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Article / research article

"Risky Sexual Behavior and Associated Factors Among Dire Dawa Comprehensive Secondary and Preparatory School Students, East Ethiopia in 2018"

Tariku Derese Asfaw1*, Alemshet Getachew Bekele2, Tadele Woldie Sitota3, Adane Tareke Getu4

 

1College of public health and medical science, School of Public Health, Lecturer at Haramaya University Ethiopia

2College of Public health and medical science, School of Public Health, Lecturer at Haramaya University Ethiopia

3Butajira Health Center, Meskam woreda, Gurage Zone, SNN region, Ethiopia

4Kon Health Center, Wadla wereda, North wello, Amhara Region, Ethiopia 

*Corresponding Author: Tariku Derese Asfaw, College of Public Health and Medical Science, School of Public Health, Lecturer at Haramaya University, Ethiopia. Tel: +251-913899917; Email: t.derese@yahoo.co.uk; t.derese17@gmail.com 

Received Date: 30 August, 2018; Accepted Date: 8 October, 2018; Published Date: 17 October, 2018

1.       Abstract 

1.1.              Background: The trends in sexual activity of adolescent at younger ages are increasing alarmingly in the world. Globally, sub Saharan Africa is the region with the highest rate of HIV infection and it lead to many complicated social and Economic problems. The problems can be addressed effectively if young people reduce their sexual risk behavior.

1.2.              Methods and Materials: Cross sectional study design was conducted to assess the risk sexual behavior and associated factors among 276 subjects. Simple random sampling technique was implemented. Analysis was done using SPSS version 20.0. Both crude and adjusted odds ratio was estimated to identify the associated factor with independent variables p-value <0.05was considered as statically significant. 

1.3.              Result: Among of the total 271 respondents 193(71.2%) of them aware of risky sexual behavior. majority 72(61.6%) had their first sexual intercourse at the age range of 15-19 years. Age, Previous place of residence [AOR= 0.518, 95% CI: 0.280-0.959] knowledge [AOR=0.22, 95%CI: 0.20-0.550], sex [AOR=0.58, 095% CI: 0.345-0.977], night club enjoyment [AOR=0.514, 95% CI: 0.247-1.066] and substance use [AOR= 0.518, 95% CI: 0.280-0.959] are significantly associated with risky sexual behavior at P<0.05. 

1.4.              Conclusion: This study showed that 71.2% of the respondents are aware of about risky sexual behavior and age, night club Enjoyment, place of residence, sex and substance are associated factors with risky sexual behavior. Even if they have awareness, they are practicing unsafe sex. Therefore, Continuous Education in the school to bring behavioral change through school mini-media and establishing Peer-Education club at school level about reproductive health and risky sexual behavior is very important to save the new generation from infectious disease and unsafe abortion. 

2.       Keywords: First Sexual Intercourse; Knowledge Attitude; Practice; Risky Sexual Practice 

3. Acronyms and Abbreviation

 

AIDS                   :                  Acquired Immune Deficiency Syndrome

BCC                    :                   Behavioral Change Communication

CSW                   :                  Commercial Sex Worker

IEC                     :                  Information Education Communication

KAP                    :                  Knowledge Attitude and Practices

HIV                     :                  Human immunodeficiency Virus

KM                      :                  Kilo Meter

MOH                  :                  Ministry of Health             

RSB                     :                  Risky Sexual Behavior

SPSS                   :                  Statistical Package for Social science

SRH                    :                  Sexual Reproductive Health

STD                     :                  Sexually Transmitted Disease

STI                      :                  Sexually Transmitted Infections

UNICEF             :                  United National Children’s Fund

WHO                  :                  World health organization

4.       Background 

World Health Organization (WHO) defines adolescent and youth as people between the ages 10-19 and 15-24 respectively [1]. 

