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Adal MA, Abiy SA, Reta MM, Asres MS, Animut Y. Prevalence of risky sexual behavior and associated factors among Injibara University students, Northwest Ethiopia. FRONTIERS IN REPRODUCTIVE HEALTH 2024; 6:1356790. [PMID: 38605815 PMCID: PMC11007158 DOI: 10.3389/frph.2024.1356790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2023] [Accepted: 03/13/2024] [Indexed: 04/13/2024] Open
Abstract
Introduction Engaging in risky sexual behaviors can lead to HIV infection, sexually transmitted infections, and unintended pregnancy among youths. University students had greater sexual risks for many reasons. Therefore, this study aimed to assess the magnitude and associated factors of risky sexual behaviors among regular undergraduate students at Injibara University, Northwest Ethiopia. Methods A cross-sectional study was conducted at Injibara University from 20 January to 30 2020. Multistage sampling was employed to select 770 students. Data were collected using a semistructured self-administered questionnaire. A binary logistic regression model was used to identify factors associated with risky sexual behavior. Adjusted odds ratios with 95% CIs were determined, and variables with P-values <0.05 were considered significant. Result A total of 770 students participated in the study, providing a response rate of 100%. In this study, 294 (38%, 95% CI: 35%, 42%) students engaged in risky sexual behaviors. Risky sexual behavior was significantly associated with not tested for HIV (AOR = 1.62, 95% CI: 1.15-2.31), peer pressure (AOR = 1.90, CI: 1.37-2.64), basic HIV knowledge (AOR = 2.16, CI: 1.65-2.89), substance use (AOR = 3.56, CI: 2.11-6.06), watching pornography videos (AOR = 1.58, CI: 1.11-2.23), and HIV risk perception (AOR = 1.37, CI: 1.02-1.91). Conclusion and recommendation A substantial proportion of university students in this study engaged in unsafe sexual behavior. Risky sexual behaviors are more likely to occur when students are under peer pressure, use substances, have no perceived HIV risk, watch pornography, and have inadequate basic HIV knowledge. Therefore, tailored strategic interventions such as life skill training should be designed to bring about positive behavioral changes among university students.
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Affiliation(s)
- Mekdes Abera Adal
- Injibara District Health Office, Awi Zone Health Department, Amhara Regional Health Bureau, Injibara, Ethiopia
| | - Saron Abeje Abiy
- Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Mebratu Mitiku Reta
- Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Mezgebu Silamsaw Asres
- Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Yaregal Animut
- Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Ogunbode O, Takpe R, Adeniyi A, Ogunbode A, Agboola A. KNOWLEDGE OF EMERGENCY CONTRACEPTION AND PREDICTORS OF ITS USE AMONG FEMALE UNDERGRADUATES IN TWO NIGERIAN UNIVERSITIES. Ann Ib Postgrad Med 2022; 20:143-150. [PMID: 37384339 PMCID: PMC10295099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/30/2023] Open
Abstract
Background Unintended pregnancies contribute to the high burden of unsafe abortion, maternal deaths and morbidities among undergraduates. Objective To assess the determinants of good knowledge and evaluate the trends in the practice of Emergency Contraception (EC) among female undergraduates. Methods This was a cross sectional study involving four hundred and twenty female undergraduates from two universities in Ibadan, Nigeria. Participants were recruited from their hostels and classrooms. Data collection was done using self-administered questionnaires and good knowledge was defined as three correct answers to five questions testing knowledge. The questionnaires also addressed their practices of EC. The data was stored on the computer, cleaned and analyzed using the Statistical Package for the Social Sciences (SPSS) version 22. Statistical significance was set at p <0.05. Results Two hundred and fourteen (51.0%) participants were aware of EC and the common sources were friends (43.4%), media (42.9%) and pharmacies (42.0%). One hundred and sixty-four participants (39.1%) had good knowledge of EC. Participants in the age group 20-24 years, second year of study, those who were aware of EC and had ever used EC were associated with good knowledge. Less than half (48%) of the sexually active participants used EC in the past six months and Levonogestrel (51%) was the commonest EC used. Menstrual irregularity and abdominal pain were the major side effects of EC. Conclusion The practice of EC is poor and with poor knowledge demonstrated among female undergraduates. There is therefore the need to improve information and access to EC in the university community.
