Magnitude Of Risky Sexual Behaviors And Associated Factors Among Students Of Dejazmach Geresu Duki Secondary School, South West Shoa, Woliso,Ethiopia

Abstract

Background: Risky sexual behavior is defined as behaviour leading to sexually transmitted diseases, abortions and unwanted pregnancies. High exposure of youth to STIs associated with unsafe sexual practices, such as unprotected sex is an important and sensitive issue in sexually active age groups. Objective: To assess magnitude of risky sexual behaviors and associated factors among Dejazmach Geresu Duki Secondary School Students, Woliso, Ethiopia, 2023. Methods: school based cross sectional study supplemented by qualitative study was conducted from May25/5/2023 to May 30/6/2023. A total of 376 Secondary school students were selected from students of the school.Data were collected by self administered questionnaire. Data were entered using epi info version 7.1 and analyzed using SPSS version 20. Data analysis was done using descriptive statistics and binary logistic regression model. 95% confidence intervals (CI) with adjusted odds ratios (AOR) computed to identify the presence and strength of association. Statistical significance declared at p-value < 0.05 along with 95% CI of the AOR. Qualitative data were collected through IDI guided by semi structured questionnaire from which quantitative data was not taken. It was analyzed by coding and giving theme and subtheme. Results: A total of 370 secondary school students were participated in this study making 98.4% response rate. The overall magnitude of risky sexual behaviors among students involved in the study was 36.2% (95%CI: 31.4%, 41.3%). Inconsistanceuse of condom during sexual inter coarse (AOR=3.2, 95%CI: 1.4, 7.0), watching pornographic film (AOR=3.9, 95%CI: 1.9, 8.0), had sexual intercourse after friend influence or peer pressure (AOR=4.0, 95%CI: 1.2, 13.6), having sex after drinking alcohol (AOR=2.7, 95%CI: 1.2, 6.1). The key informants mentioned conditions associated with RSB were Inconsistance use of condoms, viewing pornography, peer influence, substance use and parental contorol. Conclusion: The magnitude of risky sexual behaviors in the study area was high. The factors that were significantly associated with risky sexual behaviors were: never use of condom , having sex after watching pornography, drinking alcohol and peer influence.