Peer-to-Peer Discussions and Consistent Condom Use among Commercial Motorcycle Riders in Ado-Ekiti, Nigeria: A Mixed-Methods Analysis

Samenvatting

Unprotected sex is a significant cause of sexually transmitted infections (STIs) and HIV-related infections particularly in Nigeria, where commercial motorcycle riders are likely to engage in multiple sexual partners and have little access to formal sexual health education. This study explored how peer-to-peer conversations can affect regular condom use among commercial motorcycle riders in Ado-Ekiti Local Government Area, Ekiti State. A mixed-method design was adopted using survey that consisted of 337 valid responses (91% response rate) and 12 in-depth interviews with were conducted among 12 commercial riders who were purposively selected because of the level of their engagement in peer-led discussions. Descriptive and inferential statistics were used in the analysis of quantitative data and thematic analysis of qualitative data. Results showed a middle range prevalence of peer-to-peer discussions of sexual health (Mean = 3.53, SD = 1.01), which did significantly enhance the level of knowledge good riders possess on proper condom use (Mean = 3.65, SD = 0.94) as well as the encouragement of consistent condom use (Mean = 3.58, SD = 0.97). The constructs of the Social Cognitive Theory, namely, observational learning and reinforcement were present because peer influence and role modelling encouraged safer sexual behaviour. However, socio-cultural beliefs, religious beliefs, fear of ridicule, misinformation, and lack of time barred peer communication (Mean = 3.33, SD = 0.99). The study concluded that peer discussions are a relatively unexploited, but effective method of improving the use of condoms by commercial motorcycle riders. It recommended the use of peer-led health education reinforcement, cultural barriers, and the encouragement of peer role models to ensure a consistent use of condoms and minimize the risks of STIs/HIV.