Risky Sexual Behavior and Associated Factors among Grade 9-12 Students in Humera Secondary School, Western Zone of Tigray, NW Ethiopia, 2014
Science Journal of Public Health
Volume 2, Issue 5, September 2014, Pages: 410-416
Received: Jul. 2, 2014;
Accepted: Jul. 18, 2014;
Published: Aug. 30, 2014
Views 4562 Downloads 653
Abel Fekadu Dadi, Gondar University, College of Medicine, Institute of Public Health, Department of Epidemiology and Biostatistics, Gondar, Ethiopia
Fiseha Gebrethadkan Teklu, Humera Town Woreda Health Office, Humera, North West Ethiopia
Introduction: About 1.7 billion people which is more than a quarter of the world's population were between the ages of 10 and 24, and 86% are living in less developed countries. The World Health Organization (WHO) defines adolescent people as those between the ages of 10 to 19 years. Across the life span, adolescence is the time of greatest risk taking. Even though, adolescent risk taking can derive them to development, it more results in experiencing risky sexual behavior like contracting sexual transmitted diseases and unwanted pregnancy than disease. This age category were highly predominant in secondary schools in which government attention is very crucial. Objective: To assess, risky sexual behavior and associated factors among grade 9-12 students in Humera town, western zone of Tigray, NW Ethiopia. Methodology: Institutional based cross-sectional study was conducted. Simple random sampling technique was used to select a sample of 422 participants. A structured, pretested and self-administered questionnaire was used to collect data. Collected data was entered and analyzed using SPSS version 16. Crude and adjusted odds ratio with its confidence interval was used as measure of association and to assure stastical significance. Result: All of the respondent were included in the study. The overall prevalence of risky sexual behavior was 13.7% (95% CI: 10.6%, 16.8%) and it is predominant among the males. Factors like not living with family [AOR=3.22,95%CI:1.29-8.02], being male [AOR=17.17,95%CI:4.55-64.75], experiencing peer pressure [AOR=2.27, 95%CI:2.79-15.89] and not participating in any religious education [AOR=6.17, 95%CI: 2.24-17.16] were the factors that increase the odds of practicing risky sexual behavior and not exposed to pornographic movie is a factor that prevent [AOR=0.36,95%CI: 0.32-0.91] the odds of practicing risky sexual behavior among the students. Conclusion: Considerable proportion of students were engaged in risky sexual behavior. Sex, participation in religious education, living with parents, peer pressure and looking porno graphic movies were associated with risky sexual behavior. Any interventions that can affect the above risk factors may be helpful to protect adolescent’s health in school.
Abel Fekadu Dadi,
Fiseha Gebrethadkan Teklu,
Risky Sexual Behavior and Associated Factors among Grade 9-12 Students in Humera Secondary School, Western Zone of Tigray, NW Ethiopia, 2014, Science Journal of Public Health.
Vol. 2, No. 5,
2014, pp. 410-416.
Seme A and Wirtu D: Premarital Sexual Practice among School Adolescents in Nekemte Town, East Wollega. Ethiop.J.Health Dev, 2008. 22(2).
UNFPA the state of world population, "People and possibilities in a World of 7 billion. 2011.
Dawud A: Perception of the risks of sexual activities among out-of school adolescents in South Gondar Administrative Zone , Amhara Region. June 2003.
Alamrew Z, Bedimo M, and Azage M: Risky Sexual Practices and Associated Factors forHIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia. ISRN Public Health, 2013.
Chick C.F and Reyna V.F: A fuzzy trace theory of adolescent risk taking: Beyond self-control and sensation seeking. The Adolescent Brain, American Psychological Association, 2012: p. 379-428.
Guttmacher Institute. Facts on American teens’ sexual and reproductive health. Retrieved from http://www.guttmacher.org/pubs/FB-ATSRH.html#1. (2012, February).
Institute of Medicine & National Research Council. The science of adolescent risk-taking: Workshop report. Committee on the Science of Adolescence. Washington, DC: The National Academies Press. 2011.
Cooper ML: Alcohol use and risky sexual behavior among college students and youth evaluating the evidence. Journal of studies on alcohol 2002. 14(14): p. 101-117.
Trends in sexual risk behavior among high school students United State,1991-1997, morbidity and mortality report. 1998. 47(36): p. 749-752.
National Academy Press, Inistitute of Medicine , The hidden epidemic: confronting sexually transmitted disease, Washington, DC: . 1996.
Sexual risk behavior :HIV,STD and youth pregnancy prevention in USA, available at http://www.cdc.gov/.2011.
The National Campaign to prevent youths and unplanned pregnancy . Fast facts: Youth sexual Behavior and contraceptive use : Data from Youth risk behavier survey of USA. June 2010.
G/Selassie G, Deyessa N, Tesfaye G: Intention to use condom among students in Agena preparatory school, Guraghe Zone, Ethiopia: with the application of health believe model. Archives of Public Health 2013. 71(23).
