Mulugeta Yeshalem, Berhane Yemane
Department of Public Health, College of Medicine and health Sciences, Bahir Dar University, P,O, Box 79, Bahir Dar, Ethiopia.
Reprod Health. 2014 May 31;11:40. doi: 10.1186/1742-4755-11-40.
BACKGROUND: Pre-marital sexual debut increase the risk of sexually transmitted infections (STIs) including HIV/AIDS and unwanted pregnancy. It may also affect their school performance and completion rate. In spite of this fact, number of unmarried female students who started sexual debut is increasing from time to time. However, information on the extent of pre-marital sexual debut and associated factors were not well studied and documented in the study area where pre-marital sexual debut is largely condemned. Therefore this study was conducted to assess the magnitude and associated factors of pre-marital sexual debut. METHODS: School based cross-sectional survey was conducted from May 10-13/2012. A total of 1123 unmarried high school female students were selected by multi- stage sampling technique. Data were collected using structured, self administered questionnaire. Descriptive statistics, binary and multivariable logistic regression analyses were used to identify factors associated with pre-marital sexual debut. RESULTS: Among unmarried high school female students 30.8% reported pre-marital sexual debut. The major associated factors were frequent watching of pornographic video [AOR = 10.15, 95% CI: (6.63, 15.53)], peer pressure [AOR = 2.98, 95% CI: (1.57, 5.67)] and chewing khat [AOR = 8.99, 95% CI: (3.84, 21.06)]. CONCLUSION: Significant proportion of unmarried high school female students have started pre-marital sexual debut. The finding suggests the need for communicating and supporting school students to help them make informed and safer decisions on their sexual behavior. Therefore, Bahir dar city administration health and education bureau should design persistent and effective health education to decrease pre-marital sexual debut in unmarried female students.
背景:婚前首次性行为会增加感染包括艾滋病毒/艾滋病在内的性传播感染以及意外怀孕的风险。这也可能影响她们的学业成绩和毕业率。尽管如此,开始有婚前首次性行为的未婚女学生数量却在不断增加。然而,在婚前首次性行为在很大程度上受到谴责的研究地区,关于婚前首次性行为的程度及其相关因素的信息并未得到充分研究和记录。因此,开展本研究以评估婚前首次性行为的程度及其相关因素。 方法:于2012年5月10日至13日进行了基于学校的横断面调查。通过多阶段抽样技术共选取了1123名未婚高中女学生。使用结构化的自填问卷收集数据。采用描述性统计、二元和多变量逻辑回归分析来确定与婚前首次性行为相关的因素。 结果:在未婚高中女学生中,30.8%报告有婚前首次性行为。主要相关因素包括频繁观看色情视频[AOR = 10.15,95%CI:(6.63, 15.53)]、同伴压力[AOR = 2.98,95%CI:(1.57, 5.67)]和咀嚼恰特草[AOR = 8.99,95%CI:(3.84, 21.06)]。 结论:相当比例的未婚高中女学生已开始有婚前首次性行为。该研究结果表明有必要与在校学生进行沟通并给予支持,以帮助她们在性行为方面做出明智且更安全的决定。因此,巴赫达尔市行政当局的卫生和教育局应设计持续有效的健康教育,以减少未婚女学生的婚前首次性行为。
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