Early Sexual Initiation and Associated Factors among Debre Markos University Students, North West Ethiopia
Science Journal of Clinical Medicine
Volume 4, Issue 5, September 2015, Pages: 80-85
Received: Jul. 22, 2015;
Accepted: Jul. 25, 2015;
Published: Aug. 1, 2015
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Getachew Mullu Kassa, Midwifery Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Girmay Tsegay, Public Health Officer Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Nurilign Abebe, Public Health Officer Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Woldie Bogale, Public Health Officer Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Teferi Tadesse, Public Health Officer Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Desalegne Amare, Nursing Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Girma Alem, Nursing Department, Medicine and Health Sciences College, Debre Markos University, Debre Markos, Ethiopia
Background: Sexual activities during adolescence have been characterized as dynamic and constantly changing, and it has an impact on reproductive life of young peoples, which is related to the increased susceptibility to HIV transmission, unwanted pregnancy and its complications when the sexual activities are unprotected. So, the objective of this study was to identify the prevalence of early sexual initiation and its associated factors among Debre Markos University students, North West Ethiopia, 2014. Methods: Institution based cross sectional study design was conducted among 273 Debre Markos university students. Study participants were selected by stratified sampling technique and self- administrated questionnaire was distributed to collect information. EpiData version 3.1 was used for data entry and SPSS version 16 was used for analysis. To identify factors associated with sexual initiation, bivariate and multivariate logistic regression with 95 % Confidence interval was used. Results: From 260 respondents, 116(44.6%) had sex prior to the data collection period, while 144(55.4%) had never had sexual intercourse. Almost two third (64.7%) of respondents start sexual intercourse during the age range of 16-19 years old. The mean and standard deviation for the age at first sex was 18.28 and 2.04 years respectively. Factors which were significantly associated with early sexual initiation (< 18 years old) were; being female (AOR=5.7, 95%CI=1.16-27.72), lack of discussion on sexual and reproductive health issues (SRH) with their mother (AOR=, 95%CI= 1.23-41.5) and cigarrate smoking (AOR=7, 95%CI=1.06-46.92). Conclusions: Early sexual initiation was high. Factors which were associated with early sexual initiation were being female, lack of discussion on SRH with mother and cigarrate smoking. So, awareness creation for both male and female young peoples through the use of religious leaders, school teachers and parents on sexual and reproductive health issues is important. Young peoples should be encouraged to discuss with their parents on SRH through the use of reproductive health centers and emphasis should also be given for adolescents who use drugs like cigarrate smoking.
Getachew Mullu Kassa,
Early Sexual Initiation and Associated Factors among Debre Markos University Students, North West Ethiopia, Science Journal of Clinical Medicine.
Vol. 4, No. 5,
2015, pp. 80-85.
Carlos M., Néia S., Ivan F., Simone G. Factors associated with sexual initiation and condom use among adolescents on Santiago Island, Cape Verde, West Africa. Cad. Saúde Pública, Rio de Janeiro, 25(9):1969-1980, set, 2009.
FHI, USAID: Youth Net Assessment Team: Assessment of Youth Reproductive Health Programs in Ethiopia. Addis Ababa, Ethiopia: FHI and USAID; 2004.
Fekadu M., Alemayehu W. Age at sexual initiation and factors associated with it among youths in North East Ethiopia. Ethiop. J. Health Dev.2009; 23(2):154-162.
PAV G, ORC M, Aklilu K, Hailom B. Youth Reproductive Health in Ethiopia. Addis Ababa; November 2002.
Habtamu Mellie Bizuayehu, Direslgne Misker Abyu, Hailu Fekadu Demessie. Assessment of Time of Sexual Initiation and Its Associated Factors among Students in Northwest Ethiopia. Science Journal of Public Health.Vol. 3, No. 1, 2015, pp. 10-18. doi: 10.11648/j.sjph.20150301.13
Dorothy S. Access to sexual and reproductive health for young people: Bridging the disconnect between rights and reality. International Journal of Gynecology and Obstetrics. 2009; 106(2): 132-136.
WHO/UNFPA/UNICEF. Programming for adolescent health and development. Geneva, 1999.
