Determinants of Risky Sexual Behaviour Among Preparatory School Students in Gurage Zone, SNNPR, Ethiopia (A Cross-Sectional School Based Study)
Science Journal of Public Health
Volume 4, Issue 4, July 2016, Pages: 330-341
Received: May 21, 2016;
Accepted: Jun. 8, 2016;
Published: Jul. 4, 2016
Views 4265 Downloads 198
Tadesse Gossaye Birru, WHO, Global PEI, Hyderabad, Pakistan
Mitikie Molla, DCH Department, Addis Ababa University, Addis Ababa, Ethiopia
Yemane Berhane, Public Health Department, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
Amenu Wesen, WHO, Global PEI, Freetown, Sierra Leone
Tesfaye Chuko, Nutrition Department, UNICEF, Addis Ababa, Ethiopia
Background: There is growing evidence suggesting that young people in school are practicing risky sexual behavior. Ethiopian young people age 10 – 24 years have emerged as the segments of the population most vulnerable to a broad spectrum of serious sexual health problems including STI/HIV, unwanted pregnancy and unsafe abortion. Objectives: To identify factors determining risky sexual behavior among preparatory school students. Methods: A cross-sectional quantitative study design was employed among preparatory school students in Gurage zone (SNNPR) from May to June 2009. The study participants were selected using multistage sampling. A structured self administered questionnaire was used to collect data from the participants. Results: A total of 418 participants with a response rate of 97.6% were enrolled in the study. A significant proportion of the participants 108(25.8%) were sexually initiated. About 66.6% of them were sexually active in the last one year. The overall condom use at first sexual debut was only 39.8%. Out of 108 sexually active students, 58(53.7%) had had multiple sexual practice. About 62% of the participants who practiced sex had history of sexually transmitted infection. Female students who engaged in sexual practice, 17(44.7%) encountered unwanted pregnancy and 16(94%) of them committed unsafe abortion, of which 4(25%) committed more than two abortion. Multivariate analysis showed age, poor parental attachment and substance use were significantly associated with risky sexual behavior of young students in school. Conclusion: The study has revealed that young people in preparatory schools, despite having good knowledge about their sexual health and its unwanted consequences, a significant proportion of them were found to be sexually at risk. Institutionalization of youth friendly service, condom promotion, open and regular discussion with main actor, and wide rage further studies seem to be compulsory.
Tadesse Gossaye Birru,
Determinants of Risky Sexual Behaviour Among Preparatory School Students in Gurage Zone, SNNPR, Ethiopia (A Cross-Sectional School Based Study), Science Journal of Public Health.
Vol. 4, No. 4,
2016, pp. 330-341.
United Nations: World population prospective, the 2000 revision, Volume 1, 2001
WHO (1999). Programming for adolescent health and development, Report of WHO/UNFPA /UNICEF study on health programming for adolescents Tech. report Series No. 886. WHO, Geneva
WHO: HIV/AIDS and young people: WHO takes action. September 2004, Brief.
CRLP (1997). Women of the world: Law and Policies Affecting their Reproductive Lives, Anglophone Africa.
MOH (1998). Reproductive health Needs adolescents in Dessie preparatory school Students. Sep. 2004, page 57.
Federal Ministry of Health: National Adolescent And Youth Reproductive Health strategy 2007-2015, 2: 12-13, ADDIS Ababa, 2006.
WHO: Riskand Protective Factors Affecting Adolescent Reproductive Health IN Developing Countries, Geneva, 2006
Ethiopian Public Health Association: Young People’s HIV/AIDS and Reproductive Health Needs and Utilization Of Services in Selected Regions of Ethiopia. Addis Ababa, 2005
WHO: Adolescent Friendly Health Service An Agenda For Change, 2003
Joint United Nations Programme on HIV/AIDS, 2004 report of the global AIDS Epidemic http://www.unaids.org, accessed on June, 2009
Dehane KL, Reider G, Sexually transmitted infections among adolescents: the need for adequate health service, Geneva: world Health Organization, 2005
WHO. Global prevalence and incidence of selected curable sexually transmitted infections: over view and estimates. Geneva: World Health Organization, 2001.
D, Singh S. Frost JJ. Differences in teenage pregnancy rates among five developed countries: the roles of sexual activity and contraceptive us. 2001; 33: 244-50.
WHO: Risk And Protective Factors Affecting Adolescent Reproductive Health In Developing Countries, 2006, 7: 145-165.
WHO (1999) programming for adolescent health and development, Report of WHO/UNFPA/UNICEF study on health programming for adolescents. WHO, Geneva.
Solomon Shiferaw: The effect of living arrangement and parental attachment on sexual risk behavior and psycho-social problems of adolescent in Dessie preparatory school, Ethiopia EPHA, 2004, Addis Ababa.
Ethiopian Democratic Republic of Ethiopia, Ministry of Health, Addis Ababa University, HIV/AIDS prevention and control office: HIV/AIDS behavioral surveillance survey, 2002.
Tesfay F, Kassaye M,: Community based survey of STD syndrome in Adami Tulu Ethiopia Journal of Health 2000, 14: 7-12.
Adamu R, Mulatu MS: Sexual initiation and risk behavior among Ethiopian high school Student, 2000.
Mekbib T, G/Hiwot Y and Fantahun M (2002). Survey Of Unsafe Abortion In Selected Health Facilities In Ethiopia (unpublished Report)
American Journal of health: HIV-AIDS, STI education in schools, colleges, universities and Jail, 2007.
Jack and Jill: Facts about Substance abuse and risky sexual behavior, 2000
Blanc A, way A. Sexual behavior, contraceptive knowledge and use 1998: 29: 117
Yohannis Fitaw, Alemayehu Worku; High-risk sexual behavior and pattern of Condom Utilization of the Gondar College of Medical Sciences (GCMS) students, North- west Ethiopia, Oct. – Nov. 1999.
Ethiopian Medical Journal, College Students' Attitudes and knowledge of aids. 1993 Oct 31 (4): 233-7.
Amsalu Shiferaw: Response to HIV/AIDS, North west Ethiopia, 2003 2: 7-8