Exposure to Sexually Explicit Materials and its Association with Age at First Sex among Youth in Preparatory School of Adama, Ethiopia.
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Date
2021-09
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Addis Abeba University
Abstract
Background:In Ethiopia evidence shows that the median age at first sexual debut among in
school youth is below 18 years and majority of them start sexual intercourse early and before
marriage. Early sexual intercourse increases risk of sexual and reproductive health problems
commonly, sexually transmitted infections (STI) including HIV/AIDS and risk of teenager’s
pregnancy and its consequence.One of the major factors for the present-day youth and
adolescents’ sexual behaviors is exposure to sexually explicit material. Sexually explicit
materials are textual, visual, or aural materials that depict sexual behaviors or acts or that expose
the reproductive organs of the human body. It includes erotic and pornographic materials, which
get released through print media, video films, Internet, and music videos.
Objectives:To assess exposure to sexually explicit materials and its association with age at first
sex among youth in preparatory schoolofAdama, Ethiopia.
Methods:A cross sectional study design using both quantitative and qualitative approaches was
conducted in Adama town from December 07,2020 to December 10,2020 among six hundred
four (604)randomly selectedpreparatory school students. Pre-tested, self-administered structured
questionnaire and in-depth interview were a method for data collection. Bivariate and
multivariable logistic regression analysis was done to evaluate the degree of association between
associated factors and the outcome variables.For the qualitative approch the data was analyzed
by thematic analysis.
Result:358(59.4%)students were exposed or ever watched sexually explicit materialsand
majority of them 246(70.3%)were exposed first to this material in their early age (11-15 years of
age). The over all proportion of sexual initiation was 127(21.1%) and the median age at first sex
was 17.00 years. This study found that, age at first sex havesiginificantlly associated with
exposure to sexually explicit materialsand those who had exposed to sexually explicit materials
more likely to start sex early (AOR= 7.55, 95%CI: 1.47-38.75) than those who were not
exposed.
Conclusion: Currentlly significant number of in school youth consumesexually explicit
materials widely and being exposed to sexually explicit materials in early age affects age at first
sex.
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Keywords
Sexually explicit materials ,Age,First sex,Youth