Sexual behaviours and associated factors among students at Bahir Dar University: a cross sectional study

Reproductive Health

Bayeh Abera¹  Mulat Yimer¹  Wondemagegn Mulu¹ 

[1] Bahir Dar University, College of Medicine and Health Sciences, Department of Medical Microbiology, Immunology and Parasitology, Bahir Dar, Ethiopia

关键词: Bahir Dar;    Associated factors;    University students;    Sexual behaviours;   

Others  :  1132077
DOI  :  10.1186/1742-4755-11-84

 received in 2013-10-27, accepted in 2014-11-29,  发布年份 2014

【 摘 要 】

Background

Sexual behaviour is the core of sexuality matters in adolescents and youths. Their modest or dynamic behaviour vulnerable them to risky sexual behaviours. In Ethiopia, there is scarcity of multicentered representative data on sexual behaviours in students to have a national picture at higher education. This study therefore conducted to assess sexual behaviours and associated factors at Bahir Dar University, Ethiopia.

Methods

A cross sectional study was conducted among Bahir Dar University students from December to February 2013. Multistage sampling and self administered questionnaires were employed. Descriptive statistics such as frequency and mean were used to describe the study participants in relation to relevant variables. Multivariate analysis was carried for those variables that had a p-value of ≤ 0.2 in the bivariate analysis to identify the predictor variables.

Results

Of the 817 study participants, 297 (36.4%) students had ever had sex. The mean age at first sexual practice was 18.6 years. Unprotected sex, having multiple sex partners, sex with commercial sex workers and sex for the exchange of money was practiced by 184 (62%), 126 (42.7%), 22 (7.4%) and 12 (4%) of sexually active students, respectively. The proportion of attending night clubs and watching porn videos was 130 (15.8%) and 534 (65.4%), respectively. Male respondents had significant positive association with watching porn videos (AOR = 4.8, CI = 3.49 - 6.54) and attending night clubs (AOR = 3.9, CI = 2.3 – 6.7). Watching porn videos, attending night clubs, khat chewing and taking alcohol frequently were significantly associated for ever had sex and having multiple sexual partners. Khat chewing practice (AOR = 8.5, CI =1.31 - 55.5) and attending night clubs (AOR = 4.6, CI = 1.8 - 11.77) had statistical significant association with the purpose of sexual intercourse for the sake of money and for having sex with commercial sex workers, respectively.

Conclusions

Significant number of students had different risky sexual behaviours. Substance use, attending night clubs and watching porno video were predictor factors for practicing different sexual behaviours. Therefore, preventive intervention programmes should be strengthened, effectively implemented and monitored both in the earlier school and in the universities.

