Determinants of Risky Sexual Behavior, Relation between HIV Risk Perception and Condom Utilization among Wollega University Students in Nekemte Town, Western Ethiopia
Keywords:
Condom Utilization, Risk Perception, Risky Sexual Behaviors, Theory of Planned Behavior, Wollega UniversityAbstract
Students of Higher Education Institutions are assets of the society and change agents in filling the gap in the past and on whom the future generation is based. Neglecting their sexual and reproductive health can lead to high social and economic costs, both immediately and in the years ahead. This study tried to assess the determinants of risky sexual behavior, relation between HIV risk perception and condom utilization among University students in Western Ethiopia. The study was applied institution based cross-sectional study design triangulated with qualitative study. Multivariate logistic regression analysis with crude odds ratio was used. Partial correlation and linear regression was used to assess the applicability of Theory of Planned Behavior model in predicting intention to use condom and other variables. A pre-tested interviewer administered questionnaire was used to collect data. About 49.1% of students ever had sexual intercourse. Of these, 50.7% had their first sex before joining the university. Almost half (50.2%) had two and more than two life time sexual partners. Having multiple sexual partners was significantly associated with consistent condom use [AOR=1.98; 95%CI: 1.63, 2.94]. About 46.1% thought that, they were at high risk of getting HIV infection and 61.3% reported consistent condom use with non-regular partner. In this study, Theory of Planned Behavior explained 39.3% of variances in intention to consistent condom use. This study has shown that, a substantial proportion of the students engaged in risky sexual. Information, education and communication/ behavioral change communication on risk perception, life, assertive and communication skills training and promotion of peer-education should be strengthened.
Downloads
Metrics
References
Adhikari, R. and Tamang, J. (2009). Premarital sexual behavior among male college students of Kathmandu, Nepal. BMC Public Health 9: 241.
Alamrew, Z., Bedimo, M and Azage, M. (2013). Risky Sexual Practices and Associated Factors for HIV/AIDS Infection among Private College Students in Bahir Dar City, Northwest Ethiopia. Journal of ISRN Public Health 1-9.
Ajzen, I. and Fishbein, M (1980). Understanding attitudes and predicting social behaviour. Englewood Cliffs, NJ: Prentice Hall.
Ajzen, I. and Madden, T.J. (1986). Prediction of goal directed behaviour: attitudes, intentions and perceived behavioural control. Journal of Experimental Social Psychology 22: 453-474.
Ajzen, I. (1991). The Theory of Planned Behaviour. Organizational Behaviour and Human Decision Processes 50(2): 179-211.
Bandura, A. (1986). Social foundations and thoughts of action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
Bennett, P. and Bozionelos, G. (2000). The theory of planned behaviour as predictor of condom use: anarrative review. Psychology, Health and Medicine 5(3):308-326.
Central Statistical Agency (2012). Demographic and Health Survey 2011. Addis Ababa, Ethiopia. ICF International, Calverton, Maryland, USA. 189-244.
Christopher J. Armitage. and Conner, M. (2001). Efficacy of the Theory of Planned Behavior: A Meta analytic review. British Journal of Social Psychology 40: 471-99.
Dessalegn, M. and Wagnew, M. (2012). Predictors of consistent condom use among University students: Hierarchical analysis, Debre Berhan, Ethiopia. Global Journal of Medicine and Public Health 1(4): 23-28.
Dingeta, T., Oljira, L. and Assefa, N. (2012). Patterns of sexual risk behavior among undergraduate university students in Ethiopia: a cross-sectional study. The Pan African Medical Journal 12:33.
Fekadu, Z. and Kraft, P. (2001). Predicting Intended Contraception in a sample of Ethiopian Female Adolescents: The Validity of the Theory of Planned Behaviour. Journal of Psychology and Health 16: 207-22.
FHAPCO (2008). Report on progress towards implementation of the UN declaration of commitment on HIV/AIDS, HIV/AIDS in Ethiopia: An Epidemiological Synthesis; Addis Ababa, Ethiopia.