Sexual activity amongst adolescents has been reported to be on the increase worldwide [2]. Similarly, in Ethiopia, adolescents aged 10 to 20 years constitute 25% of the population [3]. Young people are a significant part of the labor force and form the backbone of any country’s economy. The health of young people is thus a key element for social and economic progress [4]. 

Most of the literature showed that most youth have begun to engage in sexual experimentation, including kissing with 97% of adolescents experiencing their first kiss at their early age [5]. 

Youth who begin early sexual activity are more likely to have high risk sex or multiple sexual partners and they have chance of practicing unsafe sex [6]. 

An in school cross-sectional study among sexually experienced Ghanaian in 2012 shows that, 25 %( 28% boys and 23% girls) were sexually experienced [7]. 

In Ethiopia, the sexual and reproductive health of young people has become a major public health concern, particularly with emerging of AIDS pandemics and unsafe abortion [8]. 

Young people often face numerous pressures to engage in sex especially from peers, exposed to unlicensed erotic video films and the desire for economic gain [9]. 

Lack of parental control, substance use, peer pressure campus and outside environment were identified as predisposing factors; males were about three times more likely to ever had sexual intercourse as compared to females [10,11]. 

4.1.              In School Age Risk-Taking Are the Most Serious Threats to Adolescents: 

sexual risk-taking, substance use and illegal behavior. Each of these behaviors provides an interesting lens through which to examine questions about the influence of environmental and individual factors. So, this study is aimed to assess risky sexual behaviors and associated factors among High school students in Dire dawa town, East Ethiopia in 2018.

5.       Methods

5.1.              Study Setting and Participants 

Cross-sectional study design was conducted in Dire Dawa comprehensive & secondary school. This school is the first governmental school that was established in 1963. This school has been a hope for the people of Dire Dawa for over 40 years; still it gives a great service for the people of Dire Dawa and has a significant role in contributing educated human power for the country. 

The school is located at the south-western part of Dire Dawa. It is founded along the right side of the road to Harar on the border of the town. 

In this school, there are a total of 1406 student which are enrolled in 9-12, of this about 803 are male and 603 are female students. The total number of teachers which are involved in the teaching and learning activities are 116, of them 18 are female teachers. The school has a total of 37 sections. This study was conducted from April 27-30, 2018. 

Study participants consist of 276 from all grade &the numbers of students from each grade were selected by simple random sampling to obtain the total sample for the study after preparing the sampling frame using list of the names of the students from the class attendances. Sample proportional to size was allocated for each grade and random sampling technique was used to draw the required number of students. 

Data was collected using semi structured self-administered questionnaire designed in English language. It was structured as closed ended and open-ended questionnaire and it developed and adapted after review of relevant literatures and arranged according to particular objective it can address. The questionnaire was explained in detail by principal investigators. 

5.2.              Data Collection and Quality Control 

Questionnaire was pre-arranged and consistent supervision was carried out by the principal investigators. Data collection questionnaire were adopted from pre-established known source [12,13] and modified to address the study variables in this study. Daily monitoring of the process and feedback on each day performance at the end of working hours was done. Data completeness was checked during field period.

One week before the actual data collection survey pretest was carried out in another high school on 5% of our sample size to detect on data collection and the necessary modification was made before being applied on the subjects.

5.3.              Data Analysis 

The collected data was checked for its completeness and cleaned by principal investigators. Data was entered and analyzed using SPSS version 20.0, descriptive statistics like frequency distribution, Bi-variant and Multivariable analysis was carried out to calculate the crude odds ratio (OR) and Adjusted odds ratio for testing of the association between independent and dependent variables. Analysis was done according to the objectives of the study. 

5.4.              Inclusion Criteria 

All regular students of grade 9 -12 who present during data collection time were participated in the study. 

5.5.              Exclusion Criteria 

Students those were absent during data collection, not volunteer, critically sick during data collection.

