates in Nigerian universities. Journal of Adolescent Health Studies, 12(2), 55–64. [https://doi.org/10.1080/15388423.2023.1911205](https://doi.org/10.1080/15388423.2023.1911205)
  10. Ezegwu, A., & Eze, R. (2022). Sexual risk behaviours and contraceptive practices among Nigerian undergraduates. African Journal of Reproductive Health, 26(3), 72–85. [https://doi.org/10.29063/ajrh2022/v26i3.8](https://doi.org/10.29063/ajrh2022/v26i3.8)
  11. Mustafa, M. A. (2022). Barriers to contraceptive use among Nigerian university students: A qualitative analysis. African Journal of Reproductive Health, 26(2), 55–67. [https://doi.org/10.29063/ajrh2022/v26i2.6](https://doi.org/10.29063/ajrh2022/v26i2.6)
  12. Olorunfemi, O., & Akinbote, D. (2021). Myths and misconceptions about contraceptives: Impact on university students in Northern Nigeria. Sexual and Reproductive Health Matters, 29(3), 1945176. [https://doi.org/10.1080/26410397.2021.1945176](https://doi.org/10.1080/26410397.2021.1945176)
  13. Onajole, A. T., Akinyemi, J. O., & Adebayo, F. O. (2018). Sexual behaviour and contraceptive use among female undergraduate students of the University of Lagos, Nigeria. Nigerian Medical Practitioner, 73(1), 12–18. [https://doi.org/10.4103/nmp.nmp_46_18](https://doi.org/10.4103/nmp.nmp_46_18)
  14. Oye-Adeniran, B. A., Adewole, I. F., Umoh, A. V., Oladokun, A., & Ekanem, E. E. (2022). Emergency contraception: Knowledge and practice of university students in South-West Nigeria. Nigerian Journal of Clinical Practice, 25(4), 489–495. [https://doi.org/10.4103/njcp.njcp_452_21](https://doi.org/10.4103/njcp.njcp_452_21)
  15. Salami, K. K., Ayegboyin, M., & Azeez, B. (2020). Peer influence and contraceptive use among female undergraduates in selected Nigerian universities. Journal of Family and Reproductive Health, 14(3), 153–160.
  16. Sanni, O. F., Sanni, A. E., Onyeagwaibe, C. I., Ahamuefula, T., & Akeju, O. P. (2025). A comparative analysis of factors associated with modern contraceptive use among youth in Northern and Southern Nigeria: A cross-sectional population-based survey (2011–2021). PLOS Global Public Health, 5(6), e0004685. [https://doi.org/10.1371/journal.pgph.0004685](https://doi.org/10.1371/journal.pgph.0004685)
  17. UNESCO. (2021). Comprehensive sexuality education: A global review. United Nations Educational, Scientific and Cultural Organization. [https://unesdoc.unesco.org/](https://unesdoc.unesco.org/)
  18. Usman, M., & Oladimeji, B. (2021). Cultural influences on reproductive health behavior among youth in Northern Nigeria: A qualitative study. International Journal of Social Sciences and Public Policy, 13(1), 30–46.
  19. World Health Organization. (2023). Adolescent pregnancy fact sheet. WHO. [https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy](https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy)
  20. World Health Organization. (2024). Adolescent pregnancy: Global updates. WHO. [https://www.who.int/](https://www.who.int/)