Assessment of Substance Use and Risky Sexual Behaviour among Haramaya University Students

Derese, Andualem (2011) Assessment of Substance Use and Risky Sexual Behaviour among Haramaya University Students. Masters thesis, Addis Ababa University.

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Abstract

Background: Substance use and problems arising from it are increasing all over the world, and currently together with HIV/AIDS epidemic, become one of the most threatening and challenging social and public health problems. University students are more vulnerable to wider sexual and reproductive health (SRH) and HIVAIDS problems due to new environment with poor protection, age and the need to explore life, peer pressure and absence of proactive programs. Objectives: This study assessed the prevalence of substance use and its association with risky sexual behaviour among Haramaya University students. Methods: A cross-sectional survey was carried out among 725 randomly selected Haramaya University undergraduate students from December 2010 to January 2011 using a self-administered questionnaire. Students are stratified first by campus and then by year of study. Sampling with probability proportional to size was used to select students from each year of study using students list as a sampling frame. Descriptive statistics was used to describe the study population and cross-tabulation was done to see the association between dependent and independent variables. Logistic regressions with 95% confidence intervals were calculated to determine independent predictors of risky sexual behaviour. Result: Among 725 participants, 390 (53.8%) reported having used at least one substance in their lifetime. The most commonly used substance was alcohol (41.7%), followed by khat (30.3%), cigarette (11.3%) and illicit drugs (3.9%). Of the total respondents, 243 (33.5%) had sexual experience in their lifetime. Among sexually active, 28(11.5%) had multiple sexual partners in the last three months and 29(16.3%) of males had sex with commercial sex workers. One hundred forty nine (61.6%) of sexually active students used condoms during the last sex but its consistent use was 55.7%. Use of khat, alcohol and cigarette was significantly and independently associated with risky sexual activities with AOR (95% CI) of 2.58 (1.58, 4.22), 2.46 (1.52, 3.98) and 2.22 (1.19, 4.14) respectively. Conclusion: The prevalence of substance use among Haramaya university students was high .Use of khat, alcohol and cigarette was significantly associated with risky sexual activities. Awareness raising about safer sex and consequences of substance together with taking the necessary disciplinary measure for those who break the rule and regulation set by the university is highly advisable.

Item Type: Thesis (Masters)
Subjects: Q Science > Q Science (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 02 Jul 2018 13:17
Last Modified: 02 Jul 2018 13:17
URI: http://thesisbank.jhia.ac.ke/id/eprint/6308

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