Assessment of Male Regular Sexual Partner Involvement in the Use of Modern Contraceptive and Associated Factors among Undergraduate Regular Female Students of Addis Ababa University
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Date
2020-03
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Addis Abeba University
Abstract
Background:-University students most of which in the youth age category exposed to many risky sexual
behaviors in the context of low knowledge of modern contraception can lead to several sexual health
consequences. Besides, studies have documented that male involvement raised family planning uptake
among females. However, there is limited information among the youth, which are not married, but in
regular sexual partnership. The paucity of information is particularly high among University students.
Objective:-To assess the involvement of male regular sexual partner in the use of modern contraception,
among regular undergraduate female students of Addis Ababa, University, 2017.
Methods: - A cross sectional study used on 634 undergraduate students from March 2017 to April
2017.Multi- stage stratified sampling used to select the study participants. First using purposive sampling
five colleges and ten departments with the highest number of female students were selected respectively.
Then simple random sampling technique used to select the study participants. The study measures
magnitude of female students in sexual partnership. A composite variable is determined and measures the
involvement of males in modern contraception. The overall association of different covariates with male
involvement is assessed using multi-variants logistic regression.
Result: - 621 female undergraduate students enrolled after fulfilling the inclusion criteria with response
rate 97%. Two hundred seventy eight (44.8%) of them had regular sexual partner in past 12 month at the
time of data collection. In addition age (AOR=3.46, 95%CI [1.15, 10.32]), study year (AOR=8.62, 95%CI
[3.99, 18.61]), current residence (AOR=11.01, 95%CI [4.25, 28.49]), average pocket money (AOR=3.22,
95%CI [1.65, 6.29]). Attending nightclub (AOR=3.24, 95%CI [2.02, 5.2]), watching pornography
(AOR=2.83, 95%CI [1.38, 5.78]), peer pressure (AOR=1.83, 95%CI [1.15, 2.92]) were found to have
association with sexual partnership in the past 12 month. One third 86 (31%) of the regular sexual
partners were found to be involved in modern contraceptive use. Moreover, partners’ educational status
(AOR=3.04, 95%CI [1.3, 7.11]), partners’ monthly pocket money (AOR=4.86, 95%CI [1.23, 19.1]),
having sex after partner used substance (AOR=2.07, 95%CI [1.03, 4.19]) and using contraceptives in the
past 12 month (AOR=6.51, 95%CI [1.26, 33.48]), were found to have association with involvement of
male regular sexual partner on modern contraceptive use.
Conclusion: Almost half of university students were engaged in sexual partnership in the past 12 month.
There was significant association between age, study year, current residence, average pocket money,
attending nightclub, watching pornography and peer pressure with sexual partnership in the past 12
month. From female students who were in regular sexual partnership the male partners who were
involved in contraceptive use were very low. Partner’s educational status, partner’s average pocket money
and having sex after partner used substances, using modern contraceptive in the past 12, were tends to be
associated with the outcome variable regular male sexual partner involvement in contraceptive use. To
improve male sexual partner participation in contraceptive use, all stakeholders on sexual and
reproductive health should focus on male sexual partners' involvement in modern contraceptive use.
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Keywords
Female students, sexual partnership, modern contraceptive use, male involvement