Premarital Sexual Practice and Its Predictors Among Preparatory School Students Living with and Without Parents in Hossana Town, Southern Ethiopia
Science Journal of Public Health
Volume 8, Issue 3, May 2020, Pages: 63-71
Received: Feb. 10, 2020;
Accepted: Feb. 24, 2020;
Published: May 29, 2020
Views 225 Downloads 98
Alemu Earsido Addila, Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
Nebiyu Dereje Abebe, Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
Wondwosen Abebe, Department of Microbiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Ermias Abera Turuse, Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia
Globally, pre-marital sexual activities among adolescents have been reported to be increasing. Many studies in Sub- Saharan Africa, including Ethiopia, had reported that there were increasing premarital sexual activities among adolescents and youths. Besides, they are risk-takers who are more likely to make decisions about the future without adequately considering the consequences. The study aimed to assess the premarital sexual practice and its predictors among preparatory school students living with and without parents in Hossana Town, Southern Ethiopia. An institution-based comparative cross-sectional study design was carried out using a self-administered questionnaire. The sample size was determined by using EPI INFO version 3.5.3 software of two population proportions. The sample size for students who were living without parents and with parents was 202 and 404, respectively, and the overall sample size including a 10% non-response rate was 606. The predictors of pre-marital sexual debut were assessed using bivariate and multivariable logistic regression. The magnitude of pre-marital sexual practice was 105 (27%) and 76 (39%) among students who were living with and without their parents, respectively. Watching pornography videos [AOR=4.9, 95% CI: 2.4, 10.2], discussing about sexual issues with their friends or peers [AOR=3.5, 95% CI: 1.72, 7.15], drinking alcohol [AOR=6.62, 95% CI: 2.26, 19.36], and educational status of the father were predictors for students who live with their parents while discussing about sex with [AOR=5, 95% CI: 1.12, 5.6], watching pornography videos [AOR=2.7, 95% CI: 1.16, 6.07] drinking alcohol [AOR=6.0, 95% CI: 1.2, 29.7] were also predictors for students who live without their parents. The prevalence of pre-marital sexual practice was high in both groups; especially students who live without their parents. Thus, public health interventions should predominately focus on behavioral, social, and environmental factors of pre-marital sexual practices.
Alemu Earsido Addila,
Nebiyu Dereje Abebe,
Ermias Abera Turuse,
Premarital Sexual Practice and Its Predictors Among Preparatory School Students Living with and Without Parents in Hossana Town, Southern Ethiopia, Science Journal of Public Health.
Vol. 8, No. 3,
2020, pp. 63-71.
“Adolescent health - World Health Organization. available at https://www.who.int.”
J. Nicholson, “Risky Sexual Behaviour among Adolescents and Young Adults,” University of North Carolina Chapel Hill, 2012.
P. R. Bureau., “ Meeting Young Women Reproductive and Sexual Needs. advocates for youth.,” 2004.
T. B. Teferra, A. N. Erena, and A. Kebede, “Prevalence of premarital sexual practice and associated factors among undergraduate health science students of Madawalabu University, Bale Goba, South East Ethiopia: institution based cross sectional study,” Pan African medical journal, vol. 20, no. 1, 2015.
A. J. Gage, and D. Meekers, “Sexual activity before marriage in sub-Saharan Africa,” Social Biology, vol. 41, no. 1-2, pp. 44-60, 1994.
N. Taffa, J. Sundby, C. Holm-Hansen, and G. Bjune, “HIV prevalence and socio-cultural contexts of sexuality among youth in Addis Ababa, Ethiopia,” Ethiopian journal of health development, vol. 16, no. 2, pp. 139-145, 2002.
A. Bogale, and A. Seme, “Premarital sexual practices and its predictors among in-school youths of shendi town, west Gojjam zone, North Western Ethiopia,” Reproductive health, vol. 11, no. 1, pp. 49, 2014.
Z. Mengistie, E. Wolie, E. Abawa, E. Ebre, and A. Adera, “Knowledge attitude and practice towards premarital sex and HIV/AIDS among Mizan-Tepi University students, south west Ethiopia,” Sci J public Health, vol. 3, no. 4, pp. 592-599, 2015.
G. Endazenaw, and M. Abebe, “Assessment of premarital sexual practices and determinant factors among high school students in West Shoa Zone, Oromia Regional State, Ethiopia,” Sci J Public Health, vol. 3, no. 2, pp. 229-236, 2015.
G. K. Behulu, K. T. Anteneh, and G. L. Aynalem, “Premarital sexual intercourse and associated factors among adolescent students in Debre-Markos town secondary and preparatory schools, north west Ethiopia, 2017,” BMC research notes, vol. 12, no. 1, pp. 95, 2019.
e. a. Akililu Alemu, “Premarital sexual practice and its associated factors among high school adolescents in kolfe keraniyo sub city, addis ababa, ethiopia: A cross sectional study,” International Journal of Development Research, vol. 5, no. 2, 2015.
