Keto Terefe, Tilahun Ayele, Mamo Aklilu
Department of Comprehensive Clinical Nursing, Mizan Aman Health Science College, Mizan, Ethiopia.
Department of Nursing, College of Health Sciences, Mizan Tepi University, Mizan, Ethiopia.
BMC Public Health. 2020 Sep 14;20(1):1394. doi: 10.1186/s12889-020-09371-4.
Sexual risk behaviors are defined as sexual activities that may make an individual liable to the risk of sexually transmitted infections including Human Immunodeficiency virus (HIV) and unplanned pregnancies. Adolescents are at high risk of developing sexual risk behavior. The rate of risky sexual behaviors and the spread of STIs continue to be increase among the adolescent population. Therefore this study aimed to assess Metu secondary and preparatory school adolescent knowledge, attitude, and practice of risky sexual behaviors.
Institution based descriptive cross sectional study was conducted among Metu secondary and preparatory school students from 04 Feb 2019-07 June 2019. The study participants were selected through systematic random sampling techniques and the data was collected through self-administered questionnaires. A Total of 361 study subjects were included in the study. Data was entered in EpiData and analyzed by using SPSS version 21.
Three hundred sixty one respondents participated in this study. Of those, 75.9% of them have awareness about risky sexual behaviors and about 76.5. % of them has awareness on consequences of unsafe sex. Among the total study participants, about 22.7% of them had previously practiced in sexual activity; of these 61.7% of respondents had more than one sexual partner. From the respondents who had practiced sex, 19.8% of them had always used condom during their sexual intercourse with their partners, while 58% of them never used condom during sexual intercourse.
Even though the majority of the students have an awareness regarding sexual risk behaviors, a considerable number of students have practiced risky sexual behaviors that might predispose them for different sexual and reproductive health problems and peer pressure was revealed as a major factor that influences the respondents towards their first sexual intercourse. Peers have greater influence on the positive and negative behavior of their friends. Therefore the school should emphasize on promoting peer educators and peer discussion to protect adolescents and youth from risky sexual behaviors.
性风险行为被定义为可能使个体面临性传播感染风险（包括感染人类免疫缺陷病毒（HIV））以及意外怀孕风险的性行为。青少年发生性风险行为的风险很高。在青少年人群中，危险性行为的发生率和性传播感染的传播率持续上升。因此，本研究旨在评估梅图中学和预科学校青少年对危险性行为的知识、态度和实践情况。
于2019年2月4日至2019年6月7日在梅图中学和预科学校的学生中开展了基于机构的描述性横断面研究。研究参与者通过系统随机抽样技术选取，数据通过自填问卷收集。共有361名研究对象纳入本研究。数据录入EpiData并使用SPSS 21版进行分析。
361名受访者参与了本研究。其中，75.9%的人知晓危险性行为，约76.5%的人了解不安全性行为的后果。在所有研究参与者中，约22.7%的人此前有过性活动；其中61.7%的受访者有不止一个性伴侣。在有过性行为的受访者中，19.8%的人在与伴侣性交时始终使用避孕套，而58%的人在性交时从未使用过避孕套。
尽管大多数学生知晓性风险行为，但仍有相当数量的学生有过危险性行为，这可能使他们面临不同的性健康和生殖健康问题，并且同伴压力被揭示为影响受访者首次性行为的主要因素。同伴对其朋友的积极和消极行为有更大影响。因此，学校应强调推广同伴教育者和同伴讨论，以保护青少年免受危险性行为的侵害。
