Risky Sexual Practice and Associated Factors among High School Adolescent in Addis Ababa, Ethiopia, 2014

Abstract

Background: Risky sexual practice conceptualized as any practice associated with sexual contact that involves a likelihood of any negative consequence including HIV/AIDS or other sexually transmitted diseases, acquired due to number of sexual partners, inconsistent use of condom and sexual intercourse with risk partners. Objective: The main aim of this study was to assess the risk sexual practice and associated factors among high school adolescent in Addis Ababa, Ethiopia. Method: Institutional based cross sectional study was conducted on 836 students by selected multistage sampling technique. Data was collected by pretested questionnaire from Apri1.7-25, 2014. The collected data were entered in to Epi info version 3.5.1 then exported to SPSS version 20.0 for analysis. Binary logistic regression was used to identify factors associated with risky sexual practice among school adolescent. The crude and adjusted odds ratio together with their corresponding 95% confidence intervals was computed. A P-value<0.05 was considered to declare a result as statistically significant in this study. Result: The prevalence of risk sexual behavior among responding students was 26.7%. Risk sexual practice was associated with using alcohol/chat with (AOR=3.38,95% CI 1.55,7.34), with cigarette smoking (AOR=3.44 95% CI 1.58, 7.50), Self-efficacy (AOR=1.76,CI 1.10,2.82) and those student whom their friends had not known by their family (AOR=1.82,95% CI 1.28,2.59), being male sex (AOR=228 95% CI 1.05,3.28) And educational status (AOR=3. 69,95%CI 2.23,6.12). Conclusion: Risk sexual practice was relatively high among school students. Educational status, sex, Self-efficacy, students whom their friends not know by their family, using alcohol/chat and cigarette smoking showed statistically significant association with risk sexual practice. Strengthening open discussion among family members in general and effective gender education should be introduced to them at an early age