Ethiopian Demographic and Health Survey 2011. Central Statistical, Addis Ababa, Ethiopia ICF International Calverton, Maryland, USA; 2012.
Mulu Tilahun Yigzaw, Alemayehu Worku Yalew, Alemayehu Bogale Mesfin, Agumasie Semahegn Demisie. Sexual Initiation and Factors Associated with it among Addis Ababa University Undergraduate Students, Addis Ababa, Ethiopia. American Journal of Health Research. Vol. 2, No. 5, 2014, pp. 260-270. doi: 10.11648/j.ajhr.20140205.17
Kssaye Z:Sexual experiences and their correlates among Jimma University Students, Jimma, Ethiopia.Ethiopian J Health Sci 2005,15(1):1–17.
Alice L, Peter K, Richard A, Chomnad M, Philip A, Supaporn J, Wat U, Frits V. Sexual Initiation, Substance Use, and Sexual Behavior and Knowledge Among Vocational Students in Northern Thailand. International Family Planning Perspectives. September 2006; 32(3): 126 - 135.
Derege K, Atalay A, Getnet M:Khat and alcohol use and risky sex behavior among in-school and out-of-school youth in Ethiopia. BMC Publ Health2005,5:109.
Adesegun O, Robert W: Predictors of early sexual initiation among a nationally representative sample of Nigerian adolescents.BMC Publ Health2008,8:136.
Marelign Tilahun and Gistane Ayele. Factors associated with age at first sexual initiation among youths in Gamo Gofa, South West Ethiopia: a cross sectional study. BMC Public Health2013,13:622.
Augustine Ankomah, Fatima Mamman-Daura, Godpower Omoregie, Jennifer Anyanti. Reasons for delaying or engaging in early sexual initiation among adolescents in Nigeria. Adolescent Health, Medicine and Therapeutics 2011:2 75–84.
Mallika A, Laila G, Savita K, Shireen J, Bela G. Correlates of Premarital Relationships Among Unmarried Youth in Pune District, Maharashtra, India. International Family Planning Perspectives. 2007; 33(4): 150–159.
Debre Markos town. [Internet]. [Cited 2014 March 22]. Available from: http://en.wikipedia.org/wiki/Debre_Marqos.
Brief History of Debre Markos University. [Internet]. [Cited 2014 March 22]. Available from: http://web.dmu.edu.et/test-dmu-site/index.php/about.
Melisew M. Premarital sexual practice and perception of high risk of HIV/AIDS among school adolescents in Injibara town, Awi zone. [Msc thesis]. Addis Ababa University; July 2008.
Dessalegn W. Assessment of Premarital Sexual Practice and factors contributing to premarital sex among high School Adolescents in Nekemte Town, East Wollega, Oromia regional state. [Mph thesis]. Addis Ababa University; 2006.
Getachew MK, Emebet BW& Nurilign AM. Prevalence of Premarital Sexual Practice and Associated Factors among Alamata High School and Preparatory School Adolescents, Northern Ethiopia Global Journal of Medical research: k Interdisciplinary Volume 14 Issue 3 Version 1.0 Year 2014. Page 8-16.
Neeru Gupta and Mary Mahy. Sexual Initiation Among Adolescent Girls and Boys:Trends and Differentials in Sub-Saharan Africa. Archives of Sexual Behavior, Vol. 32, No. 1, February 2003, pp. 41–53 (C °2003.
Central Statistical Agency [Ethiopia] and ORC Macro:Ethiopia Demographic and Health Survey 2010.Addis Ababa, Ethiopia: Central Statistical Agency and ORC Macro; 2011.
Mitike M, Yemane B, Bernt L: Traditional values of virginity and sexual behaviour in rural Ethiopian youth: results from a cross-sectional study. BMC Publ Health2008,8:9.
Cremin I, Mushati P, Hallett T, Mupambireyi Z, Nyamukapa C, Gamett G et al. Measuring trends in age at first sex and age at marriage in Manicaland, Zimbabwe. Sex Transm Infect. 2009; 85(Suppl I): 34–40.