Gelibo, T., Belachew, T. and Tilahun, T. (2013). Predictors of sexual abstinence among Wolaita Sodo University Students, South Ethiopia. Reproductive Health 10:18.
Harding, A., Anadu, E., Gray, L.A. and Champeau, D. (1999) Nigerian university student’s knowledge, perceptions, and behaviors about HIV/AIDS: Are these students at risk? Journal of the Royal Society of Health 119(1):23–31.
Koenig, M.A., Zablotska, I., Lutalo, T., Nalugoda, F., Wagman, J. and Gray, R. (2004). Coerced first intercourse and reproductive health among adolescent women in Rakai, Uganda. International Family Planning Perspectives 30(4):156-163.
Legesse, B. and Davey, G. (2006). Intention to use condoms and remaining faithful in students at Gondar University. Ethiopian Public Health Association 1-54.
Mitike, G., Tesfaye, M. and Ayele, R. (2005) HIV/AIDS behavioral surveillance survey (BSS). Addis Ababa: Ethiopian Ministry of Health (MOH) and HIV/AIDS Prevention and Control Office (HAPCO); Addis Ababa, Ethiopia. BSS/MOH/HAPCO.
Mollaab, M., Nordrehaug, A. and Brehane, Y. (2007). Applicability of the theory of planned behaviour to intended and self-reported condom use in a rural Ethiopian population. AIDS Care: Psychological and Socio-medical Aspects of HIV/AIDS 19(3): 425-31.
Netsanet, F., Tsion, A., Fessahaye, A. and Fentie, A. (2012). Parents’ perception, students’ and teachers’ attitude towards school sex education. Ethiopian Journal of Health Sciences 22(2): 99-106.
Okafor, II and Obi, S.N. (2005). Sexual risk behavior among undergraduate students in Enugu, Nigeria. Journal of Obstetrics and Gynecology 25(6): 592-5.
Omer, S. and Haidar, J. (2010). Applicability of the theory of planned behavior in predicting intended use of Voluntary HIV Counselling and Testing services among teachers of Harari Region, Ethiopia. Ethiopian Journal of Health Development 24(2): 98-101.
Renfroe, D.H., O'Sullivan, S. and McGee, G.W. (1990). The relationship of attitude, subjective norm, and behavioural intent to the documentation behaviour of nurses. Scho Inq Nursing Practice 4(1):47-64.
Ross, W.M. and McLaws, L.M. (1991) Subjective norms about condoms are better predictors of use and intention to use than attitudes. Health Education journal 7(3): 335- 339.
Soet, J.E., Dilori, C and Dudley, W.N. (1998). Women’s self- reported condom use: intra and interpersonal factors. Journal of Women and Health 27:19-32
Tlou, R.E. (2009). The application of the theory of reasoned action and planned behavior to a work place HIV/AIDS health promotion programme: University of South Africa, 164-190.
Tura, G., Alemseged, F. and Dejene, S. (2012) Risky Sexual Behavior and Predisposing Factors among Students of Jimma University, Ethiopia. Ethiopian Journal of Health Science 22:170-180.
UNAIDS (2008). Preventing HIV/AIDS in Young People: A Systematic Review of the Evidence Global HIV/AIDS Epidemic. 14(6).
Warner, P. (2004). Reasoned Action and Planned Behaviour Theories: Application to Nursing Research Philadelphia.
WHO (2006). Investing in our future: A framework for accelerating action for the sexual and reproductive health of the young people; Geneva, Switzerland.
Zerai, K. (2002). Sexual Experiences and their Correlates among Jimma University Students, Jimma, Ethiopia. Ethiopian Journal of Health Sciences 15(1):21-29.
Downloads
Published
How to Cite
License
Copyright (c) 2014 Journal of Science, Technology and Arts Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
STAR © 2023 Copyright; All rights reserved