5.6.              Operational Definition 

5.6.1.         Knowledge: Level of educational difference about risky sexual behavior and associated factors. 

5.6.2.         Good Knowledge: those respondents who will be answer correctly >7 of questions about knowledge of risky sexual behaviors. 

5.6.3.         Poor Knowledge: those respondents who will answer correctly <7 of questions about knowledge of risky sexual behaviors. 

5.6.4.         Attitude: Settled way of feeling both negative and positive typically reflected in person’s behavior towards risky sexual related activities. 

5.6.5.         Positive Attitude: those respondents who responds attitude question 3or more by saying YES 

5.6.6.         Negative Attitude: those respondents who responds attitude question less than 3 by saying YES 

5.6.7.         Practice: Experience of respondents toward risky sexual behavior. 

5.6.8.         High Practice: Those who score more than 6 for practice related question 

5.6.9.         Low Practice: those who score less than 6 for practice related question 

5.6.10.      Risky Sexual Behavior: refers to behavior engaging in to unprotected sex without use of condom with non-regular partner or sex with multiple partners’ or sex after use of substances. 

5.6.11.      First Sexual Intercourse: respondents who engaged sex at first time.

6.        Result 

6.1.              Socio-Demography Characteristics              

The response rate of this study was 97.5%. Among 271 respondents 147 (54.2%) were males and, majority 216(79.7%) in age range of 15-19 years. Concerning ethnicity, majority were Oromo 129(47.6%) followed by, Amhara 94(34.7%). Regarding the religion majority of them were Muslim 121(44.6%) followed by Orthodox Christian 105(38.7). Concerning place of residence, majority of them were from urban 206(76%) and Rural 65(24%). Majority of the respondents live with their family 217(80.4%) and mother’s educational status that learned primary school were 100(36%), 75(27.2) were unable to write and read and fathers educational status that learned primary school were 97(35.8%). With regard to monthly income of family, majority 119 (43.9%) earns greater than 3000 (ETB) (Table 1).

6.2.              Knowledge of Risky Sexual Behavior 

Among 271 study participants 193(71.2%) of them were aware of about risky sexual behavior, majority 85(44%) had got information from radio or TV while the least 21(10.9%) they heard from their parents. 

Regarding the risk, 174(64.2%) believed to be sex with multiple partner considered as risky sexual behavior and 97(35.8 %) did not.172(63.5 %) believed to be sex without condom use is risky sexual behavior and 154(56.8%) believed that sex after substance use as risky sexual behavior.149(55%) believed that risky sexual behavior as having sex with commercial sex workers whereas 122 (45%) did not. 141(52%) of them said sex through anal and oral is judged as risky sexual behavior.

 

Concerning the outcome of risky sexual behavior, majority 204(75.3%) believed that it can leads to unwanted pregnancy and 231(85.2 %) indicated STI including HIV/AIDS as a great impact (Table 2).

6.3.              Attitude Toward Risky Sexual Behavior 

Among the total of 271 study respondents 190(70.1%) have agreed on straight forward questions regarding risky sexual behavior (Table 3).

6.4.              Practice of Risky Sexual Behavior 

From the total of 271 study subjects, majority 199(73.4 %) had sexual feeling to opposite sex. From those who had feeling majority 118(59.3%) are at the age group 15 years and more. 

Out of the sexually active group, 117(58.8) had sexual contact. Majority 72(61.6%) had their first sexual intercourse at the age range of 15-19 years.

The majority of the respondent’s 172 (63.5%) had intimate friends in the last twelve months. Among those who ever had intimate friends, majority 92(53.5%) had sex in the last 12 months. Out of those who had sex in the last 12 months, majority 92(53.5%) had only one intimate friend. 

From those who ever had sexual intercourse, 78(66.7%) have ever used condom and 39(33.3%) have never used. 

From the respondent’s, majority 166(61.3%) had used substance. Out of 166 substance users, majority 82(49.4%) had used khat, followed by alcohol 53(31.9%). 

