College of Health Sciences, Haramaya University, Harar, Ethiopia.
BMC Public Health. 2012 May 24;12:375. doi: 10.1186/1471-2458-12-375.
More adolescents in Ethiopia are in school today than ever, but few studies have assessed the sexual behaviour of these learners. Thus, this study tried to assess pre-marital sexual debut and factors associated with it among in-school adolescents in Eastern Ethiopia.
A cross-sectional school-based study was conducted using a facilitator guided selfadministered questionnaire. Respondents were students attending regular school classes in fourteen high schools. The proportion of adolescents involved in pre-marital sexual debut and the mean age at sexual debut was computed. Factors associated with pre-marital sexual debut were assessed using bivariate and multivariable logistic regression.
About one in four, 686 (24.8%) never married in-school adolescent respondents reported pre-marital sexual debut of these 28.8% were males and 14.7% were females (p < 0.001). Pre-marital sexual debut was more common among adolescents who had their parents in urban areas (Adjusted OR and [95% CI] = 1.42 [1.17-1.73]), who received higher pocket money per month (Adjusted OR and [95% CI] = 1.56 [1.19-2.04]), who perceived low self-educational rank (Adjusted OR and [95% CI] = 1.89 [1.07-3.34]) and who lived in rented houses (Adjusted OR and [95% CI] = 1.32 [1.03-1.70]). The females and those who were less influenced by external pressure were more protected against pre-marital sexual debut (Adjusted OR and [95% CI] = 0.44 [0.35-0.56; 0.62 [0.52-0.74, respectively]) than their counterparts.
A significant proportion of in-school adolescents were engaged in sexual relationship. Thus, public health interventions should consider the broader determinants of premarital sexual debut, including the ecological factors in which the behavior occurs.
如今，埃塞俄比亚有比以往更多的青少年在接受学校教育，但很少有研究评估这些学生的性行为。因此，本研究试图评估埃塞俄比亚东部在校青少年的婚前性行为初现及其相关因素。
采用便利型基于学校的横断面研究，使用经过培训的调查员指导的自我管理问卷进行调查。调查对象为正在 14 所高中正常上课的学生。计算了参与婚前性行为初现的青少年比例和性行为初现的平均年龄。使用二变量和多变量逻辑回归评估与婚前性行为初现相关的因素。
约四分之一（686 人，24.8%）从未结婚的在校青少年报告有婚前性行为初现，其中 28.8%为男性，14.7%为女性（p<0.001）。婚前性行为初现更常见于父母在城市地区的青少年（调整后的比值比和[95%可信区间] = 1.42[1.17-1.73]）、每月收到较高零花钱的青少年（调整后的比值比和[95%可信区间] = 1.56[1.19-2.04]）、自我教育评价较低的青少年（调整后的比值比和[95%可信区间] = 1.89[1.07-3.34]）和居住在出租房的青少年（调整后的比值比和[95%可信区间] = 1.32[1.03-1.70]）。女性和受外部压力影响较小的青少年比其同龄人更能避免婚前性行为初现（调整后的比值比和[95%可信区间] = 0.44[0.35-0.56]；0.62[0.52-0.74]）。
相当一部分在校青少年有过性行为。因此，公共卫生干预措施应考虑到婚前性行为初现的更广泛决定因素，包括行为发生的生态因素。
