The Influence of Living Arrangement on Adolescents' Risky Sexual Behavior in Sebeta Town, Oromia Regional State, Ethiopia: School Based Comparative Cross-Sectional Study.
Creators: name: Desta, Biruk
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2016

description: Background: - Adolescence is an important period in human development where a person reaches sexual maturity, manifest in sexual engagement; thus encountering the possibility of contracting sexually transmitted diseases such as HIV/STIs. Living arrangement of adolescents can expose them to risky sexual behavior increasing the chances of acquiring HIV/STIs. However, the effect of living arrangement of adolescents on risky sexual behavior has not been adequately studied. Objective- To assess the influence of living arrangement on adolescents'risky sexual behavior among high school/preparatory students in Sebeta Town Oromia Regional State, Ethiopia Methods – School based comparative cross-sectional study was conducted in Sebeta secondary schools from Dec 2015 to june 2016.A sample of 361was taken for each group (those living with their family and those not living with their family).Students from governmental schools from grade 9 – 12 were included in the study. Data was collected using pretested interviewer administered questionnaire. Descriptive and summary statistics was done. Bivariate and multivariate analysis was done using logistic regression on STATA version 12.1 software to measure the association of living arrangement on risky sexual behavior and identify other factors associated with risky sexual behavior. Results:- Seven hundren twenty two participants responded to our invitation giving response rate of 99.31%.The overall prevalence of risky sexual behavior was 27.6% (95% CI: 24.33%, 30.89%) and it is predominant among adolescents lives away from their parents. Living away from family was significantly associated with risky sexual practice on bivariate logistic analysis OR= 2.02, 95% CI :( 1.45, 2.81) but the association disappeared on multivariate analysis AOR= 0.81 95%, CI: (0.49, 1.35). Drinking alcohols(beer) frequently(AOR=1.8, 95% CI:(1.22, 2.85), chewing khat(AOR=1.7, 95% CI:(1.10, 2.77),smoking cigarettes (AOR=2,95%CI:(1.07, 3.92) less parental monitoring (AOR= 6.1, 95% CI: (2.79, 13.52)),watching pornography movies/films(AOR=5.7, 95% CI:( (2.82, 11.10) and poor/less attachment to religious institutions (AOR=2.6, 95% CI :( 1.72, 3.91) were the factors that increase the odds of practicing risky sexual behaviour. x Conclusion and recommendation: The findings of this study showed that a substantial proportion of Governmental secondary school-going adolescents in Sebeta are engaged to risky sexual activities and that sexual activity among these adolescents aged 15-19 is influenced by multiple factors,including substance use, religiosity, perceived parental monitoring and watching pornography films. based on the finding of this study we suggest recommendation for programs works to improve adolescent reproductive health to work on upgrading sexuality education that goes beyond HIV/AIDS knowledge,to address risky sexual behavior in schools, to improve parental role.