Y. Mulugeta, and Y. Berhane, “Factors associated with pre-marital sexual debut among unmarried high school female students in bahir Dar town, Ethiopia: cross-sectional study,” Reproductive health, vol. 11, no. 1, pp. 40, 2014.
G. M. Kassa, E. B. Woldemariam, and N. A. Moges, “Prevalence of premarital sexual practice and associated factors among alamata high school and preparatory school adolescents, Northern Ethiopia,” Global Journal of Medical Research, 2014.
M. Akibu, F. Gebresellasie, F. Zekarias, and W. Tsegaye, “Premarital sexual practice and its predictors among university students: institution based cross sectional study,” Pan African Medical Journal, vol. 28, no. 1, 2017.
K. Beyene, L. Hinkosa, D. Bekele, and B. Demtsu, “Magnitude of premarital sexual practice and associated factors among adigrat high school students, ethiopia, a cross sectional study,” Ethiopian Journal of Reproductive Health, vol. 11, no. 3, pp. 10-10, 2019.
M. B. Selgado, “Premarital sexual practices and associated factors among high school students in Hawassa city in Ethiopia, 2018: Institutional-based cross sectional study design,” International Journal of Scientific Reports, vol. 5, no. 8, pp. 207-212, 2019.
Y. Berhane, Y. Mekonnen, E. Seyoum, L. Gelmon, and D. Wilson, “HIV/AIDS in Ethiopia-an epidemiological synthesis,” Ethiopia HIV/AIDS Prevention & Control Office (HAPCO) and Global AIDS Monitoring & Evaluation Team (GAMET), 2008.
E. Scholl, A. Burns, X. Gutiérrez, and J. Garache, “Assessment of youth reproductive health programs in Nicaragua,” 2003.
H. M. Bizuayehu, D. M. Abyu, and H. F. Demessie, “Assessment of time of sexual initiation and its associated factors among students in Northwest Ethiopia,” Sci J Public Health, vol. 3, no. 1, pp. 10-8, 2015.
A. S. Beyene, and A. M. Seid, “Prevalence of premarital sex and associated factors among out-of-school youths (aged 15-24) in Yabello town, Southern Ethiopia: A community based cross-sectional study,” The Pharma Innovation, vol. 3, no. 10, Part A, pp. 10, 2014.
J. L. Morris, and H. Rushwan, “Adolescent sexual and reproductive health: The global challenges,” International Journal of Gynecology & Obstetrics, vol. 131, pp. S40-S42, 2015.
“Hossana town education office,” 2018.
A. Seme, and D. Wirtu, “Premarital sexual practice among school adolescents in Nekemte Town, East Wollega,” Ethiopian Journal of Health Development, vol. 22, no. 2, pp. 167-173, 2008.
L. Oljira, Y. Berhane, and A. Worku, “Pre-marital sexual debut and its associated factors among in-school adolescents in eastern Ethiopia,” BMC public health, vol. 12, no. 1, pp. 375, 2012.
M. Abebe, A. Tsion, and F. Netsanet, “Living with parents and risky sexual behaviors among preparatory school students in Jimma zone, South west Ethiopia,” African health sciences, vol. 13, no. 2, pp. 498-506, 2013.
A. Tololu, S. Belda, and B. Worku, “Premarital sexual practice and associated factors among robe TVET students at robe town, bale zone, Oromia region, southeast Ethiopia, 2016,” MOJ Public Health, vol. 5, no. 6, pp. 193-203, 2017.
F. H. Tolera, E. Girma, A. Mamo, and Z. K. Babure, “Risky sexual behaviors and associated factors among high and preparatory school youth, East Wollega, Ethiopia, 2017: A cross-sectional study design,” Journal of Public Health and Epidemiology, vol. 11, pp. 1-12, 2019.
F. Mazengia, and A. Worku, “Age at sexual initiation and factors associated with it among youths in North East Ethiopia,” Ethiopian Journal of Health Development, vol. 23, no. 2, 2009.
M.-L. Wong, R. K.-W. Chan, D. Koh, H.-H. Tan, F.-S. Lim, S. Emmanuel, and G. Bishop, “Premarital sexual intercourse among adolescents in an Asian country: multilevel ecological factors,” Pediatrics, vol. 124, no. 1, pp. e44-e52, 2009.
M. Tilahun, and G. Ayele, “Factors associated with age at first sexual initiation among youths in Gamo Gofa, south west Ethiopia: a cross sectional study,” BMC Public Health, vol. 13, no. 1, pp. 622, 2013.