Magnitude and Determinants of Risky Sexual Behaviors Among Regular and Evening Secondary School Students in Addis Ababa, Ethiopia: A Comparative Cross-Sectional Study.
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Date
2019-10
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Addis Ababa University
Abstract
Background: Risky sexual behaviour is the activity that will increase the probability of being infected with sexually transmitted infections, or become pregnant or make a partner pregnant. Adolescents and youth constitute 33.8% of the total population of Ethiopia. These groups of population face varied vulnerabilities such as STI/HIV, unwanted pregnancy, fistula and etc.
Objective: To assess the magnitude and determinants of risky sexual behaviours among regular and evening secondary school students in Addis Ababa, Ethiopia, a comparative cross sectional study 2018/19.
Methods: A cross sectional study was conducted from February 1 to 30 2019. The calculated sample size was allocated to each grade by using a multistage sampling technique. A total of 604 students were enrolled in this study. Data were entered using Epi-info7 and exported to SPSS version 23 for analysis. Chi square was done to compare the risk between the two groups. Binary and multiple logistic regression analysis were used to see the association between the outcome and one and above one independent variable/s. Odds ratios at 95% CI were computed to measure the strength of the association between the outcome and the independent variables. P-value .0.05 was considered as a statistically significant.
Results: From the 604 students who participated in the study, 79 (19.3%) of the regular students and 145 (74.4%) of the evening participants had sexual experience. 66 (16.4%) of the regular and 123 (63.07%) of the evening students had practiced risky sexual behaviours. Peer pressure (AOR=3.233, 95% CI=1.13, 9.192), watching pornographic movies (AOR=5.384, 95% CI=1.693, 17.118) and discussion on sexual issues (AOR=3.286, 95% CI= 1.181, 9.145) were factors significantly associated with risky sexual behaviours.
Conclusions: Large proportions of students were engaged in to risky sexual behaviours specially the evening school students. Peer pressure, watching pornographic movies and discussions on sexual issues were significantly associated with risky sexual behaviours. Preventive measures like open discussion on sexual issues, prohibiting pornographic movie channels and monitoring students peer and activities are important.
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Sexual Behaviors