ArticlePloS one2022
Individual and community-level determinates of risky sexual behaviors among sexually active unmarried men: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Prevalence and Factors Associated With Risky Sexual Behaviors Among Young People in Ethiopia: Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Pooled prevalence, spatial variation and associated factors of risky sexual behavior among sexually active men and women aged 15-49 years in sub-Saharan Africa, 2015-2024: evidence from Demographic and Health Survey.BMC public health · 2026Article
- Sexual abstinence and associated factors among Myanmar youths: evidence from the Myanmar demographic and health survey 2015-16.Frontiers in reproductive health · 2026Article
- HIV-1 prevalence, drug resistance, and associated factors in the urban Ethiopian population.Scientific reports · 2025Article
- The magnitude of risky sexual behavior and its associated factors among students with disabilities in higher academic institutions of Debre Markos City, Ethiopia.SAGE open medicine · 2025Article
- Health-related quality of life and associated factors among people living with HIV/AIDS in Lagos, Nigeria.African journal of primary health care & family medicine · 2024Article
- Article
- Prevalence and Predictors of Risky Sexual Behavior Among Young Men in India: Evidence From National Family Health Survey.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- A multilevel analysis of the determinants of HIV testing among men in Sub-Saharan Africa: Evidence from Demographic and Health Surveys across 10 African countries.PLOS global public health · 2024Article
- Article
- Women's autonomy in refusing risky sex in sub-Saharan Africa: Evidence from 30 countries.PLOS global public health · 2023Article
- Health-related quality of life and associated factors among people living with HIV/AIDS in Sichuan, China: A cross-sectional study.Frontiers in public health · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Ethiopia, HIV/AIDS continues to be a major public health problem mostly due to the high prevalence of risky sexual behaviors. However, research on risky sexual behavior and its determinants among unmarried men (never married, widowed, and divorced) who are highly vulnerable to risky sexual behavior was limited. Therefore, this study aimed to assess the magnitude of risky sexual behavior and its determinants among non-married men using a nationally representative sample.
methodsThe analysis was done on 5680 sexually active unmarried men aged 15-59 years using data from the 2016 Ethiopia Demographic Health Survey (EDHS). The main outcome variable was risky sexual behavior which defined as having at least one of the following: multiple sexual partners; initiation of sex before the age of 18 years; inconsistent condom use in the last 12 months; alcohol consumption at last sex. Multivariable generalized linear mixed-effects regression was employed to identify variables associated with risky sexual behavior.
resultThe overall magnitude of risky sexual behavior was 26.9% (95% CI; 25.7, 28.0). Currently employed (AOR = 2.49, 95% CI = 1.64-3.77), history of HIV testing (AOR = 2.51, 95% C = 1.95-3.23), drinking alcohol almost every day (AOR = 5.49, 95 CI = 2.73-11.02), and using Internet daily (AOR = 1.99, 95% CI = 1.06-3.74) increase the odds of risky sexual behavior. Whereas, primary education (AOR = 0.44, 95% CI = 0.32-0.61), secondary education level (AOR = 0.46, 95% CI = 0.29-0.72) and a high proportion of community-level media exposure (AOR = 0.42, 95% CI = 0.12-0.75) decrease the odds of risky sexual behavior.
conclusionIn general, a significant proportion of sexually active unmarried men in Ethiopia have practiced risky sexual behavior. An intervention should be designed which are against the factors found to increase the odds of risky sexual behavior to reduce the incidence of HIV and other sexually transmitted infections.
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