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Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design

Received: 23 January 2016     Accepted: 1 February 2016     Published: 23 February 2016
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Abstract

Adolescence and youth are the periods for great opportunity and hope in human life. They are the periods between childhood and adulthood where by the young people are expected to undergo major physical, emotional, and social developments, with significant impact on their sexual and reproductive health. This study was aimed at assessing the magnitude and factors associated with risky sexual behaviours (RSB) among in-school youth (15-24) in Lalibela Town, Ethiopia. A cross-sectional institution based quantitative survey was conducted in June, 2014. A systematic random sampling technique was used to get the required sample size of 1362 study participants. A structured pretested and self-administered questionnaire was used to collect the data. The univariate statistical analysis was used to describe the variables using tables and graphs. The multivariable logistic regression model was developed and factors associated with risky sexual behaviour were identified. A total of 1332 in-school youth (ISY) with a 97.8% response rate were included in the study. Five hundred fourteen (38.6%) in-school youth reported that they have initiated sexual intercourse. The mean age at the first sexual experience with standard deviation (Mean ± (SD)) was 15.25 ± (1.85) years, Median = 15 years, Ranges from 11 to 24 years. Among sexually active in-school youth, the prevalence of risky sexual behaviour, students reported at least one of the three risky behaviours which consist of engaging sexual debut before age 18 years, having multiple sexual partners and not consistently using condom was 46.5% (239/514). The odds of having risky sexual behaviour among urban resident ISY was 1.65 times higher than their counterpart (AOR 1.65; 95%CI: 1.12 – 2.43, P-value<0.001). The odds of risky sexual behaviour among ISY who had peer influence in sexual debut was 2 folds higher (AOR 2.06; 95%CI: 1.37 – 3.12, P-value<0.001) than their counterpart. The odds of the risky sexual behaviour of youth who never chew khat was less by 49% (AOR 0.51; 95%CI: 0.32 – 0.80, P-value<0.001) than their counterpart or khat chewers. A large proportion of in-school youth engaged in the risky sexual behaviour. Permanent residence, peer pressure, and substance uses are factors associated with risky sexual behaviours among in-school youths. Therefore, improving access to sexual and reproductive health for in-school youth is highly recommended. All concerned partners should work hard to create awareness about the identified factors and consequences of risky sexual behaviours among in school youth in the study area.

Published in Science Journal of Public Health (Volume 4, Issue 1)
DOI 10.11648/j.sjph.20160401.18
Page(s) 57-64
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Lalibela, In-School Youth, Substance Use, Risky Sexual Behaviour, Ethiopia

