Association between Comprehensive Sexuality Education and Adolescent Risky Sexual Behavior, Addis Ababa, Ethiopia

Atnafseged, Bethel (2017) Association between Comprehensive Sexuality Education and Adolescent Risky Sexual Behavior, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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Abstract

Background: Adolescents transit into adulthood with conflicting and confusing messages about sexuality and gender. They lack adequate information and preparation on sexual and reproductive health (SRH), which leaves them vulnerable to risky sexual behavior, coercion, abuse and exploitation which intern exposes them to unintended pregnancies and sexually transmitted infections (STIs) including HIV/AIDS. Objective: To assess the association between Comprehensive Sexual Education and Adolescents’ Risky Sexual Behavior among In School Adolescents in Addis Ababa, Ethiopia Method: The study used a cross sectional study design with internal comparison to assess the association between Comprehensive Sexuality Education and Risky Sexual Behavior. Gullelie sub city was purposively sampled as it was the only sub city that had Comprehensive Sexuality Education given to students. The study was conducted from November 2016-June 2017. Data were collected using structured self-administered questionnaires which was pre-tested on 30 students from non-selected but similar school in the sub city. The collected data were entered into Epi Info version 7 and cleaned before transferring the data to Stata Version 14 for analysis. Bivariate analysis was done to see the association of each independent variable with the outcome variable. Variables with P-Value of <0.25 were considered for multiple logistic regression analysis. In addition to text description, tables and graphs were used to summarize and present the data. Result: A total of 383 students participated in the study with a response rate of 98.2% The mean age (±SD) of the respondents is 16±1.4. From the total respondents, 61 (16.1%) adolescents had already started having sexual intercourse of which 48 (88.9%) had early initiation of sex. Prevalence of risky sexual behavior among respondents is 15%. From the total respondents, 27.4 % took Comprehensive Sexuality Education and it is found to be protective against risky sexual behavior putting those who did not take CSE at odds of [AOR=2.82 95% CI [1.02-7.75].The study revealed that gender, having friends with the experience of sexual activity, perceived parental control, watch pornographic movies, exposure to CSE were found to affect risky sexual behavior among the study participants Conclusion and conclusion: CSE has a positive effect on preventing adolecents risky sexual behavior. Watching pornographic movies and having friends with sexual experience were drivers of high risk sexual behavior while parental control, and exposure to CSE were protecting against risky sexual behavior development. According to the result of this research it is recommended that CSE be given on a larger scale.

Item Type: Thesis (Masters)
Subjects: L Education > L Education (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 04 Jul 2018 13:01
Last Modified: 04 Jul 2018 13:01
URI: http://thesisbank.jhia.ac.ke/id/eprint/6628

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