Unprotected Sex and Associated Factors among Adolescent Students of Rift Valley University Jimma Campus, Jimma Town, South West Ethiopia: Institution Based Cross Sectional Study
International Journal of HIV/AIDS Prevention, Education and Behavioural Science
Volume 5, Issue 1, June 2019, Pages: 1-10
Received: Dec. 10, 2018; Accepted: Jan. 2, 2019; Published: Jan. 29, 2019
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Million Abera, School of Nursing and Midwifery, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia
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Unprotected sex is a sex-related risk behavior that contributes to pregnancy and sexually transmitted disease transmission amongst adolescents. Adolescents have high rates of unprotected sex and sexually transmitted diseases, and they are at increased risk for adverse behaviors and outcomes. Establishing risk factors for unprotected sex in adolescents is one of the essential steps in developing primary and secondary prevention programs in universities and communities. However there is lack of information on unprotected sex and associated factors among private university adolescents in the study area. Thus, the aim of this study was to assess the effects of associated factors on unprotected sex among adolescent students of Rift Valley University Jimma campus, Jimma town, South West Ethiopia. Institutional based cross-sectional study was employed from November 06 - 21, 2017. Five hundred twenty three (523) adolescent students of Rift Valley University Jimma campus were selected using a simple random sampling technique. Data were collected using a pre-tested, structured, self-administered questionnaire and analyzed using SPSS version 20. Multivariate logistic regression was conducted to identify the independent predictors of unprotected sex at 95% CI and P-value less than 0.05. The study revealed that 40.4% of respondents were sexually experienced. Majority (74.3%) reported having had sex with only one lifetime partner and 131 (63.6%) had used condom during sex before. Majority (56.3%) of the sexually experienced respondents were sexually active within 12 months of study. Up to 28.4% of sexually experienced respondents have had sex with a person other than their current partner and 44 (37.9%) of them did not used condom consistently. Hence, twenty three (19.8%) of the study participants were reported unprotected sexual practices. Being late age at first sexual intercourse, low parental supervision, visiting night club, and hadn’t source of information on sexuality were the significant predictors of unprotected sex within 12 months of study. The findings of this study showed that university students are involved in unprotected sex that may increase their risk of contracting Human Immunodeficiency Virus infection. Based on the above results, researcher recommended the university, families and zonal education office and other stakeholders should be involved and working in collaboration to reduce the unprotected sexual practice.
Unprotected Sex, Sexual Behavior, Condom Use, Rift Valley University, Jimma
To cite this article
Million Abera, Unprotected Sex and Associated Factors among Adolescent Students of Rift Valley University Jimma Campus, Jimma Town, South West Ethiopia: Institution Based Cross Sectional Study, International Journal of HIV/AIDS Prevention, Education and Behavioural Science. Vol. 5, No. 1, 2019, pp. 1-10. doi: 10.11648/j.ijhpebs.20190501.11
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Shittu et al. The negative impacts of adolescent sexuality problems among secondary school students in Oworonshoki Lagos. Scientific Research and Essay January 2007; 2 (1): 023- 028.
Dawud A. Perception of the risks of sexual activities among out-of school adolescents in South Gondar Administrative Zone. Amhara Region, 2003.
United Nations Population Fund (UNFPA), State of the World Population 2003: Investing in Adolescents’ Health and Rights, New York: UNFPA, 2003.
Lloyd CB. Schooling and Adolescent Reproductive Behavior in Developing Countries. 2004.
Wellings K et al. Sexual behaviour in context: a global perspective. Lancet 2006; 368(9548): 1706–1728.
FMOH. International strategies that work for youth; summary of focus on young adults: End of program report. Ethiopia, 2002.
CSA E, International I. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA, 2012.
Jimma zone and Jimma town Education Offices, 2011.
Lemma E. Predictors of HIV/AIDS related sexual behavior of high-school adolescents, Jimma town, southwest Ethiopia, 2000.
Tadesse E, Gudunfa A, Mengistu G. Survey of adolescent reproductive health in the city of Addis Ababa. Ethiop. J. Health dev., 1996; 10(1):35-39.
Scholl Ed, Schueller J, Gashaw M, Wagaw A, Wolde Michael L. Assessment of Youth Reproductive Health Programs in Ethiopia. FHI for Youth Net, 2004: No. GPH-A-00-01-00013-00.
Katie Dillard. Adolescent Sexual Behavior. II: Socio-Psychological Factors. 2002 November.
Central Statistical Agency [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey, Governmental Publication, 2007.
Rift Valley University. Wikipedia. Available at: http://riftvalleyuniversity.net/.
MOH, AAU, Central Statistical Agency, & EPHA. HIV/AIDS behavioral surveillance survey, Ethiopia round 2. Addis Ababa: Government Publication, 2005.
Seme A, Wirtu D. Premarital sexual practice among school adolescents in Nekemte Town, East Wollega, Ethiopia. Ethiop J Health Dev. 2008; 22(2):167-173.
Ibrahim N. Factors that influences school adolescent’s exposure to HIV/STD in Bale, Oromia Region. Unpublished Master’s thesis. DCH FM, AAU May, 2004:29-30.
Amare H et al. Risky Sexual Behavior and Associated Factors among Adolescent Students in TanaHaik High School, BahirDar, Northern Ethiopia. International Journal of HIV/AIDS Prevention, Education and Behavioural Science 2017; 3(4): 41-47.
