Abstract:
BACKGROUND: Youth engage in risk sexual behavior due to insufficient knowledge of reproductive health
and family planning. Youth sexual behavior is important not only because of the possible reproductive
outcomes, but also because of sexually transmitted infections. The level of risks and sexual behaviors are
different between male and female youth due to sexual exposure and socio-cultural factors. The aim of this
study was to compare risky sexual behaviors and associated factors among male and female preparatory
school (grades 11 and 12) students in Jimma Zone.
METHODS: A comparative cross-sectional study was conducted in 5 randomly selected preparatory schools
of Jimma Zone. A total of 520 students were selected using simple random sampling technique. A structured,
pretested and self-administered questionnaire was used to collect data. Both descriptive analysis and binary
logistic regressions were performed on the data to understand risky sexual behaviors among students.
RESULTS: Twenty-two (25.9%) of male and 25(21.6%) of female students had two or more sexual
partners in the last six months. Eighty-three (32.3%), 113(43.5%) male and female students were sexually
at risk in the last six months. Only 8(9.4%) of the male and 10(8.6%) of the female students used condom
consistently in the last six months. Female students living away from their parents were 3 times more
likely to be at risk than students living with their parents (OR 95%CI 3.0(1.48-6.34)). Female students who
consumed alcohol were 7 times more likely to be at risk than those who did not consume alcohol (OR
95%CI 7.27(3.36-15.7)). Male students who consumed alcohol were 2.8 times more likely to be at risk
than those who did not consumed alcohol (OR 95%CI, 2.81(1.3-6.06)). Male students who chewed khat
were 4.6 times more likely to be at risk than students who did not chew khat (OR 95%CI, 4.58(1.95-10.76).
CONCLUSION: Living arrangement, educational status of parents, family connectedness, alcohol
consumption and khat-chewing were the major predictors of risky sexual behavior. Therefore, School,
family and zonal education office should be involved in reducing the risky sexual behavior of
school youth.