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Affiliation(s)
- O.O. Ogunbode
- Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan
| | - R. Takpe
- Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Ibadan
| | - A. Adeniyi
- Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Ibadan
| | - A.M. Ogunbode
- Department of Family Medicine, University College Hospital, Ibadan, Ibadan
| | - A. Agboola
- Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Ibadan
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Byansi W, Namatovu P, Bahar OS, Kiyingi J, Nabayinda J, Mwebembezi A, Kivumbi A, Damulira C, Nattabi J, Namuwonge F, McKay MM, Hoagwood K, Ssewamala FM. Family-level correlates of disruptive behavior challenges among children in Southwestern Uganda. CHILDREN AND YOUTH SERVICES REVIEW 2022; 140:106598. [PMID: 36779080 PMCID: PMC9912989 DOI: 10.1016/j.childyouth.2022.106598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Introduction This exploratory study sought to examine the extent to which family-level factors are associated with disruptive behavioral disorder (DBD) symptoms, including oppositional defiant disorder (ODD) and conduct disorder (CD) among school children in Uganda, a low-resource country in SSA. The examination of key influences within the SSA context is important to guide needed investments in mental health care and family-level support. Importantly, identifying families at higher risk can inform the development of contextualized family interventions that reinforce positive parenting practices. Method We analyzed baseline data (N = 2110) from the NIH-funded Strengthening Mental health And Research Training in Africa (SMART Africa) scale-up study in Southwestern Uganda. Children aged 8-13 and their caregivers were recruited from 30 public primary schools. DBDs were examined using the DBD rating scale, Iowa Conners, and Impairment scales. Logistic regression analysis using cluster adjusted robust standard errors to adjust for within-school clustering was conducted to assess the association between DBD symptoms and family-level factors, including parenting practices, marital status, and family size. Results Results indicate that poor parental supervision (OR = 1.17; CI: 1.13, 1.21; P <.001), divorced families (OR = 1.33; CI: 1.03, 1.72; P <.05), and widowed families (OR = 1.48; CI: 1.10, 2.00; P <.01) were associated with higher DBD symptoms among children. On the other hand, caregiver age (OR = 0.99; CI: 0.98, 0.99; P <.01) was associated with lower DBD symptoms among children. Moreover, caregiver employment and parental education were not statistically significant in the model. Conclusion Findings from the study reveal an association between family-level factors and behavioral difficulties among children in Uganda suggesting that divorced and widowed families may benefit from additional support in caring for children. Moreover, caregivers may also benefit from programs that provide tools for effective parental supervision.
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Affiliation(s)
- William Byansi
- School of Social Work, Boston College, Chestnut Hill, MA, USA
- Brown School, Washington University in St. Louis, MO, USA
| | - Phionah Namatovu
- International Center for Child Health and Development Field Office, Masaka, Uganda
| | - Ozge Sensoy Bahar
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
| | - Joshua Kiyingi
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
| | - Josephine Nabayinda
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
| | | | | | | | - Jennifer Nattabi
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
| | - Flavia Namuwonge
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
| | - Mary M. McKay
- Provost Office, Washington University in St. Louis, St. Louis, MO, USA
| | - Kimberly Hoagwood
- Grossman School of Medicine, New York University, New York City, NY, USA
| | - Fred M. Ssewamala
- Brown School, Washington University in St. Louis, MO, USA
- International Center for Child Health and Development, Brown School, Washington University in St. Louis, St, Louis, MO, USA
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Lee E, Yang Y. Moderating the Effects of Health Behaviors on Sexual Intercourse among Adolescents: A Cross-Sectional Study Using the 2020 Adolescent Health Behavior Survey. J Korean Acad Nurs 2022; 52:499-510. [DOI: 10.4040/jkan.22080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Revised: 10/14/2022] [Accepted: 10/18/2022] [Indexed: 11/11/2022]
Affiliation(s)
- Eunmi Lee
- College of Nursing, Jeonbuk National University, Jeonju, Korea
| | - Youngran Yang
- College of Nursing · Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
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