Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia.
Department of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Reprod Health. 2024 Jun 5;21(1):77. doi: 10.1186/s12978-024-01808-y.
Sexual risky behaviors, as defined by the World Health Organization, encompass a spectrum of sexual activities that heighten the likelihood of negative outcomes related to sexual and reproductive health. Despite the implementation of various healthcare programs and interventions, youths continue to encounter challenges in accessing reproductive health services. Consequently, they remain vulnerable to engaging in high-risk sexual behaviors; 50.36% of adolescents in Ethiopia. Therefore, this study was aimed to determine the prevalence of risky sexual behavior and associated factors among out-of-school Youths in Addis Ababa, Ethiopia; 2023.
A community based cross sectional mixed methods study was conducted among 701 youths in Addis Ababa from September 1st to 30th, 2023. The quantitative data were collected through face to face interview using a pre-tested structured questionnaire, while qualitative data were gathered through in depth interviews and focus group discussions. For the quantitative study, the study samples were chosen using systematic sampling. Conversely, purposive sampling was employed for the qualitative study. Variables with P-value ≤ 0.25 in the bivariate analysis were considered as candidates for the multivariable analysis. Statistical significance was declared at a P-value less than 0.05.
The prevalence of risky sexual behavior among out of school students in Addis Ababa was 40.6% (95%CI: 36.8, 44.1). Age 15-19 years (AOR: 2.52; 95%CI: 1.61, 3.94), being female (AOR: 2.84; 95%CI: 1.93, 4.18), fathers who were unable to read and write (AOR: 4.13; 95%CI: 2.04, 8.37), alcohol consumption (AOR: 2.07; 95%CI: 1.33, 3.19), peer pressure (AOR: 2.59; 95%CI: 1.81, 3.72), live together with either of biological parent (AOR: 2.32; 95%CI: 1.52, 3.55), watching pornography (AOR: 2.10; 95%CI: 1.11, 3.97) and parental monitoring (AOR: 0.59; 95%CI: 0.39, 0.90) were factors associated with risky sexual behavior.
A lower prevalence of risky sexual behavior compared to prior research efforts. Age, gender, educational level of the husband, alcohol consumption, peer pressure, living arrangements, exposure to pornography, and family monitoring emerged as significant factors associated with risky sexual behavior. Therefore, government should prioritize strategies to reduce substance use, mitigate the impact of watching pornography, and enhance parent-youth connectedness.
世界卫生组织将性行为风险行为定义为一系列可能导致性健康和生殖健康不良后果的性行为。尽管实施了各种医疗保健计划和干预措施，但年轻人在获得生殖健康服务方面仍然面临挑战。因此，他们仍然容易从事高风险的性行为；埃塞俄比亚有 50.36%的青少年。因此，本研究旨在确定 2023 年埃塞俄比亚亚的斯亚贝巴失学青年中风险性行为的流行率及其相关因素；2023 年。
2023 年 9 月 1 日至 30 日，在亚的斯亚贝巴进行了一项基于社区的横断面混合方法研究，共有 701 名青年参加。定量数据通过面对面访谈使用预先测试的结构化问卷收集，而定性数据通过深入访谈和焦点小组讨论收集。对于定量研究，使用系统抽样选择研究样本。相反，定性研究采用了目的性抽样。在双变量分析中 P 值≤0.25 的变量被认为是多变量分析的候选变量。P 值小于 0.05 被认为具有统计学意义。
亚的斯亚贝巴失学青年中风险性行为的流行率为 40.6%（95%CI：36.8，44.1）。15-19 岁年龄组（AOR：2.52；95%CI：1.61，3.94），女性（AOR：2.84；95%CI：1.93，4.18），无法读写的父亲（AOR：4.13；95%CI：2.04，8.37），饮酒（AOR：2.07；95%CI：1.33，3.19），同伴压力（AOR：2.59；95%CI：1.81，3.72），与父母中的一方同住（AOR：2.32；95%CI：1.52，3.55），观看色情内容（AOR：2.10；95%CI：1.11，3.97）和父母监督（AOR：0.59；95%CI：0.39，0.90）是与风险性行为相关的因素。
与之前的研究相比，风险性行为的流行率较低。年龄、性别、丈夫的教育程度、饮酒、同伴压力、居住安排、接触色情内容和家庭监督是与风险性行为相关的重要因素。因此，政府应优先制定减少物质使用、减轻观看色情内容影响和加强亲子联系的战略。
