Reproductive Health Knowledge, Attitudes, Beliefs, and Health-Seeking Behaviors of Nigerian-Born Immigrant Women in Metropolitan Atlanta, Georgia, U.S.A

Background: According to WHO reproductive tract infections are endemic in many developing countries; and control of RTIs, especially STIs, are an urgent priority for many countries where the prevalence rates are high. Within the research literature, there's strong evidence that infertility in Africa is largely due to untreated RTIs. This is an area where the ability to have children is held in high regard among many cultures. Given the magnitude of reproductive health problems in Africa, specifically Nigeria, little is known about these issues among Nigerian immigrants in the U.S. Methods: A cross-sectional mixed-method approach was conducted in three phases: construction of the survey, two focus group discussions, and questionnaire dissemination among target population. Results: Both focus groups responded positively to the initial questionnaire. However, focus group II provided constructive belief and attitude themes around gender roles, condom usage, STIs, and infertility that were included in the final version of the questionnaire. 180 respondents completed the 87-item questionnaire. Over 70% correctly answered 13 out of 14 knowledge questions, 41% indicated having never received an STI test since migrating to the U.S., while majority disagreed with many socio-cultural belief statements presented on the questionnaire. Conclusions: Cultural beliefs and practices that impact Nigerian immigrants health-seeking behaviors are still of important interest, especially if such practices and beliefs may have a negative impact on their health. Implications: Future studies should tailor health education interventions to encourage STI testing among married individuals, since they may not perceive themselves as being at risk for STIs.