Gavin L, Galavotti C, Dube H, Mcnaghaten MN, Murwiwa M, Khan R, Stlouis M: Factors associated with HIV infection in adolescent females in Zimbabwe. J Adolescent Health 2006. 39(e 596): p. 11-18.
Federal HIV/AIDS prevention and control office: Multi-sectoral HIV/AIDS responce : anual monitoring and evaluation report. 2008-2009.
Chapman R, White RG, Shafer LA, Pettifor A, Mugurungi O, Ross D, Pascoe S, Cowan FM, Grosskurth H,Buve A: Do behavioral difference help to explain variation in HIV prevalence in adolescents in Sub - Saharan Africa? Tropical Med Int Health, 2010. 15: p. 554-556.
Adefoye AS,Abiona TC, Balagon JA, Lukosa DM: HIV sexual behavior and perception of risk among college students. Implication for planning intervention. BMC Public Health, 2009. 9: p. 281.
Abebe M, Tsion A, and Netsanet F: Living with parents and risky sexual behaviors among preparatory school students in Jimma zone, South west Ethiopia. Afr Health Sci. , 2013. 13(2): p. 498-506.
Tura G, Alemseged F, and Dejene S: Risky Sexual Behavior and Predisposing Factors among Students of Jimma University, Ethiopia. Ethiop J Health Sci. , 2012. 22(3): p. 170-80.
Fentahun N and Mamo A: Risky sexual behaviors and associated factors among male and female students in Jimma Zone preparatory schools, South West Ethiopia: comparative study. Ethiop J Health Sci, 2014. 24(1): p. 59-68.
Negeri, E.L., Assessment of risky sexual behaviors and risk perception among youths in Western Ethiopia:the influences of family and peers: a comparative cross-sectional study. BMC Public Health, 2014. 14:301.
Biddlecome A, Awusabo-Asare K, and Bankole A: Role of parents in adolescent sxual actictivity and contraceptive use in four African countries. International perspect sex reproductive Health, 2009. 35: p. 72-81.
Di clemente RJ, Wingood GM, Crosby R, Sionean C, Cobb BK, Hamington K, Davies S, Hook EW, :Parental monitoring , association with adolescents risk behavirs. J pediatrics 2001. 107: p. 1363-1368.
Molla M, Berhane Y, and Lindjorn B: Traditional values of virginity and sexual behavior in rural Ethiopian youth. Med J BMC Public Health, 2008. 8(9).
Podhisita C, Xenos P, and Varangrat A: The risk of premarital sex among Thai youth: individual and family influences. East–west Center Working Papers, Population Series, 2001. 5(25): p. 108-5.
Derese A, Seme A, and Misganaw C: Assessment of substance use and risky sexual behaviour among Haramaya University Students, Ethiopia. Science Journal of Public Health, 2014. 2(2): p. 102-110.
Whitaker DJ and Miller KS: Parent adolescent discussion about sex and condom: Impact on peer ifluence of sexual risk behavier. J Adolescent 2000. 15: p. 251-273.
Hampton MR, Mcwatters B, Jeffery B, Smith P: Influence of teen perception of parental disapproval and peer behavior on their initiation of sexual intercourse Can J Hum Sex 2005, 2005. 14(3): p. 105.
Chai P: Parenting process and peer influence in the context of sexual risk behavior among young adults. J popular Soc Stud, 2007.
Centers for Disease Control and Prevention.Youth risk behavior surveillance--United States, 2011. Morbidity and Mortality Weekly Report, 61(4). Retrieved from http://www.cdc.gov/mmwr/pdf/ss/ss6104.pdf.2012.
Kebede D, Alem A, Mitike G, Berhane F, Bebe Y: Khat and alcohol use and risky sex behavior among in-school and out-of-school youths in Ethiopia . BMC Public Health, 2005. 5: p. 109.
Shelia C: Parents, peers, and pressures: identifying the influences on responsible sexual decision-making. Adolescent Health, 2001. 2(2).
Metzler CW, Noell J ,Biglan A ,Ary D , Smolkowski K: The social context for risky sexual behavior among adolescents. Journal of Behavioral Medicine, 1994. 17: p. 419-438.
Legesse E :Assessmnet of sexual behavior, attitude and risk perception about HIV/AIDS among out-of-school youths, Ilu-Abba-Bora Zone, Western Ethiopia. STAR journal of Wollega University, 2012. 1(2): p. 18-30.
Oljira L, Berhane Y, and Worku A : Pre-marital sexual debut and its associated factors among in-school adolescents in eastern Ethiopia. BMC Public Health, 2012. 12: p. 375.
Taffa N, Klepp K.I, Sundyby J, Bjune G: Psychosocial determinants of sexual activity and condom use intention among youth in Addis Ababa, Ethiopia. . International Journal of STD and AIDS, 2002. 13(10): p. 714-719.
Schantz K: Substance Use and Sexual Risk Taking in Adolescence, in ACT youth center of excellenceJuly 2012, A collaboration of Cornell University, University of Rochester, and New York State Center for School Safety.