The Influence of Living Arrangement on Adolescents’ Risky Sexual Behavior in Sebeta Town, Oromia Regional State, Ethiopia: School Based Comparative Cross-Sectional Study.
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Date
2016-06
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Abstract
Background: - Adolescence is an important period in human development where a person
reaches sexual maturity, manifest in sexual engagement; thus encountering the possibility of
contracting sexually transmitted diseases such as HIV/STIs. Living arrangement of adolescents
can expose them to risky sexual behavior increasing the chances of acquiring HIV/STIs.
However, the effect of living arrangement of adolescents on risky sexual behavior has not been
adequately studied.
Objective- To assess the influence of living arrangement on adolescents’risky sexual behavior
among high school/preparatory students in Sebeta Town Oromia Regional State, Ethiopia
Methods – School based comparative cross-sectional study was conducted in Sebeta secondary
schools from Dec 2015 to june 2016.A sample of 361was taken for each group (those living with
their family and those not living with their family).Students from governmental schools from
grade 9 – 12 were included in the study. Data was collected using pretested interviewer
administered questionnaire. Descriptive and summary statistics was done. Bivariate and
multivariate analysis was done using logistic regression on STATA version 12.1 software to
measure the association of living arrangement on risky sexual behavior and identify other factors
associated with risky sexual behavior.
Results:- Seven hundren twenty two participants responded to our invitation giving response rate
of 99.31%.The overall prevalence of risky sexual behavior was 27.6% (95% CI: 24.33%,
30.89%) and it is predominant among adolescents lives away from their parents. Living away
from family was significantly associated with risky sexual practice on bivariate logistic analysis
OR= 2.02, 95% CI :( 1.45, 2.81) but the association disappeared on multivariate analysis AOR=
0.81 95%, CI: (0.49, 1.35). Drinking alcohols(beer) frequently(AOR=1.8, 95% CI:(1.22, 2.85),
chewing khat(AOR=1.7, 95% CI:(1.10, 2.77),smoking cigarettes (AOR=2,95%CI:(1.07, 3.92)
less parental monitoring (AOR= 6.1, 95% CI: (2.79, 13.52)),watching pornography
movies/films(AOR=5.7, 95% CI:( (2.82, 11.10) and poor/less attachment to religious
institutions (AOR=2.6, 95% CI :( 1.72, 3.91) were the factors that increase the odds of
practicing risky sexual behaviour.
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Conclusion and recommendation: The findings of this study showed that a substantial
proportion of Governmental secondary school-going adolescents in Sebeta are engaged to risky
sexual activities and that sexual activity among these adolescents aged 15-19 is influenced by
multiple factors,including substance use, religiosity, perceived parental monitoring and watching
pornography films. based on the finding of this study we suggest recommendation for programs
works to improve adolescent reproductive health to work on upgrading sexuality education that
goes beyond HIV/AIDS knowledge,to address risky sexual behavior in schools, to improve
parental role.
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The Influence of Living Arrangement on Adolescents’ Risky