Otu, Akaninyene Asuquo https://orcid.org/0000-0002-6009-2707
Onwusaka, Obiageli Chiezey https://orcid.org/0000-0002-8048-4978
Udoh, Ubong Aniefiok https://orcid.org/0000-0002-7673-2414
Effa, Emmanuel Edet https://orcid.org/0000-0002-5654-2963
Inyang, Joel
Ebenso, Bassey https://orcid.org/0000-0003-4147-0968
Abdi, Fatumo
Ugbe, Ugbe Maurice-Joel https://orcid.org/0000-0003-3690-0740
Okwesileze, Chikezie
Ekeng, Bassey Ewa
Ita, Ita Okokon
Lawal, Mashood
Mbadiwe, Estelle Onyekachi
Walley, John https://orcid.org/0000-0001-7290-0989
Funding for this research was provided by:
This project was funded by the UK Department of Health and Social Cares Fleming Fund using UK aid. (C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12, C.12)
Article History
Received: 20 July 2025
Accepted: 13 November 2025
First Online: 29 November 2025
Declarations
:
: Ethical approval was obtained from the Health Research Ethics Committee of the Ministry of Health Cross River State to conduct this survey. The approval certificate identifier: CRS/MH/HREC/023/Vol.V1/255. This study was conducted in compliance with the Declaration of Helsinki. Written and verbal informed consents were obtained from parents/guardians to authorize their adolescents’ participation in the study. Additionally, consent was obtained from adolescents.
: Not applicable.
: The authors declare no competing interests.