Out of 48 who enjoyed Night club, majority 23 (47.9) have enjoyed once in a month and the least 10(20.8%) at every weekend. Out of 175 who watched erotic film 84(48%) watched occasionally and the least 24(13.7%) watched every day (Table 4). 

7.       Factors Associated with Risky Sexual Behavior 

7.1.              Bi-Variate Analysis of Risky Sexual Practice 

Bi-variate analysis was carried out to identify predictors of risky sexual behavior and all variables with p<0.2 were selected multi-variate logistic regression. Multi-variate logistic regression analysis was done to identify the effect of independent factors. The overall model to predict the probability of risky sexual behavior was statistically significant (p<0.05). Accordingly, gender is significantly associated with risky sexual behavior. Those males were 2.01[95% CI: 1.25, 3.28] times more likely to practice risky sexual behavior than females. Regarding previous resident of respondent those who lived rural were 2.19[95% CI: 1.23, 3.87] times more than whom resident was urban. Similarly, substances use is significantly associated with risky sexual behavior were 1.94 [95% CI: 1.18, 3.1] than students who did not use substances. 

Moreover, watching erotic movie is significantly associated with risky sexual behavior. Students who have exposure to movies were 1.77[95% CI: 1.083, 2.89] times more likely to practice risky sexual behavior than those who didn’t watch erotic film (Table 5). 

7.2.              Multivariate Analysis of Risky Sexual Practice 

In the bi-variate analysis variables that reached a p-value of less than 0.2 in the bi-variate analysis were included in the multivariable analysis. 

The multivariate binary logistic regression analysis identified that age of the of the students, previous place of residence, Knowledge status of the respondents, Substance Use, Night club enjoyment and sex of respondents had significant association with risky sexual behavior (Table 6).

 8.       Discussion 

In our study, among 271 respondents’ more than half (56.7%) had boy or girls friend which accounts (43.2%) and had sexual intercourse. This finding is almost similar with the study conducted at North East Ethiopia youth ever had sex (51.3%). This difference might be due to sample size and geographical area and Time. 

Regarding first sexual initiation was 12 and 13 years for female and male respectively. The finding is similar with the study conducted at Addis Ababa [13]. The similarity might be because the respondents live in comparable cities and living style of the community. Relating to first sexual intercourse, majority (61.6%) had their first sexual intercourse at age range of 15-19. This finding is also almost similar with the study done in Zambia shows 65% had their first sexual intercourse between the age of 15 and 17. This little difference may be due to cultural difference between the study respondents at the two-study area and media exposure. 

Concerning the reason of starting sexual intercourse (53.8%) started their first sexual intercourse due to desire to experiment, (23.9%) due to peer- influence, (18%) after use of substance like alcohol and khat, and (4.3%) due to need of money. This finding is also similar with the study done in Zambia shows 48% of the first sex done for the desire to experiment 18% due to peer pressure. This revealed almost the same findings even though a little bit lowered. This might be because of the cultural difference between the study respondents at the two study area. 

This study showed that, (46.5%) has two or more sexual partners for the last 12 months. This study is similar with conducted in preparatory school students of Gondar town in 2011, 43.3% had multiple sexual partners. Still there is little difference between the two study areas. This difference might be because of difference in life style, culture and living condition of the respondent. 

In this study, (69.2%) had used condom rarely during sexual contact, (21.8%) had used always and (9%) sometimes. The same study was conducted among undergraduate university students in Ethiopia revealed who had 28% ever had sexual intercourse, about 60% of students had used condom rarely.This discrepancy might be due to because of health education and awareness that have been given at different level and accessibility and distribution of condom. 

Among (61.3%) have used substance, majority (49.1%) have used khat, (31.7%) have used alcohol, (12.6%) have used hashish. The same study conducted among high school students in A. An in 2011, more than half 52.5% of sexually active students (57.4%) were current alcohol drunker, 27% cigarette smokers and 28.7% were chat chewers and 20% were current shisha smokers. This difference might be due to living situation and cultural variation in Addis Ababa city and Dire Dawa city. In addition, in the eastern part of Ethiopia chat is the main economy source of the community and highly accessible. 

