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Sexual risk behaviour and condom use among Ethiopian high school adolescents.


Int Conf AIDS. 1996 Jul 7-12;11(1):173 (abstract no. Mo.D.1692). Unique

Objective: To determine the prevalence and predictors of high risk sexual behaviour and condom use among high school adolescents in Ethiopia. Methods: A sample of 1,616 high school students (mean age=16.60; 50.6%=male) from 10 towns across Ethiopia was surveyed with a questionnaire about sexual and preventive behaviours, reproductive health knowledge and condom use related beliefs. Multivariate statistical methods were used to analyze data. Results: Twenty nine percent (n=469) of the adolescents had at least one sexual experience in the past with an average of 4 (SD=7) partners. High risk sexual behaviours included: multiple partnered sex (67.8%), sex with casual partner 44.0%), sex after drinking (27.4%), sex with sex worker or for material gain (19.5), and history of STD (10.9%). Less than a third (30.1%) of the adolescents have used condom in the past although only 11.0% used condom consistently. On the other hand, 45.5 and 44.1% expressed intention to be sexually active and to use condom in the future respectively. Multiple partnered sex was predicted by sex (male) and older age (R2=.066, p is less than 001) while intention to be sexually active was predicted by sex female), monthly family income, and perceived norm for sex R2=.113, p is less than .001). Past condom use was predicted by perceived norm for condom use, condom use self-efficacy, positive condom use belief, intention to use condom, and monthly family income (R2=.165, p is less than .001). Finally, intention to use condom was predicted by sex (male), perceived health risk, positive condom use beliefs, past condom use and condom use self-efficacy (R2=.325, p is less than .001). Conclusions: High risk sexual behaviours were highly prevalent among Ethiopian high school adolescents. However, only a small proportion of these adolescents are using condom consistently. Demographic characteristics, beliefs about condom use, and particularly perceived social norm and self-efficacy were important predictors of sexual behaviour and condom use. Relevance of findings to AIDS/STD prevention efforts are discussed.

*Condoms/UTILIZATION *Knowledge, Attitudes, Practice *Sex Behavior *Sexually Transmitted Diseases/PREVENTION & CONTROL


Information in this article was accurate in January 30, 1997. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.