ArticleBMC public health2024
Risky sexual behavior and associated factors among university students in Ethiopia: a cross-sectional national survey.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- HIV self-testing practice and associated factors among governmental medical college students in Addis Ababa, Ethiopia, 2024.BMC infectious diseases · 2026Article
- Prevalence and correlates of unprotected casual sex among sexually experienced college students in Guangxi: a cross-sectional study.AIDS research and therapy · 2026Article
- Parents' and teachers' perspectives on the barriers to spectacle uptake among learners in the Free State, South Africa.Health SA = SA Gesondheid · 2026Article
- 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
- The burden ofFrontiers in reproductive health · 2025Article
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5 authors.
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Abstract
backgroundRisky sexual behavior (RSB) is one of the major youth sexual and reproductive health problems globally, including in Ethiopia. RSB among youth increases the risk of HIV infection, other sexually transmitted infections (STIs), unintended pregnancy, and unsafe abortion. Therefore, the aim of this study was to examine RSB and its associated factors among university students in Ethiopia.
methodsA cross-sectional study was employed in six randomly selected public universities in Ethiopia from August 2021 to February 2022. A stratified two-stage sampling technique was applied to reach the required number of study participants, and a structured self-administered questionnaire was used. RSB was defined as having had sexual relationships with more than one partner and using condoms with a new sexual partner irregularly or not at all in the last 12 months. Bivariable and multivariable logistic regression analyses were used to identify factors associated with RSB among those participants who were sexually active.
resultsThe prevalence of RSB among those who had had sexual intercourse in the last 12 months (n = 523) was 19.5% (n = 102). One hundred forty-four (29.9%) students had multiple sexual partners, and 325 (69.3%) students did not always use condoms with a new sexual partner. Adjusted odds ratios (AOR) showed that those students aged 21-24 years had lower odds of RSB than those aged above 25 years AOR 0.18 (95% CI 0.03-0.98). The adjusted odds of RSB were 6.7 times higher (95% CI 1.26-35.30) among students who started sex at the age of 10-17 years than those who started sex at 21 years and above and 3.9 times higher (95% CI 1.33-11.39) among students who had experienced emotional violence.
conclusionRSB continues to be a problem among university students in Ethiopia. Those students who started sex at an early age and those who experienced emotional violence were more likely to engage in RSB. Therefore, universities in Ethiopia should implement strategies such as RSB targeted health education programs that consider early sexual debut, experiences of emotional violence, and safe sexual practices.
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