15-19 岁青少年在埃塞俄比亚提格雷州阿克苏姆镇政府高中的危险性行为及相关因素：基于机构的横断面研究。

Risky Sexual Behavior and Associated Factors among Adolescents Aged 15-19 Years at Governmental High Schools in Aksum Town, Tigray, Ethiopia, 2019: An Institution-Based, Cross-Sectional Study.

机构信息

Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Ethiopia.

Department of Psychiatry College of Health Sciences and Comprehensive Specialized Hospital, Aksum University, Ethiopia.

出版信息

Biomed Res Int. 2020 Aug 21;2020:3719845. doi: 10.1155/2020/3719845. eCollection 2020.

DOI:10.1155/2020/3719845

PMID:32904524

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7456495/

Abstract

INTRODUCTION

The impact of risky sexual practice on the general health of adolescents is enormous; little attention has been given on identification and intervention plans. Therefore, the aim of this study was to find the magnitude of risky sexual behavior and associated factors among adolescents aged 15-19 years in high schools at Aksum town, Tigray, Ethiopia.

METHODS

An institution-based cross-sectional study was conducted at governmental high schools of Aksum town. We recruited a total of 659 adolescents aged 15-19 years by using a systematic random sampling technique. Data was collected with a face-to-face interview. An Amharic version of the sexual risk behavior scale was used to measure risky sexual behaviors. The patient health questionnaire 9, the Oslo-3 social support scale, and an adverse childhood experience questionnaire were used to assess the factors. The coded data were entered into EpiData v.4.1 and analyzed using Statistical Package for the Social Sciences version 22. Bivariate and multivariate logistic regressions were done. An adjusted odds ratio at a value < 0.05 with 95% confidence interval was taken to declare statistical significance.

RESULT

A total of 644 students have participated with a response rate of 97.7%. The prevalence of risky sexual behavior among adolescents aged 15-19 years was found to be 17.2%. Factors like poor social support (AOR = 5.59, 95% CI: 2.71-11.53), living out of family (AOR = 1.93, 95% CI: 1.21-3.07), experiencing parental neglect (AOR = 1.87, 95% CI: 1.18-2.94), and drinking alcohol (AOR = 2.55, 95% CI: 1.55-4.20) were statistically associated with risky sexual behavior. . The prevalence of risky sexual behavior was found to be alarming among adolescents of high school aged 15-19 years. This can significantly affect health quality in the community and the country at large. We recommend setting strategies that are against the determining factors of risky sexual behavior; the control of alcoholic beverages among adolescents aged 15-19 years must be enhanced, and awareness creation must be made regarding its unpleasant consequences.

摘要

简介

危险性行为对青少年的整体健康影响巨大，但对其识别和干预措施的关注甚少。因此，本研究旨在调查埃塞俄比亚提格雷州阿克苏姆镇 15-19 岁高中生的危险性行为程度及其相关因素。

方法

本研究为基于机构的横断面研究，在阿克苏姆镇的政府高中进行。我们采用系统随机抽样技术共招募了 659 名 15-19 岁的青少年。采用面对面访谈的方式收集数据。使用性风险行为量表的阿姆哈拉语版本来测量危险性行为。使用患者健康问卷 9、奥斯陆 3 社会支持量表和不良童年经历问卷来评估相关因素。对编码后的数据进行 EpiData v.4.1 录入并使用统计软件包 22 进行分析。进行了单变量和多变量逻辑回归分析。采用双侧检验，以 P 值<0.05 且 95%置信区间表示有统计学意义。

结果

共有 644 名学生参与了研究，应答率为 97.7%。15-19 岁青少年的危险性行为发生率为 17.2%。社会支持差（OR=5.59，95%CI：2.71-11.53）、家庭外居住（OR=1.93，95%CI：1.21-3.07）、父母忽视（OR=1.87，95%CI：1.18-2.94）和饮酒（OR=2.55，95%CI：1.55-4.20）等因素与危险性行为显著相关。