【 授权许可】

   
2014 Mulu et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Somba MJ, Mbonile M, Obure J, Mahande MJ: Sexual behaviour, contraceptive knowledge and use among female undergraduate students of Muhimbili and dares Salaam Universities, Tanzania: a cross sectional study. BMC Womens Health 2014, 14:94. BioMed Central Full Text
• [2]Ambaw F, Mossie A, Gobena T: Sexual practices and their development pattern among Jimma university students. Ethiop J Health Sci 2010, 20(1):159-167.
• [3]Ministry of Health: Federal democratic republic of Ethiopia: adolescent and youth reproductive health. MOH; 2011:1-149.
• [4]Tura G, Alemseged F, Dejene S: Risky sexual behaviour and predisposing factors among students of Jimma University. Ethiop J Health Sci 2012, 22(3):170-180.
• [5]World Health Organization: Investing in our future: A framework for accelerating action for the sexual and reproductive health of the young people. Geneva: WHO; 2006.
• [6]Lanre OO: Sexual behaviour of university students in South west Nigeria. Egypt Acad J biolog Sci 2009, 1(1):85-93.
• [7]Shiferaw K, Frehiwot G, Asres G: Assessment of adolescents communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools’ students in Debremarkos town, North west Ethiopia. Reprod Health 2014, 11:2. BioMed Central Full Text
• [8]Sime A, Writu D: Premarital sexual practice among school adolescents in Nekemte town east Wollega. Ethiop J Health Dev 2008, 22(2):167-173.
• [9]Berhane F, Berhane Y, Fantahun M: Adolescents health service utilization pattern and preferences: consultation for reproductive health problems and mental stress are less likely. EthiopJ Health Dev 2005, 19(1):29-36.
• [10]Fikre M: Assessment of parent –adolescent communication on sexual and reproductive health matters in Hawassa town. 2009, 42.
• [11]United States Agency for International Development: Path finder international. Bringing youth friendly services to scale in Ethiopia. USAID; 2012:1-8.
• [12]Ministry of Health: Federal Democratic Republic of Ethiopia. National reproductive health strategy 2006 - 2015. MOH; 2006:24-27.
• [13]Lamesgin A: HIV/AIDS and sexual reproductive health among University students in Ethiopia: A policy intervention frame work. USAID 2013, 1-5.
• [14]Shiferaw Y, Alemu A, Assefa A, Tesfaye B, Gibremdehin E, Amare M: Perception of risk of HIV and sexual risk behaviours among University students: Implication for planning interventions. BMC Res Notes. 2014, 7:162. BioMed Central Full Text
• [15]Dingeta T, Oljira L, Alemayehu T, Akililu A: First sexual intercourse and risky sexual behaviors among undergraduate students at Haramaya University, Ethiopia. Ethiop J Reprod Health 2011, 5(1):22-30.
• [16]Berhan Y, Hailu D, Alano A: Predictors of sexual- risk behaviour and HIV- preventive practices among University students in Ethiopia. Afr J AIDS Res 2011, 10(3):225-234.
• [17]Lundberg P, Rukando G, Asheba S, Thorson A, Allebeck P, Ostergren P, Cantor-Grae E: Poor mental health and sexual risk behaviours in Uganda. BMC Public Health 2011, 11:2-10. BioMed Central Full Text
• [18]Gebreslassie M, Feleke A, Melese T: Psychoactive substances use and associated factors among Axum University students, Axum town, North Ethiopia. BMC Public Health 2013, 13:2-9. BioMed Central Full Text
• [19]Tilahun MM, Ayele GA: Factors associated with alcohol use among youths in Gamo Gofa, South west, Ethiopia. Sci J Public Health 2013, 1(2):62-68.
• [20]BahirDar University back ground information. Available at http://www.bdu.edu.et/background webcite on July 10, 2013
• [21]Tewabe T, Destaw B, Admassu M, Abera B: Assessment of factors associated with voluntary counselling and testing uptake among students in Bahir Dar university a case control study. Ethiop J Health dev 2012, 26(1):17-21.
• [22]CSA and ORC Macro: Report of Ethiopia Demographic and Health Survey 2005. Addis Ababa, Ethiopia, and Calverton, Maryland, USA: Central Statistical Authority and ORC Macro; 2006.
• [23]Ministry of Health: Federal Republic of Ethiopia: HIV/AIDS Behavioral Surveillance Survey (BSS). MOH; 2002:1-123.
• [24]Slap GB, Lot L, Huang B, Daniyam CA, Zink TM, Succop PA: Sexual behaviour of adolescents in Nigeria: cross sectional survey of secondary school students. BMJ 2003, 326:15.
• [25]Sujay R: Premarital sexual behaviour among unmarried College Students of Gujarat, India. Health and Population Innovation Fellowship Programm working paper. New Delhi Population counsel; 2009.
• [26]Rahamefy O, Rivard M, Ravaoarinoro M: Sexual behaviour and condom use among University students in Madagascar. JSoc aspects of HIV/AIDS 2008, 5:28-34.
• [27]Agardh A, Emmelin M, Muriisa R, Ostergren P: Social capital and sexual behaviour among Ugandan University students. Glob Health Action 2010., 35432-doi:10.3402/gha.v3io.5432
• [28]Tilahun T, Ayele G: Factors associated with age at first sexual initiation among youths in Gamo Gofa, south west Ethiopia: a cross sectional study. BMC Public Health 2013, 13:2-6. BioMed Central Full Text
• [29]Anteneh ZA: Prevalence and correlates of multiple sexual partnerships among private college students in Bahir Dar city, Northwest Ethiopia. Sci J Public Health 2013, 1(1):9-17.
• [30]Shiferaw Y, Alemu A, Girma A, Getahun A, Kassa A, Gashaw A, Alemu A, Teklu T, 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 Res Notes 2011, 4:3-8. BioMed Central Full Text
• [31]Gelibo T, Belachew T, Tilahun T: Predictors of sexual abstinence among Wolaita Sodo University Students, South Ethiopia. Reprod Health 2013, 10:2-6. BioMed Central Full Text
• [32]Ondrej K, Andrea MG, Pavol J: Psychological and behavioural factors associated with sexual behaviour among Slovak students. BMC Public Health 2009, 9:15. BioMed Central Full Text
• [33]Siyan Y, Krishna CP, Junko Y: Role of risk and protective factors in risky sexual behaviour among high school students in Cambodia. BMC Public Health 2010, 10:477. BioMed Central Full Text
• [34]Setegn TM, Takele AM, Dida NB, Tulu BE: Risks for SITs/HIV infection among Madawalabu University students, Southeast Ethiopia: A cross sectional study. Reprod Health 2013, 10:2-7. BioMed Central Full Text
• [35]Alamirew Z, Awoke W, Fikadie G, Shimekaw B: Prevalence and correlates of exchanging sex for money (gift) among private college students in BahirDar city, Northwest Ethiopia. Clin Medi Res 2013, 2(6):126-134.
• [36]Regassa N, Kedir S: Attitudes and practices on HIV preventions among students of higher education institutions in Ethiopia. The case of Addis Ababa University. Edu Res 2011, 2(2):828-840.
• [37]Amsale C, Yemane B: Peer pressure is the prime driver of Risky sexual behaviours among school adolescents in Addis Ababa, Ethiopia. World J AIDS 2012, 2:159-164.