References
[1] Ethiopian Federal Population Census Commission (EFPCC): Summary and statistical report of the 2007 population and housing Census: population size by age and sex. Addis Ababa: EFPCC; 2008.
[2] ICF International: Atlas of Youth Reproductive Health: Data from the 2011 Ethiopia Demographic and Health Survey. Calverton, Maryland, USA: ICF International; 2012.
[3] United State Agency for International Development (USAID): Youth in development policy: Realizing the demographic opportunity. Washington, DC: USAID; 2012.
[4] Ethiopian Federal Ministry of Health (EFMOH): National Reproductive Health Strategy 2006 – 2015. Addis Ababa: EFMOH; 2006.
[5] Joint United Nation Program on HIV|AIDS (UNAIDS): Global Report: UNAIDS report on the Global AIDS epidemic 2013. Geneva: UNAIDS; 2013.
[6] Peltzer K: Early sexual debut and associated factors among in-school adolescents in eight African Countries. Acta Pædiatrica 2010; 99(8): 1242–1247. DOI: 10.1111/j.1651-2227.2010.01874.x.
[7] David, D. Substance use and risky sexual behaviours among sexually experienced Ghanaian youth. BMC Public Health. 2012; 12: 571.
[8] Lylian A, Paul O, and Lucas O: Sexual risk-taking behaviours among youth in secondary schools in Bondo district, Kenya. Greener Journal of Educational Research 2013; 3(1):001-006.
[9] Tilahun M, Mengistie B, Egata G, and Reda AA: Health Workers attitudes towards sexual and reproductive health services for unmarried adolescents in Ethiopia. Reproductive Health 2012; 9(19): 1-7.
[10] Adirew YM, Worku AG, and Mengesha, ZB: Knowledge of reproductive and sexual right among university Students in Ethiopia: Institutional – based Cross- Sectional. BMC International Health and Human Right 2013; 13(12).
[11] Central Statistical Agency [Ethiopia] and ICF International. Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia and Calverton, Maryland, USA: Central Statistical Agency and ICF International; 2012.
[12] Mazengia F, and Worku A: Age of sexual initiation and a factor associated with it among youths in North East Ethiopia. Ethiopia Journal of Health Development 2009; 23(2): 154–162.
[13] Bogale A, and Seme A: Premarital sexual practices and its predictors among the in-school youth of Shendi town, West Gojjam Zone, North Western Ethiopia. Reproductive Health 2014; 11(49).
[14] Mengistu TS, Melku AT, Bedada BD, and Eticha BT: Risks for STIs/HIV infection among Medawalabu University Students, South East, Ethiopia: a Cross-Sectional Study. Reproductive Health 2013; 10(38).
[15] Fantahun N, and Mamo A: Risky sexual behaviour and associated factors among male and female students in Jima Zone preparatory schools, South West Ethiopia: Comparative Study. Ethiop J Health Sci 2014; 24(1): 59–68.
[16] Dadi, AF, and Teklu FG: Risky sexual behaviour and associated factors among grade 9- 12 students in Humera secondary School, Western Zone of Tigray, NW Ethiopia 2014. Science Journal of Public Health 2014; 2(5): 410-416.
[17] Ethiopian Federal Ministry of Youth Sport and Culture (EFMOYSC): National youth policy. Addis Ababa: Federal Ministry of Youth Sport and Culture; 2004.
[18] Lalibela Town Culture, Tourism and Park Development Office (LTCTPDO). Semiannual performance report of the Ethiopian sustainable tourism development project (ESTDP). Lalibela: LTCTPDO; 2014.
[19] Daniel WW: Biostatistics: a foundation for analysis in the health sciences. 4th edition. John Wiley & Sons Inc. 1987; 155 -156.
[20] Mitike G, Meknonnen T, Ayele R, Gadisa T, Enqusillasie F, Lemma W & Woldu A: HIV|AIDS Behavioral Surveillance Survey (BSS). Round Two. Federal Ministry of Health, Addis Ababa: Ethiopia, 2005.
[21] Abebe M, Tsion A, Netsanet F: Living with parents and risky sexual behaviours among preparatory school students in Jimma zone, Southwest Ethiopia. African Health Sciences 2013; 13(2): 498-506.
[22] Cleland J, Ingham R, Stone N: Special Programme of Research, Development and Research Training in Human Reproduction. UNDP/UNFPA/WHO/World Bank; 2001.
[23] SPSS. IBM SPSS Statistics Base 20. SPSS Inc., Chicago; 2011.
[24] Hosmer D W, & Lemeshow S (Eds.): Applied Logistic Regression. New York: Wiley. 2000.
[25] Federal Ministry of Health: Guideline for HIV counselling and testing in Ethiopia. Addis Ababa, FMOH: 2007.
[26] Croughs M, Remmen R, and Van den Ende J: The effect of Pre-Travel Advice on sexual risk behaviour on abroad: a systematic review. Journal of Travel Medicine 2014; 21(1): 45-51.
[27] Mulugeta, Y and Berhane Y: Factors associated with pre-marital sexual debut among unmarried high school female students, Bahir Dar Town, Ethiopia: Cross Sectional study. Reproductive Health 2014; 11(40): 1–6.
[28] Negeri EL: Assessment of risky sexual behaviour and risk perception among youth in western Ethiopia: the influence of family and peers: a comparative cross-sectional study. BMC Public Health 2014; 14(301): 1-12.
[29] Shiferaw Y, Alemu A, Girma A, Getahun A, Kassa A, Gashaw A, Alemu A, Teklu T, and Gelaw B: Assessment of knowledge, attitude and risk behaviours towards HIV|AIDS and other sexual transmitted infection among preparatory students of Gondar town, North West Ethiopia. BMC Research Note 2011; 4: 505.
[30] Derese, A, Seme, A, and Misganaw C: Assessment of risky sexual behaviour among Haromaya University Students, Ethiopia. Science Journal of Public Health 2014; 2(2): 102–110. Doi: 10.11648/j.sjph.20140202.19.
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    Alebel Yaregal Desale, Mesele Damte Argaw, Alemayehu Worku Yalew. (2016). Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design. Science Journal of Public Health, 4(1), 57-64. https://doi.org/10.11648/j.sjph.20160401.18

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    Alebel Yaregal Desale; Mesele Damte Argaw; Alemayehu Worku Yalew. Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design. Sci. J. Public Health 2016, 4(1), 57-64. doi: 10.11648/j.sjph.20160401.18

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    AMA Style

    Alebel Yaregal Desale, Mesele Damte Argaw, Alemayehu Worku Yalew. Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design. Sci J Public Health. 2016;4(1):57-64. doi: 10.11648/j.sjph.20160401.18

