背景:性危险行为,根据世界卫生组织的定义,包括一系列性活动,这些活动增加了与性健康和生殖健康相关的负面结果的可能性。尽管实施了各种医疗保健计划和干预措施,青少年在获得生殖健康服务方面继续面临挑战。因此,他们仍然容易从事高风险的性行为;埃塞俄比亚50.36%的青少年。因此,这项研究旨在确定亚的斯亚贝巴失学青年中危险性行为的患病率和相关因素,埃塞俄比亚;2023年。
方法:9月1日至30日,在亚的斯亚贝巴的701名青年中进行了一项基于社区的横截面混合方法研究,2023年。量化数据是通过面对面访谈收集的,使用预先测试的结构化问卷,而定性数据是通过深入访谈和焦点小组讨论收集的。对于定量研究,研究样本采用系统抽样的方法选择。相反,定性研究采用目的抽样。双变量分析中P值≤0.25的变量被认为是多变量分析的候选变量。在P值小于0.05时宣布有统计学意义。
结果:亚的斯亚贝巴校外学生中危险性行为的患病率为40.6%(95CI:36.8,44.1)。年龄15-19岁(AOR:2.52;95CI:1.61,3.94),女性(AOR:2.84;95CI:1.93,4.18),无法读写的父亲(AOR:4.13;95CI:2.04,8.37),饮酒(AOR:2.07;95CI:1.33,3.19),同行压力(AOR:2.59;95CI:1.81,3.72),与亲生父母生活在一起(AOR:2.32;95CI:1.52,3.55),观看色情内容(AOR:2.10;95CI:1.11,3.97)和家长监护(AOR:0.59;95CI:0.39,0.90)是与危险性行为相关的因素.
结论:与以前的研究相比,危险性行为的患病率较低。年龄,性别,丈夫的教育水平,酒精消费,同伴压力,生活安排,接触色情,家庭监测是与危险性行为相关的重要因素。因此,政府应该优先考虑减少物质使用的战略,减轻观看色情内容的影响,增强家长与青少年的联系。
BACKGROUND: Sexual risky behaviors, as defined by the World Health Organization, encompass a spectrum of sexual activities that heighten the likelihood of negative outcomes related to sexual and reproductive health. Despite the implementation of various healthcare programs and interventions, youths continue to encounter challenges in accessing reproductive health services. Consequently, they remain vulnerable to engaging in high-risk sexual behaviors; 50.36% of adolescents in Ethiopia. Therefore, this study was aimed to determine the prevalence of risky sexual behavior and associated factors among out-of-school Youths in Addis Ababa, Ethiopia; 2023.
METHODS: A community based cross sectional mixed methods study was conducted among 701 youths in Addis Ababa from September 1st to 30th, 2023. The quantitative data were collected through face to face interview using a pre-tested structured questionnaire, while qualitative data were gathered through in depth interviews and focus group discussions. For the quantitative study, the study samples were chosen using systematic sampling. Conversely, purposive sampling was employed for the qualitative study. Variables with P-value ≤ 0.25 in the bivariate analysis were considered as candidates for the multivariable analysis. Statistical significance was declared at a P-value less than 0.05.
RESULTS: The prevalence of risky sexual behavior among out of school students in Addis Ababa was 40.6% (95%CI: 36.8, 44.1). Age 15-19 years (AOR: 2.52; 95%CI: 1.61, 3.94), being female (AOR: 2.84; 95%CI: 1.93, 4.18), fathers who were unable to read and write (AOR: 4.13; 95%CI: 2.04, 8.37), alcohol consumption (AOR: 2.07; 95%CI: 1.33, 3.19), peer pressure (AOR: 2.59; 95%CI: 1.81, 3.72), live together with either of biological parent (AOR: 2.32; 95%CI: 1.52, 3.55), watching pornography (AOR: 2.10; 95%CI: 1.11, 3.97) and parental monitoring (AOR: 0.59; 95%CI: 0.39, 0.90) were factors associated with risky sexual behavior.
CONCLUSIONS: A lower prevalence of risky sexual behavior compared to prior research efforts. Age, gender, educational level of the husband, alcohol consumption, peer pressure, living arrangements, exposure to pornography, and family monitoring emerged as significant factors associated with risky sexual behavior. Therefore, government should prioritize strategies to reduce substance use, mitigate the impact of watching pornography, and enhance parent-youth connectedness.