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|Title: ||Factors That Influences School Adolescents Exposure To HIV/STD In Bale, Oromia Region|
|Authors: ||Nassir, Ibrahim|
|Advisors: ||Mesfin Addisse (MD, MPH),Nigusie Deyassa (MD, MPH)|
|Keywords: ||Sexual, Behaviour, Adolescents, School|
|Copyright: ||2004 |
|Date Added: ||11-May-2008 |
|Publisher: ||Addis Ababa University|
Adolescence is a period of transition from childhood to adulthood. 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 well
being of this group and takes their life. There fore, sexual behavior is an essential indicator to
assess the trend of HIV/AIDS among this vulnerable group and to take an action in its prevention
and control. This study had an objective of assessing sexual behavior of school adolescents and
factors influencing them to practice risky sexual behavior that exposes them to HIV/AIDS in
four selected high schools in Bale zone, Oromia regional state from October 2003 to May 2004.
A cross sectional descriptive survey was carried out and a multi stage sampling procedure was
employed to select a fair representative sample from the schools. Eight hundred thirty nine
subjects were selected for the study. To collect data, a pre-tested self-administered questionnaire
was used. To complement the findings of the quantitative one Focus Group Discussions were
also conducted in eight groups.
Of the study subjects, 488 (58.2%) were males and 351(41.8%) were females. Among them 258
(30.8%) of school adolescents 186 (72.1%) males and 72 (29.9%) females were sexually active.
Female students had sexual intercourse earlier than males (15.21+ 1.4 versus 16.11+ 1.94). The
main factors reported for the initiation of sexual intercourse were personal desire 102 (39.1%),
and peer pressure 60 (23.3%). Of the sexually active students 150 (58.1%) had never used
condom during any sexual episode.
Among sexually active students 147 (57%) and 101 (39.2%) reported genital discharge and
genital ulcer in the past one year respectively. As regard to their sexual partner, 123 (47.7%) had
sexual encounter with multiple partners. The mean number of partners was 1.5.Sexually active
Students also reported that they had sexual commencement with causal partner, a partner with
multiple sexual partners and commercial sex worker (43.7%, 38.9% and 20.5% respectively)..
Among sexually active students 25.6% (40.3% females and 19.9% males) received gift or money
in return to sex in the past one year. Pertaining to substance use among sexually active students
13.6% had used alcohol and 12.4% of them had used “khat”. Of those students who had
experienced sex 15.9% had encountered sexual violence (40.3% females and 6.5% males
respectively). Eight hundred twenty two (98%) of students are aware of HIV/AIDS and 44.8% of
them know more than two mode of HIV transmission and 48% are knowledgeable for more than
one preventive methods. In addition to the students’ moderate knowledge to mode of HIV
transmission and its preventive methods, 30.9% and 31.8% had risk behavior exposing them to
HIV respectively. Among sexually active students 58.1% perceived that they have no or low
chance of infection with HIV
It was concluded that school adolescents have risk taking behavior like beginning sexual
intercourse earlier, practicing sex with multiple partners, causal partner and commercial sex
worker, and low rate of condom use during their sexual encounter and different factors
influences students to practice such behavior such as their personal desire, pressure from their
peers, alcohol consumption and khat chewing which exposes them to HIV/AIDS infection due to
their limited knowledge about the disease.Students get information about HIV/AIDS from their school mini media and some voluntary
HIV positive persons in an occasional and limited way.
Based on this it was recommend that education on sexual health should be given intensively by
health institutions, NGOs and other bodies in a regular way as well as should be incorporated
in the school curriculum.|
|Description: ||A THESIS SUBMITTED TO THE SCHOOL OF GRADUATE STUDIES OF
ADDIS ABABA UNIVRSITY
IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF
MASTER OF PUBLIC HEALTH|
|Appears in:||Thesis - Public Health|
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