Agajie M, Belachew T, Tilahun T, Amentie M. Risky sexual behavior and associated factors among high school Youth in Pawe Woreda Benishangul Gumuz region. Sci J Clin Med 2015; 4: 67-75.
Fatusi AO. Faith Communities and Adolescent Sexual Health Development in HIV/AIDS Era. In Akinrinade S, Kolawole M, Mojola I, Ogungbile (eds). Locating the Local in the Global: Voices on a Globalised Nigeria. 2004.
Dahl RE. Adolescent brain development: a period of vulnerabilities and opportunities. Keynote address. Ann N Y Acad Sci. 2004; 1021:1-22.
Dadi AF, Teklu FG. Risky sexual behavior and associated factors among grade 9-12 students in Humera secondary school, western zone of Tigray, NW Ethiopia. Sci J Public Health. 2014; 2: 410-416.
Cheng-Fang Yen, et al. Multidimensional discriminative factors for unprotected sex among adolescents in southern Taiwan. Kaohsiung J Med Sci. April 2009; 25 (4).
Zelalem A, Melkamu B, Muluken A. Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia. ISRN Public Health. 2013; 9: Article ID 763051.
Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiop J Health Sci. 2012; 22(3):170–80.
Helen A. M, Tesfay T. A. The prevalence of risky sexual behaviors amongst undergraduate students in Jigjiga University, Ethiopia. HEALTH SA GESONDHEID 21 (2016)179-186.
Commission, L. V. B. HIV sero-behavioural study in six Universities in Uganda. 2010.
Rosiers et al. A cultural and social cognitive model of differences in acculturation orientations, alcohol expectancies, and alcohol related risk behaviors among Hispanic college students. Journal of Clinical Psychology. 2012; 00(0), 1-22.
Sabone et al. Perceptions of undergraduate students not participating in HIV/AIDS prevention activities in Botswana. Journal Compilation. 2007; 332-338.
Derese A, Seme A, Misganaw C. Assessment of substance use and risky sexual behavior among Haramaya University students, Ethiopia. Sci J Public Health. 2014; 2(2):102–10.
Gizaw A, Jara D, Ketema K. Risky Sexual Practice and Associated Factors among High School Adolescent in Addis Ababa, Ethiopia. Fam Med MedSci Res. 2014; 3: 141.
Siziya S, Rudatsikira E, Ogwell A. E. O, Muula A. S. Prevalence of sexual intercourse among school-going adolescents in Coast Province, Kenya. Tanzania Health Research Bulletin. 2007; 9(3).
Kebede et al. Assessment of risky sexual behavior and practice among Aksum University students, Shire Campus, Shire Town, Tigray, Ethiopia. BMC Res Notes. 2018; 11:88.
Andargie G et al. Low prevalence of HIV infection, and knowledge, attitude and practice on HIV/AIDS among high school students in Gondar, Northwest Ethiopia. Ethiop. J. Health Dev. 2007; 21(2):179–82.
Sanchez et al. Sexual behavior among high school students in Brazil: alcohol consumption and legal and illegal drug use associated with unprotected sex. Clinics. 2013; 68(4):489-494.
Le TN, Kato T. The role of peer, parent, and culture in risky sexual behavior for Cambodian and Lao/Mien adolescents. J Adolesc Health. 2006; 38:288–96.
Klavs et al. Factors associated with early sexual debut in Slovenia: results of a general population survey. Sexually Transmitted Infection. 2006; 82, 478-483.
Baker et al. Relationship between perceived parental monitoring and young adolescent girls’ sexual and substance use behaviors. J Pediatr Adolesc Gynecol. 1999; 12:17–22.
Cromer et al. Prospective studies of adolescents who choose among levonorgestrel implant (Norplant), medroxyprogesterone acetate (Depo Provera), or the combined oral contraceptive pill as contraception. Pediatrics. 1994; 93:687.
Rosenthal et al. How do family characteristics relate to interpersonal expectations regarding STD acquisition among adolescent girls. Fam System Health. 1996; 14:465.
Crouter et al. Parental monitoring and perceptions of children’s school performance and conduct in dual- and single-earner families. Dev Psychol. 1990; 26:649–57.
Mcardle P. Substance use by children and young people. Arch Dis Child. 2004; 89: 701-4.
Iwuagwu SC, Ajuwon AJ, Olasheha IO. Sexual behavior and negotiation of male condoms by female students of the University of Ibadan. Journal of Obstetrics and Gynecology. 2000; 20 (5): 507-513.
Zewdie Z. Assessment of HIV risk perception and condom use among youth in Debre Birhan District, Central Ethiopia. Unpublished Master’s thesis. DCH FM, AAU April, 2005:36-37.
Benti TT, Kebede A, Negaro AE. Prevalence of premarital sexual practice and associated factors among undergraduate health science students of Madawalabu University, Bale Goba, and South East Ethiopia: institution based cross sectional study. The Pan African Medical Journal. 2015; ISSN 1937-8688.
Tololu et al. Premarital sexual practice and associated factors among robe TVET students at robe town, bale zone, Oromia region, southeast Ethiopia. MOJ Public Health. 2017; 5(6):193‒203.
Nishimura et al. Sexual behaviors and their correlates among young people in Mauritius: a cross-sectional study. BMC International Health and Human Rights. 2007; 7:8.
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