Magnitude of unsafe sex and its contributing factors among non-married Preparatory School Adolescent Students in Addis Ababa

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Addis Ababa Universty


Background: There is a growing evidence suggesting that adolescent students in school are practicing risky sexual behavior. Ethiopian adolescents age 10 – 19 years have emerged as the segments of the population most vulnerable to a broad spectrum of serious sexual health problems including STI/HIV, unwanted pregnancy and unsafe abortion due to growing practice of unsafe sex. Objectives: The main objective of this study was to assess the magnitude of unsafe sex and factors contributing to it among preparatory school adolescent students in Addis Ababa. Methods: A school based cross-sectional study design was employed using a pre-tested selfadministered questionnaire and supplemented by focus group discussions which were conducted from May 1 to May 10, 2017 among preparatory students in Addis Ababa. A total of 840 students were selected using a malti- stage sampling technique. SPSS software version 16 was used to perform descriptive statistics, bivariate and multivariable logistic regression analyses to identify factors associated with no/ inconsistence condom use and having mutiple sexual partener. Qualitative data were manually analyzed. Results: Of the 789 study participants age 15-19 years, female participants were 465 (59%) and 324 (41%) male participants were involved. Three hundred fifteen (39.9%) respondents ever had sexual practice. From those students who ever had sexual practices, 122(38.7%) practicing unsafe sex, out of the 315 sexual active students 238(75.5%) ever had multiple sexual partners, 112(35.55%) used condom inconsistently whereas 220 (69.84%) of students never used condom during the last sexual intercourse and 224(28.4%) reported that their families didn’t know their friends. Regarding the behavior of Adolescent, 324 (41.1%) drink alcohol, 215(27.2%) chew khat, 87 (11.0%) smoked shisha and 541 (68.6%) watched pornographic video. Adolescent students having family monitoring were protected from unsafe sex than those who don’t have family monitoring (AOR=0.282, [95%CI: 0.130, 0.611], P=0.001). Adolescent consumed alcohol are 2.7 times at risk than adolescent not consuming alcohol (AOR=2.682, [95%CI: 1.166, 6.202], P=0.021). Conclusion: Engaging in unsafe sexual behaviors was independently associated with drinking alcohol and parental monitoring. Adolecents who drink alcohol are at risk for unsafe sex and adolecents who have family monitoring were protected from unsafe sex. Therefore, preparatory school based, risk reduction and behavior change focused interventions are recommended.



adolescent students,risky sexual behaviorPreparatory School