Kassa Getachew Mullu, Degu Genet, Yitayew Meseret, Misganaw Worku, Muche Mikiyas, Demelash Tiguaded, Mesele Meless, Ayehu Melat
Midwifery Department, Medicine and Health Sciences College, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.
Nursing Department, Medicine and Health Sciences College, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia.
Int Sch Res Notices. 2016 Jun 15;2016:4315729. doi: 10.1155/2016/4315729. eCollection 2016.
Background. Young people constitute a large number of population worldwide, and majority of this population group lives in developing countries. They are at high risk of engaging in risky sexual behaviors. These risk sexual behaviors predispose youths to several sexual and reproductive health problems like STIs, HIV, unwanted pregnancy, and abortion. So, this study was conducted to assess the magnitude of risky sexual behaviors and associated factors among Jiga high school and preparatory school students, northwest Ethiopia. Methodology. Institutional based cross-sectional study design was conducted among Jiga town high school and preparatory school students. A total of 311 students were included in the study. Systematic random sampling method was used to select study participants. Data was entered using EpiData version 3.1 and it was exported to SPSS version 22 for further analysis. Descriptive analysis and bivariate and multivariate analysis were also calculated to determine factors associated with risky sexual behavior. Result. Forty-eight (16%) of respondents reported that they had sexual intercourse. From those who start sex, 44 (14.7%) were involved in risky sexual behavior which could predispose them to sexual and reproductive health problems. More than half, 27 (56.3%), of respondents first sexual intercourse was before their eighteenth birthday. The mean age and SD of fist sexual initiation were 17.2 years old and 1.35 years, respectively. Factors associated with risky sexual behavior include respondents between the ages of 20 and 23 (AOR: 5, 95%, CI: 1.59-15.98), drinking alcohol (AOR: 2.48, 95% CI: 1.13-5.41), and having poor knowledge towards HIV/AIDS (AOR: 4.53, 95%, CI: 2.06-9.94). Conclusion. A large number of in-school youths are involved in risky sexual behaviors like early sexual initiation, having multiple sexual partners, inconsistence use of condom, and having sex with high risk partner (CSWs). Age of respondents, alcohol drinking, and poor knowledge towards HIV/AIDS were factors associated with risky sexual behavior. School and community based programs in reducing substance abuse among youths and increasing their knowledge towards HIV/AIDS are important.
背景。年轻人在全球人口中占很大比例,且这一人群的大多数生活在发展中国家。他们从事危险性行为的风险很高。这些危险性行为使年轻人易患多种性健康和生殖健康问题,如性传播感染、艾滋病毒、意外怀孕和堕胎。因此,本研究旨在评估埃塞俄比亚西北部吉加高中和预科学校学生中危险性行为的程度及相关因素。方法。在吉加镇高中和预科学校学生中开展基于机构的横断面研究设计。共有311名学生纳入研究。采用系统随机抽样方法选取研究参与者。数据使用EpiData 3.1版本录入,并导出至SPSS 22版本进行进一步分析。还进行了描述性分析以及双变量和多变量分析,以确定与危险性行为相关的因素。结果。48名(16%)受访者报告有过性行为。在开始性行为的人群中,44名(14.7%)参与了可能使其易患性健康和生殖健康问题的危险性行为。超过半数,即27名(56.3%)受访者的首次性行为发生在18岁之前。首次性行为开始的平均年龄和标准差分别为17.2岁和1.35岁。与危险性行为相关的因素包括年龄在20至23岁之间的受访者(调整后比值比:5,95%置信区间:1.59 - 15.98)、饮酒(调整后比值比:2.48,95%置信区间:1.13 - 5.41)以及对艾滋病毒/艾滋病知识了解不足(调整后比值比:4.53,95%置信区间:2.06 - 9.94)。结论。大量在校青年参与危险性行为,如过早开始性行为、有多个性伴侣、不坚持使用避孕套以及与高危性伴(商业性工作者)发生性行为。受访者年龄、饮酒以及对艾滋病毒/艾滋病知识了解不足是与危险性行为相关的因素。开展基于学校和社区的项目以减少青少年药物滥用并增加他们对艾滋病毒/艾滋病的知识很重要。