Young Women Sexual Behaviour and Self-Reported Sexually Transmitted Diseases in Northern Ethiopia: A Cross Sectional Study
European Journal of Preventive Medicine
Volume 3, Issue 3, May 2015, Pages: 55-62
Received: Apr. 3, 2015; Accepted: Apr. 17, 2015; Published: Apr. 27, 2015
Views 4168      Downloads 136
Girmatsion Fisseha, Mekelle University, College of Health Sciences, Department of Public Health, Mekelle, Ethiopia
Endeshaw Admassu, Gondar University, Colege of Medical Science, Department of Midwifery, Gondar, Ethiopia
Article Tools
Follow on us
Background: Globally, sexually transmitted diseases (STDs) remain a significant public health problem especially among young women. In Ethiopia, the prevalence of STDs among femal youths aged 15-24 years old continues to be a problem of young population. However, the factors associated with this problem is poorly studied. Thus, the purpose of this study is to assess sexual behavior and prevalence of STDs and factors associated among young women attending health facilities in Northern Ethiopia. Methods: A Facility-based cross-sectional study was employed among 326 young women aged 15 to 24 years from May 1 to 30, 2013. A multistage sampling technique was used to select young women attending outpatient facility. A pre-tested interviewer guided structured questionnaire was used for data collection. Data was entered, cleaned and analyzed using SPSS version 20.0. Bivariate and multivariate logistics regression analyses were done to identify the associated variables. A p-value of 0.05 with 95% CI were used as a cutoff point to examine the statistical association. Results: From the total of 326 sample, 305 young women were participated in this study with a response rate of 93.6%. The median age at first sex was 17 years (range 9-24 years). The prevalence of self-reported STDs in the last 12 months preceding the survey was 21.3%. One hundred fourteen (40.4%) of the young women had poor knowledge on STDs mode of transmission and prevention. Having two or more sex partners, not using condoms, poor knowledge on STDs mode of transimission and prevention, and a previous history of STDs were found to be significantly associated with self reported STDs. Conclusions: In this study the sexual behavior, not using condom and prevalence of STD was found to be high. Many young women had started early sexual contact and have poor utilization of condom. Hence, the youth friendly services, partner treatment and life skill communication with parents should be enhanced through the joint effort of all concerned stakeholders.
Sexual Behaviour, Self-reported STDs, Young woman, Northern Ethiopia
To cite this article
Girmatsion Fisseha, Endeshaw Admassu, Young Women Sexual Behaviour and Self-Reported Sexually Transmitted Diseases in Northern Ethiopia: A Cross Sectional Study, European Journal of Preventive Medicine. Vol. 3, No. 3, 2015, pp. 55-62. doi: 10.11648/j.ejpm.20150303.14
World Health Organization. Global incidence and prevalence of selected curable sexually transmitted infections – 2008. World Health Organization 2012.
Department of Reproductive Health and Research. Global strategy for the prevention and control of sexually transmitted infections: 2006 - 2015. Breaking the chain of transmission. World Health Organization, 2007. /
Sieving RE, Bernat DH, Resnick MD, Oliphant J, Pettingell S, , et al. A clinic-based youth development program to reduce sexual risk behaviors among adolescent girls: prime time pilot study. Health Promot Pract 2012 Jul; 13(4):462-71.
Dehne K, Riedner G. sexually transmitted infections among adolescents: the need for adequate health care. Geneva: WHO; 2005. Available from:
Reitman DS. Adolescent medicine update: update on sexually transmitted diseases: gonorrhea and Chlamydial infections, 2009; Available from: 10971
Hill YL, Biro FM. Adolescents and sexually transmitted infections.CME Feature 2009. Available from:
Mayaud P, Mabey D. Approaches to the control of sexually transmitted infections in developing countries: old problems and modern challenges. Sexual Transmitted Infection. 2004; 80: 174-82.
World Health Organization. Global strategy for the prevention and control of sexually transmitted infections: 2006-2015. Geneva: WHO 2007. Available from:
Berhane Y, Haile mariam D, Kloos H. Epidemiology and Ecology of Health and Disease in Ethiopia. Ethiopian Journal of Health Development. 2006; 435-474; Addis Ababa, Ethiopia. Available from:
Tigray Regional Health Bureau (TRHB). Report of STD for 2011/2012 Fiscal year. Mekelle Ethiopia: HAPCO, August 2012.
Central StatiSTDcal Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International, 2012.
Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ORC Macro, 2006.
Ministry of Health Federal Democratic Republic of Ethiopia. Report on Progress towards Implementation of the Declaration of Commitment on HIV/AIDS. Addis Ababa, Ethiopia: HAPCO; August 2012.
Tigray Regional Health Bureau (TRHB). Tigray regional health bureau profile for the 20011/12 EFY. Tigray, Mekelle, 2013.
Bereket Y, Terefe G, Mulat T. Prevalence and Associated Factors of Sexually Transmitted Infections among Students of WolaitaSodo University, Southern Ethiopia; International Journal of Scientific & Technology Research. 2013; 2(2).
Muluken D, Maereg W. Predictors of consistent condom use among University students: Hierarchical analysis Debre Berhan, Ethiopia; Global Journal of Medicine and Public Health. 2012 July- August; 1(4): 23-28.
Bureau of Statistics, Kampala, Uganda, ICF International Calverton, Maryland, USA. Uganda Demographic and Health Survey 2011 Uganda MEASURE DHS August 2012.
Guttmacher Institute. Adolescents in Ghana Facts in Brief; New York; May 2004.
Ministry of Health, Phnom Penh, Cambodia MEASURE DHS ICF Macro Calverton, Maryland, USA September 2011.
Moges B, Yismaw G, Kassu A, Megabiaw B, Alemu S, et, al,. Sexually transmitted infections based on the syndromic approach in Gondar, BMC Public Health 2013, 13:143. doi:10.1186/1471-2458-13-143
Moore AM., Biddlecom AE. and Zulu EM. Prevalence and meanings of exchange of money or gifts for sex in unmarried adolescent sexual relations hips in sub-Saharan Africa; African Journal of Reproductive Health. 2007 Dec; 11(3): 44–61.
Rajapure V, Tirwa R, Poudyal H, Thakur N. Prevalence and Risk Factors Associated with Sexually Transmitted Diseases (STDs) in Sikkim. Journal of Community Health. 2013 Feb; 38(1):156-162.
Zelalem A. Prevalence and correlates of multiple sexual partnerships among private college students in Bahirdar city, northwest Ethiopia; Science Journal of Public Health, 2013; 1(1): 9-17.
Mazengia1, Alemayehu W. Age at sexual initiation and factors associated with it among young women in North East Ethiopia; Ethiopian. Ethiopian Journal of Health Development. 2009; 23(2):154-162.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186