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  • @article{10.11648/j.sjph.20160401.18,
      author = {Alebel Yaregal Desale and Mesele Damte Argaw and Alemayehu Worku Yalew},
      title = {Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design},
      journal = {Science Journal of Public Health},
      volume = {4},
      number = {1},
      pages = {57-64},
      doi = {10.11648/j.sjph.20160401.18},
      url = {https://doi.org/10.11648/j.sjph.20160401.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160401.18},
      abstract = {Adolescence and youth are the periods for great opportunity and hope in human life. They are the periods between childhood and adulthood where by the young people are expected to undergo major physical, emotional, and social developments, with significant impact on their sexual and reproductive health. This study was aimed at assessing the magnitude and factors associated with risky sexual behaviours (RSB) among in-school youth (15-24) in Lalibela Town, Ethiopia. A cross-sectional institution based quantitative survey was conducted in June, 2014. A systematic random sampling technique was used to get the required sample size of 1362 study participants. A structured pretested and self-administered questionnaire was used to collect the data. The univariate statistical analysis was used to describe the variables using tables and graphs. The multivariable logistic regression model was developed and factors associated with risky sexual behaviour were identified. A total of 1332 in-school youth (ISY) with a 97.8% response rate were included in the study. Five hundred fourteen (38.6%) in-school youth reported that they have initiated sexual intercourse. The mean age at the first sexual experience with standard deviation (Mean ± (SD)) was 15.25 ± (1.85) years, Median = 15 years, Ranges from 11 to 24 years. Among sexually active in-school youth, the prevalence of risky sexual behaviour, students reported at least one of the three risky behaviours which consist of engaging sexual debut before age 18 years, having multiple sexual partners and not consistently using condom was 46.5% (239/514). The odds of having risky sexual behaviour among urban resident ISY was 1.65 times higher than their counterpart (AOR 1.65; 95%CI: 1.12 – 2.43, P-value<0.001). The odds of risky sexual behaviour among ISY who had peer influence in sexual debut was 2 folds higher (AOR 2.06; 95%CI: 1.37 – 3.12, P-value<0.001) than their counterpart. The odds of the risky sexual behaviour of youth who never chew khat was less by 49% (AOR 0.51; 95%CI: 0.32 – 0.80, P-value<0.001) than their counterpart or khat chewers. A large proportion of in-school youth engaged in the risky sexual behaviour. Permanent residence, peer pressure, and substance uses are factors associated with risky sexual behaviours among in-school youths. Therefore, improving access to sexual and reproductive health for in-school youth is highly recommended. All concerned partners should work hard to create awareness about the identified factors and consequences of risky sexual behaviours among in school youth in the study area.},
     year = {2016}
    }
    

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    T1  - Prevalence and Associated Factors of Risky Sexual Behaviours Among in-School Youth in Lalibela Town, North Wollo Zone, Amhara Regional Sate, Ethiopia: A Cross-Sectional Study Design
    AU  - Alebel Yaregal Desale
    AU  - Mesele Damte Argaw
    AU  - Alemayehu Worku Yalew
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    N1  - https://doi.org/10.11648/j.sjph.20160401.18
    DO  - 10.11648/j.sjph.20160401.18
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
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    EP  - 64
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20160401.18
    AB  - Adolescence and youth are the periods for great opportunity and hope in human life. They are the periods between childhood and adulthood where by the young people are expected to undergo major physical, emotional, and social developments, with significant impact on their sexual and reproductive health. This study was aimed at assessing the magnitude and factors associated with risky sexual behaviours (RSB) among in-school youth (15-24) in Lalibela Town, Ethiopia. A cross-sectional institution based quantitative survey was conducted in June, 2014. A systematic random sampling technique was used to get the required sample size of 1362 study participants. A structured pretested and self-administered questionnaire was used to collect the data. The univariate statistical analysis was used to describe the variables using tables and graphs. The multivariable logistic regression model was developed and factors associated with risky sexual behaviour were identified. A total of 1332 in-school youth (ISY) with a 97.8% response rate were included in the study. Five hundred fourteen (38.6%) in-school youth reported that they have initiated sexual intercourse. The mean age at the first sexual experience with standard deviation (Mean ± (SD)) was 15.25 ± (1.85) years, Median = 15 years, Ranges from 11 to 24 years. Among sexually active in-school youth, the prevalence of risky sexual behaviour, students reported at least one of the three risky behaviours which consist of engaging sexual debut before age 18 years, having multiple sexual partners and not consistently using condom was 46.5% (239/514). The odds of having risky sexual behaviour among urban resident ISY was 1.65 times higher than their counterpart (AOR 1.65; 95%CI: 1.12 – 2.43, P-value<0.001). The odds of risky sexual behaviour among ISY who had peer influence in sexual debut was 2 folds higher (AOR 2.06; 95%CI: 1.37 – 3.12, P-value<0.001) than their counterpart. The odds of the risky sexual behaviour of youth who never chew khat was less by 49% (AOR 0.51; 95%CI: 0.32 – 0.80, P-value<0.001) than their counterpart or khat chewers. A large proportion of in-school youth engaged in the risky sexual behaviour. Permanent residence, peer pressure, and substance uses are factors associated with risky sexual behaviours among in-school youths. Therefore, improving access to sexual and reproductive health for in-school youth is highly recommended. All concerned partners should work hard to create awareness about the identified factors and consequences of risky sexual behaviours among in school youth in the study area.
    VL  - 4
    IS  - 1
    ER  - 

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Author Information
  • Plan International Ethiopia, Bahir Dar, Ethiopia

  • Private Health Sector Program, Addis Ababa, Ethiopia

  • Addis Continental Institute of Public Health, Addis Ababa, Ethiopia

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