Risky sexual behavior is significantly statistical associated with age, previous place of residence, sex, knowledge, night club enjoyment and substance use of study respondents. In other study also most of those factors are considered as risk factors for risky sexual behavior. 

9.       Conclusion 

Majority of the study respondents are knowledgeable about sexual risky behavior. Even though they have knowledge about risky sexual behavior, they started initiation of early sexual intercourse at their early age. The risky sexual behavior is highly prevalent in male than female and they are poorly protecting them self from sexual transiting disease. Multiple sexual partners are considered as risky sexual behavior. Khat chewing and drinking alcohol are pushing the students to practice risky sexual behavior. 

Age, Previous place of residence, knowledge, sex, night club enjoyment and substance use of study respondents are significantly associated with risky sexual behavior.

10.               Acknowledgement 

We would like to thank Haramaya University, school of public health, Chiro general hospital staffs for allowing us to use and provide an internet access. Finally, we would like to thank Dire Dawa secondary and preparatory school staffs and students for their invaluable assistance and participation during our data collection. 

11.   Funding 

There is no organization that fund for this Research. 

12.   Availability Data and Materials 

The datasets used or analyzed during the current study available from the corresponding authors any time in reasonable request. Upon request we are ready for submission of the required data set. 

13.   Authors’ Contribution 

Tariku Derese, Tadele Woldie and Adane Tareke conceived and design the study, perform analysis and interpretation. Alemshet Getachew assists with Design, conception, analysis and interpretation of the data. Tariku Derese also writes up and drafted the manuscript and all the authors read and approved the final manuscript. 

14.   Competing Interests 

Authors declared that there is no competing interest. 

15.   Consent for Publication 

Consent for publication is not necessary because this manuscript didn’t have any personal data like individual details, photo, image and video. 

16.   Ethical Approval and Consent to Participate 

Before data collection, ethical clearance and permission was obtained from Ethical Review Committee of Haramaya University, college of public health and medical sciences, school of public health. The Ethical review committee also had approved the procedure of verbal consent. The written consent is not necessary because Official Support Letter was given for Dire Dawa preparatory school Director and all study participants were informed before data collection about the purpose of the study and their right to refuse. The data was collected after verbal consent is assured from the participant. The investigators made sure that confidentiality of the information was assured in such a way that no disclosure of any information of participant.


Characteristics

 

 Frequency (n=271)

Percentage

Sex

Male

147

54.2

Female

124

45.8

Age

15-19

216

79.7

20-24

54

19.9

>25

1

0.4

Grade

Grade 9

84

31

Grade 10

102

37.6

Grade 11

51

18.5

Grade 12

34

12.5

Ethnicity

Oromo

129

47.6

Amhara

94

34.7

Somale

15

5.5

Others

33

12.2

Religion

Muslim

121

44.6

Orthodox

105

38.7

Protestant

34

12.5

Catholic

2

0.7

Others

9

3.3

Previous place of residence

Urban

206

76

Rural

65

24

Current living condition

Live with parents

218

80.4

Live with others

53

19.6

Mothers Educational level

Unable to read and write

75

27.2

Grade 1-8

100

36.9

Grade 9-12

71

26.2

Degree and above

25

9.2

Fathers Educational level

Unable to read and write

50

18.5

Grade 1-8

97

35.8

Grade 9-12

66

24.4

Degree and above

58

21.4

Monthly income of the family

1000(ETB)

45

16.5

1001-2000(ETB)

44

16.2

2001-3000(ETB)

63

23.2

 

3001(ETB)

119

43.9

 

Table1: Socio-demographic characteristic of respondents on risky sexual behaviors among Dire Dawa secondary and preparatory school June 2018.

