ArticleSexual medicine2026
Magnitude of adolescent sexual activity and its associated factors among selected secondary school student in Addis Ketema Sub-city, Addis Ababa, Ethiopia.
Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Early sexual debut poses significant risks to adolescent health. This study investigated the prevalence and factors associated with adolescent sexual activity among secondary school students in Addis Ketema, Addis Ababa, Ethiopia. Methods: A quantitative cross-sectional study was conducted using self-administered questionnaires from November to December 2021. Data were analyzed using frequency distributions and logistic regression. The primary outcomes were the prevalence of adolescent sexual activity and the adjusted odds ratios (AOR) for its significant associated factors. Results: The prevalence of adolescent sexual activity was 17.3%, with a majority being male (77%). The most common reason for initiation was self-desire (36.1%). Significant predictors were having a boyfriend/girlfriend (AOR = 4.58), alcohol consumption (AOR = 5.42), school type (AOR = 3.15), and watching pornography (AOR = 21.25). Discussion: A considerable prevalence of adolescent sexual activity exists in this setting, driven by identifiable relational, behavioral, and environmental factors. Key strengths include direct measurement of a sensitive public health issue. Limitations comprise potential social desirability bias in self-reported data, limited qualitative depth, and possible underreporting due to parental consent requirements for minors. Targeted interventions should address modifiable risk factors, particularly pornography consumption and substance use, to reduce early sexual activity.
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