Risky Sexual Behavior and Associated Factors Among High School Youth in Pawe Woreda Benishangul Gumuz Region
Science Journal of Clinical Medicine
Volume 4, Issue 4, July 2015, Pages: 67-75
Received: May 19, 2015;
Accepted: May 29, 2015;
Published: Jun. 25, 2015
Views 6149 Downloads 288
Mulatu Agajie, Department of Public Health, Pawie College of Health Science, Benishangul Gumuz Regional Health Bureau, Assosa, Ethiopia; Department of Population and Family Health, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia
Tefera Belachew, Department of Population and Family Health, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia
Tizta Tilahun, Department of Population and Family Health, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia
Muluwas Amentie, Department of Nursing, Faculty of Health Sciences, Assosa University, Assosa, Ethiopia
Background: Youths’ sexual behaviour affects their physical, psychological and social well-being leading to death. Youth are at high risk of Human Immune Virus (HIV) and Sexual Transmitted Infection (STI) despite high level of knowledge about HIV/STI. Objective: to assess risky sexual behaviour and associated factors among high school youth 15- 24 years. Methods: A cross-sectional study design was employed using a pre-tested self-administered questionnaire and supplemented by focus group discussion which conducted from May 10th to 20th, 2012G.C among high school youth in Pawe Woreda, Northwest Ethiopia. Bivariate and multivariate analyses were employed. A total of 374 youth were selected using simple random sampling method. The data were analyzed using SPSS for windows version 16.0. Descriptive statists, bivariate and multi-variable logistic regression analyses were performed after cleaning the data. Statistical significance was declared at P<0.05. Results: Out of the study subjects; 90 (24.1%) respondents were sexually active. Among the sexually active students: 37(41.1%) reported ever use of condom, 5.5% reported sexual contact with commercial sex workers and 26 (35.1%) reported having more than two sexual partner. Consistent use of condom was reported only by 16(43.2%). Seventy four (82.2%) had risky sexual behavior. Only 24 (26.7%) reported high chance of acquiring Human Immune Virus (HIV) and Sexual Transmitted Infection (STI). Multivariable logistic regression analyses showed that being in 18-24 age group (AOR=3.279 [95% CI: 1.79, 6.008]) and drinking alcohol (AOR = 9.1 [95% CI: 2.517, 32.9]) were associated with risky sexual behaviour. Conclusion: Considerable amount of school youth had started early sexual activity and have developed risky sexual behaviour that might predispose them to different sexual and reproductive health problems. Delaying sexual initiation and reducing risky sexual behaviour among youth can be achieved through well designed sexual education programs at earlier life in school.
Risky Sexual Behavior and Associated Factors Among High School Youth in Pawe Woreda Benishangul Gumuz Region, Science Journal of Clinical Medicine.
Vol. 4, No. 4,
2015, pp. 67-75.
International Planned Parenthood Federation (IPPF), “Understanding Adolescents, in An IPPF Report on Young People's Sexual and Reproductive Health Needs,” London. 1994. Available: http://www.plannedparenthood.org.
Washington, D.C, “World’s Youth Data Sheet,” USA, Washington, D.C. 2006. Available: http://www.prb.org/pdf06/06WorldDataSheet.pdf
Z. Fekadu and P. Kraft, “Predicting intended contraception in a sample of Ethiopian female adolescents,” The validity of the theory of planned behavior. Psychology and Health, 2001; 16(2):207-222.
Child and Adolescent Health and Development) 2004:1-2. Adolescent sexual and Reproductive Health. Html 2004
Ministry of Health (MOH), “Rapid assessment on knowledge, Attitude and practices related to reproductive health in Ethiopia,” Health education center and National office of population, Addis Ababa, Dec.2000.
F. Eshetu, D. Zakus and D. Kebede. “The attitude of students, Parents and Teachers towards the promotion and provision of condoms for adolescents in Addis Ababa,” Ethiop. J. Health Dev. 1997; 11(1): 7-16.
WHO, “Programming for adolescent health and development. Report of WHO/UNFPA/ UNICEF study group on health programming for adolescents,” Technical report series No. 886. WHO, Geneva, 1999 Available: http://www.un.org/womenwatch/daw/vaw/.
L. Meschke, S Bartholomae; R. Zentall, “Adolescent Sexuality and Parent-Adolescent Processes,” Promoting Healthy Teen Choices. Family Relation. 2000; 49(2):143-154.
Central Statistical Authority, “Demographic and Health Survey,” Addis Ababa, Ethiopia, 2005.
E. Lemma, “Predictors of HIV/AIDS related Sexual behavior of high school adolescents based on the classical health behavior models,” Jimma Town, South West Ethiopia. (Unpublished Thesis Addis Ababa University), December 2000.
UNICEF, UNAIDS and WHO, “Young people and, HIV/AIDS,” Opportunity in crisis. Geneva. WHO, 2002.
Reproductive Health Outlook (RHO), “Adolescent Reproductive health: Overview and Lessons Learned”. Available at: http;//www.rho.org/html/adol-overview.htm (accessed on 11/30/03)
G. Desalegn, F. Mesganaw, “Assessing communication on sexual and reproductive health issues among high school students with their parents,” Bullen Woreda, Benishangul Gumuz Region, North West Ethiopia, Ethiop. J. Health Dev. 2010; 24 (2):89-95.
A. Telto, “Assessment of Sexual Activity and Condom Utilization among Preparatory School Youths,” Aleta Wondo Town, Sidama Zone 2009. (Unpublished thesis at A.A University)
R. Adamu, M. Samuel and S. Ingidushet, “Patterns and correlates of sexual initiation, sexual risk behaviours, and condom use among secondary school students in Ethiopia”. Ethiop. Med. J. 2003; 41(2): 163-177.
I. Nassir, “Factors that influences school adolescents exposure to HIV/STD in Bale,” Oromia Region, 2006. (Unpublished thesis at Addis Ababa University)
A. Anemaw, “Assessment of sexual risk behaviours of in-school youth: effect of living arrangement of students,” West Gojam zone, Amhara Regional State, Ethiopia, 2009. (Unpublished thesis at Addis Ababa University)
M. Anteneh, “Reproductive health risk and sexual behaviour among school adolescents in Mojo preparatory and high school,” East Shewa, Oromia region, 2008. (Unpublished thesis at Addis Ababa University)
A. Kidane, “Sexuality, perception of HIV/STI and condom use among high school adolescents in South Gondar administrative Zone,” Amhara Regional State; 2004. (Unpublished thesis at Addis Ababa University)
L. Ikamba and B. Ovedraogo, “High-risk sexual behaviour: knowledge, attitudes and practice among youth at kichangan ward,” Tanga, Tanzania. Action research reports. 2003.
Birhanu Alemu, Asrat Demessie, Atsede Fantahun, Kahsu Gebrekirstos. Awareness of Post-Exposure Prophylaxis of HIV Among Health Care Personnel in Asella Teaching Hospital, Asella Town, South-East Ethiopia, 2014: Cross Sectional Study. Clinical Medicine Research. Vol. 4, No. 3, 2015, pp. 69-74.
Mesert Girma, Zewdu Shewangizaw, Getabalew Endazenaw. Assessment of Hiv Sero-Prevalence among St. Marry University Students, Ethiopia. Science Journal of Public Health. Vol. 3, No. 4, 2015, pp. 468-477.