Characteristics

 Frequency (n=271)

Percentage

Having information about risky Sexual behavior

Yes

193

71.2

No

78

28.8

Total

271

100

Got more information about

From peers

39

20.2

 

From radio or TV

85

44

Risky sexual behavior

From lesson in class

48

24.9

 sex with multiple partner

From parent

21

10.9

Total

193

100

Yes

174

64.2

No

97

35.8

Total

271

100

Having sex with out

Yes

172

63.5

Use of condom

No

99

36.5

 

Total

271

100

Having sex after

Yes

154

56.8

 

No

117

43.2

Use of substance like alcohol, hashish ,shish a, khat

Total

271

100

Having sex with

Yes

149

55

No

122

45

Total

271

100

CSW Having sex through

Yes

141

52

Anal and oral sex

No

130

48

 

Total

271

100

Unwanted pregnancy

Yes

204

75.3

Is the outcome of

No

67

24.7

Risky sexual behavior

Total

271

100

STI including HIV|AIDS is the outcome

Yes

231

85.2

Of risky sexual

No

40

14.8

Behavior

 

Total

271

100

 

Table 2: Distribution of study participants on Risk sexual behavior awareness among Dire Dawa secondary and preparatory school June 2018.

Characteristics

Total (n=271)

Percent

Abstinence from sex before marriage is important

Agree

187

69

Disagree

73

26.9

Neutral

11

4.1

Use of condom is important to prevent sexually transmitted disease

Agree

217

80.1

Disagree

45

16.6

Neutral

9

3.3

It is possible to talk about sexual 1Matter with parents

Agree

177

65.3

Disagree

65

24

Neutral

29

10.7

Either boys or girls can use condoms

Agree

199

73.4

Disagree

57

21

Neutral

15

5.5

Sexual intercourse is acceptable if only through vaginal sex

Agree

148

54.6

Disagree

85

31.4

Neutral

38

14

It is possible to say risky sexual behavior as it may lead to STI including HIV /AIDS

Agree

212

78.2

Disagree

45

16.6

Neutral

14

5.2

Ground total (Average total)

Agree

190

70.1

Disagree

62

22.9

Neutral

19

7

 

 Table 3: Distribution of attitudes of study respondent towards risky sexual behavior among Dire Dawa secondary and preparatory school June 2018.

Characteristics

 

Total(n=271)

Percentage

Sexual feeling for the first time

Yes

199

73.4

No

72

26.6

Total

271

100

Age when first sexual feeling start

<15

81

40.7

15 years and more

118

59.3

Total

199

100

Currently have boy/girl friend

Yes

156

57.6

No

115

42.4

Total

271

100

Do sexual intercourse ever

Yes

117

43.2

No

154

56.8

Total

271

100

Age at first sexual inter course

<15

45

38.4

15-19 years

72

61.6

Total

117

100

The main reason to start sexual intercourse at first time

Desire to sexual

63

53.8

 Experiment

Peer- pressure

28

23.9

 

5

 

Need of money

4.3

Influence of khat or other drugs

21

18

Total

117

100

Presence of intimate friends in the last 12 months

Yes

172

63.5

No

99

36.5

Total

271

100

Number of current intimate friends

Only one

92

53.5

Two & above

80

46.5

Total

172

100

Have sexual intercourse in the last 12 months

Yes

92

53.5

No

80

46.5

Total

172

100

Route of sexual intercourse

 Vaginal

106

90.6

Anal

6

5.1

Oral

5

4.3

Total

117

100

Use of condom during sexual intercourse

 Yes

78

66.7

No

39

33.3

Total

117

100

Frequency of condom use

 Always

17

21.8

Sometimes

7

9

Rarely

54

69.2

Total

78

100

Have used substance

 Yes

166

61.3

No

105

38.7

Total

271

100

Substance used

 Alcohol

53

31.9

Hashish

21

12.7

Shisha

10

6

Khat

82

49.4

Total

166

100

Night club enjoyment

 Yes

48

17.7

No

223

82.3

Total

271

100

Frequency of Night club enjoyment

 Every weekend

10

20.8

At least twice a month

15

31.3

 At Once a month

23

47.9

Total

48

100

Watching erotic film

Yes

111

41

No

160

59

Total

271

100

Frequency of watching erotic film

Every day

16

14.4

At least twice a week

44

39.6

Occasionally(2-3 times monthly)

