Assessment of Substance Use and Risky Sexual Behavior Among High School and Preparatory School Students In Jabi Tehinan Woreda, Ethiopia
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Date
2017-08-05
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Addis Ababa University
Abstract
The use of substances such as alcohol, khat leaves (Catha edulis), and tobacco has become one of the rising major public health and socio-economic problems worldwide. High school and Preparatory school adolescents are assumed to be exposed to many risky sexual behaviors by the influence of substance use. However few studies have been explored about the pattern of risky sexual behavior and its association with substance use in Jabi Tehinan woreda high school and preparatory school students. The main objective of this study was to determine the prevalence of Substance Use (alcohol, khat, cigarette and illicit drugs) and Risky Sexual Behavior of students in Jabi Tehinan woreda High school and Preparatory School, Northwest Ethiopia. A cross-sectional study design was employed using a pre-tested self-administered questionnaire. The study was conducted in February 2017. A total of 411 students were selected using systematic random sampling method. The data were analyzed using SPSS for windows version 24. Descriptive statistics by using frequency, percentage distribution and logistic regression analyses were performed to ascertain association between dependent and independent variables after removing the incomplete responses. Of 411 study participants; use of alcohol, khat, cigarette and illicit drugs was reported by 39.4%, 4.4%, 1.5% and 0.7% students, respectively. There were significant differences between males and females with respect to substance use behavior; multiple sexual partner and unprotected sex were reported by 13.7% and 33.3% of the students respectively. Alcohol drink was associated with risky sexual behavior compared to those who did not take alcohol with adjusted OR (95% CI) of 2.46(1.03, 5.91). But khat chewing, cigarette smoking and illicit drugs did not have an association with multiple sexual partner and unprotected sex in the multivariate analysis. Use of alcohol was significantly associated with risky sexual behavior. This study suggests a need for interventions and designs a strategy to reduce the levels of substance use and enhancing protective sexual behavior.
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Substance Use, Risky Sexual Behavior, High School and Preparatory School Students