School Adolescents’ Risky Sexual Practice and Associated Factors in Nekemte Town, West Ethiopia, 2017
American Journal of Health Research
Volume 6, Issue 1, January 2018, Pages: 15-24
Received: Oct. 30, 2017;
Accepted: Nov. 14, 2017;
Published: Jan. 15, 2018
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Worku Dechassa, Department of Public Health, College of Health Sciences, Wollega University, Nekemte, Ethiopia
Emiru Adeba, Department of Public Health, College of Health Sciences, Wollega University, Nekemte, Ethiopia
Haileyesus Senbeta, Department of Public Health, College of Health Sciences, Wollega University, Nekemte, Ethiopia
Introduction: World Health Organization (WHO) defines adolescent as person between 10 and 19 years of age. Adolescents’ sexual behavior threatens the physical, psychological and social health and wellbeing of this group and takes their life. Objective: So, the aim of this study was to assess in school adolescents’ Risky sexual practice and associated factors in Nekemte Town. Methodology: School based cross sectional survey was carried out on 576 students in March 2015 involving quantitative and qualitative method. The qualitative part involved 12 focus group discussions. The data was collected using pre-tested self-administered questioners and analyzed using SPSS V.20. Multi-variate logistic regression was used to see association between independent and outcome variables. Result: 568 of respondents completed the questioners, making the response rate (98.6%). 105 (18.5%) of study subjects were sexually active and among them 59 (59.6%) and 25 (28.7%) have not used condom on their first sexual encounter and never used condom at any time of their sexual episode, respectively. Considerable proportion of sexually active students had more than one sexual partner 50 (50.5%). Over all 95 (16.5%) of respondents have been engaged in risky sexual practice. Being male (AOR (95% CI) of 5.73 (2.33, 14.08), Perceived poor academic performance (AOR (95% CI) of 17.59 (3.61, 85.55)), pornographic watch (AOR (95% CI) of 3.31 (1.79, 6.14)) and perceived moderate to high HIV risk perception (AOR (95% CI) of 5.89 (2.43, 14.27)) were positively associated with risk sexual practice. Conclusion and Recommendation: School adolescent have risk taking behaviors. Students get information about HIV/AIDS from their school mini media and some voluntary HIV positive person in an occasional and limited way. So that, it is recommended that adolescent should be equipped with comprehensive sexual education, including condom use and understand the consequence of their sexual practice.
School Adolescents’ Risky Sexual Practice and Associated Factors in Nekemte Town, West Ethiopia, 2017, American Journal of Health Research.
Vol. 6, No. 1,
2018, pp. 15-24.
UNFPA, State of the World Population: Investing in Adolescents' Health and Rights, New York: 2003: 1-3.
WHO, author. Investing in our future: A framework for accelerating action for the sexual and reproductive health of the young people. Geneva: 2006.
Berhanu L, Haidar J: Does exposure to sexually explicit films predict sexual activity of the in-school youth? Ethiop J Health Dev 2009, 23 (3): 183–189.
Seme A. Wirtu D: Premarital sexual practice among school adolescents in Nekemte Town, East Wollega. Ethiop J Health Dev 2008, 22 (2): 167–173.
O. Bayley, Improvement of sexual and reproductive health requires focusing on adolescents. Lancet, 2003. 362: p. 832-41.
UNAIDS & WHO. Report on the Global AIDS Epidemic. Geneva, Switzerland, 2008. Available on-line at: http://www.unaids.org/en/KnowledgeCentre/HIVData/GlobalReport/2008.
UNAIDS Together we will end AIDS. Geneva, Switzerland: UNAIDS; 2012.
UNAIDS Getting to zero: 2011–2015 strategy. Geneva, Switzerland: UNAIDS; 2010.
Joint United Nations Programme on HIV AIDS, “Global HIV/AIDS response, epidemic update and health sector progress towards universal access,” progress report, 2011.
UNICEF, Joint United Nations Programme on HIV/AIDS and World Health organization, Young people and HIV/AIDS: opportunity in crisis, 2002.
UNAIDS. UNAIDS Report on the global AIDS epidemic2012, Insights from the Global Burden of Disease, 2012.
UNAIDS and WHO, AIDS Epidemic updates. Geneva: UNAIDS and WHO; 2009.
WHO, Adolescents Reproductive and Sexual Health: A guide to conducting situation analysis, Geneva, 1997.
Population Reference Bureau, The world youth, USA, 2000, PP10-20.
UNFPA, Generation of Change: Young People and Culture, World Population Report, New York: UNFPA, 2008.
Ali MM and Cleland J, Sexual and reproductive behaviour among single women aged 15–24 in eight Latin American countries: 2005, 60 (6): 1175–1185.
Abebe A, Lukashov VV Et al: Timing of the introduction into Ethiopia of HIV type 1 subtype C. AIDS Res Hum Retroviruses 2001, 17 (7): 657-661.
HIV behavioral surveillance survey, Ethiopia 2005.
Central Statistical Agency, Ethiopia Demographic and Health Survey, Addis Ababa, 2011, pp 171.
Goulnda Samy, et al, Youth Reproductive Health in Ethiopia, Miz–Hasab Research Center, 2002, pp23.
Policy on HIV/AIDS of The Federal Democratic Republic of Ethiopia, 1998, pp27.
WHO HIV/AIDS Report 2012.
Gurmesa T. Risky sexual behaviors and predisposing factors among students of Jimma University, Ethiop J Health Sci. Vol 22, No 3, Nov, 2012.
Atalay Alem, Khat and alcohol use and risky sex behavior among in-school and out-of-school youth in Ethiopia BMC Public Health and Bio Med 2005.
Yitayal Shiferaw, Agersew Alemu, Amanuel Girma, et al. Assessment of knowledge, attitude and risk behaviors towards HIV/AIDS and other sexual transmitted infection among preparatory students of Gondar town, north west Ethiopia BMC Public Health and Bio Med, 2011.
Elias Legesse Negeri. Assessment of risky sexual behaviors and risk perception among youths in Western Ethiopia BMC Public Health Volume 14, 2014.
Nassir Ibrahim, Factors That Influences School Adolescents Exposure to HIV/STD in Bale, Oromia Region, AAU Electronic library, May, 2004.
Lemessa Oljira. Pre-marital sexual debut and its associated Factors among in-school adolescents. BMC Public Health and Bio Med. in eastern Ethiopia 2005.
Asrat A. Assessment of sexual risk behaviors of in-school youth: effect of living arrangement of students; West Gojjam zone. Amhara regional state, Ethiopia: June, 2009.