51

45.9

Total

111

100

S Smoking

Never smoke

213

78.6

Occasionally(2-3 times monthly)

38

14

Smoke 2-3 times weekly

10

3.7

Smoke daily

10

3.7

Total

92

100

 

Table 4: Distribution of study participants of sexual practice among Dire Dawa secondary and preparatory school June 2018.

Variables

Risky sexual behavior

 COR

have no risky sexual behavior

 have risky sexual behavior

Sex

Male

60(41.1%)

86(58.9%)

2.01[95% CI:1.25, 3.28]

Female

70(56%)

55(44%)

P=0.015

Previous place of residence

Rural

23(35.4%)

42(64.6%)

2.19[95% CI:1.23, 3.87]

Urban

107(51.9%)

99(48.1%)

P=0.021

Knowledge status

Poor knowledge

73(40.1%)

109(59.9%)

2.66[95% CI:1.574, 4.495]

P=0.000

Good knowledge

57(64%)

32(36%)

 

Sexual practice

No

76(43.4%)

99(56.6%)

1,675[95% CI:1.014, 2.767]

Yes

54(56.2%)

42(43.8%)

P=0.044

Attitude towards risky sexual behavior

Negative

75(42.9%)

100(57.1%)

1.789[95% CI:1.081, 2.9587]

Positive

55(67.3%)

41(42.7%)

P=0.024

Substance Use

Used

69(41.6%)

97(58.4%)

1.94[95% CI:1.18, 3.1]

Non-Used

61(58.1%)

44(41.9%)

P=0.008

Night club enjoyment

Yes

16(33.3%)

32(66.7%)

2.092[95% CI:1.086, 4.027]

No

114(51.1%)

109(48.9%)

P=0.027

Watching erotic film

Yes

44(39.6%)

67(60.4%)

1.77[95% CI:1.083, 2.892]

No

86(53.8%)

74(46.2%)

P=0.023

 

Table 5: Bivariate analysis of Risky sexual practice.

Variables

Risky sexual behavior

 AOR

have no risky sexual behavior

 have risky sexual behavior

Sex

Male

60(41.1%)

86(58.9%)

0.580[95,

CI: 0.345, 0.977]

Female

70(56%)

55(44%)

P=0.040

Previous place of residence

Rural

23(35.4%)

42(64.6%)

0.518[95%,CI: 0.280, 0.959]

Urban

107(51.9%)

99(48.1%)

P=0.036

Knowledge status

Poor knowledge

73(40.1%)

109(59.9%)

0.522[95%,CI:0.20, 0.550]

P=0.008

Good knowledge

57(64%)

32(36%)

 

Substance Use

Used

69(41.6%)

97(58.4%)

0.518[95%,CI: 0.280, 0.959]

Non Used

61(58.1%)

44(41.9%)

P=0.041

Night club enjoyment

Yes

16(33.3%)

32(66.7%)

0.514[95%,CI: 0.247, 1.066]

No

114(51.1%)

109(48.9%)

P=0.074

 P value <0.05

 

Table 6: Multivariate analysis of Risky sexual practice.

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Citation: Asfaw TD, Bekele AG, Sitota TW, Getu AT (2018) Risky Sexual Behavior and Associated Factors Among Dire Dawa Comprehensive Secondary and Preparatory School Students, East Ethiopia in 2018. Curr Trends Transl Res: CTTR-101. DOI: 10.29011|CTTR-101.100001 

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