Prevalence and Pattern of Sex Enhancement Drug Use Among Adult Males in Ido-Ekiti, Nigeria: A Community-Based Cross-Sectional Study
Abstract
Sex enhancement drug consumption has become increasingly visible across several African settings, yet community-level prevalence data remain limited. This study examines the prevalence and pattern of sex enhancement drug use among adult males in Ido-Ekiti, Ekiti State, Nigeria. A descriptive cross-sectional design was employed among 362 adult males aged 18–65 years selected through multistage sampling. Data were collected using a semi-structured questionnaire and analysed with SPSS version 27.0. The prevalence of lifetime use of sex enhancement drugs was 38.7%. Alcohol 26.0% and local herbal preparations 21.3% constituted the most frequently reported substances, followed by orthodox pharmaceutical agents 9.1% and nutritional supplements 5.8%. Usage was largely occasional, with 26.5% reporting use 1–2 times and 1.9% reporting daily use. Most users reported use within marital or regular partnerships 17.4%, though a proportion reported use with casual partners 13.5%, sex workers 11.9%, and women they struggled to win 5.5%. The dominant source of procurement was roadside vendors 81.4%. The findings reveal substantial community-level engagement with sex enhancement substances, characterised by informal acquisition and episodic consumption. These results highlight the need for structured sexual health engagement strategies that address patterns of non-medical performance enhancement within community settings.
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