alexa Magnitude and Predictors of Early Sexual Debut among Hi
ISSN: 2380-5439

Journal of Health Education Research & Development
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Research Article

Magnitude and Predictors of Early Sexual Debut among High and Preparatory School Students in Northern Ethiopia: A School-based Crosssectional Study

Assefa Ayalew1*, Kidan Abreha2, Ashenafi Shumey2 and Keste Berhane3
1Department of health, Relief Society of Tigray (REST), Reproductive Health & nutrition division, Mekelle, Tigray, Ethiopia
2Department of Public Health, Mekelle University College of Health Science, Mekelle, Tigray, Ethiopia
3JSI Research and Training Institute .inc/L10k, Tigray, Mekelle, Ethiopia
Corresponding Author : Assefa Ayalew
Department of health
Relief Society of Tigray (REST)
Reproductive Health & nutrition division
Mekelle, Tigray, Ethiopia
Tel: +510-452-0963
E-mail: [email protected]
Received: July 28, 2015; Accepted: December 18, 2015; Published: December 21, 2015
Citation: Ayalew A, Abreha K, Shumey A, Berhane K (2015) Magnitude and Predictors of Early Sexual Debut among High and Preparatory School Students in Northern Ethiopia: A School-based Cross-sectional Study. J Health Edu Res Dev 3:151. doi:10.4172/2380-5439.1000151
Copyright: © Ayalew A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Risk-taking provides young people with a chance to test their skills and abilities and the opportunity for self-discovery. Some risks, such as early or unprotected sex, pregnancy, and abortion, can have harmful and long-lasting effects on a teen’s health and well-being. Despite this, adolescent sexual health remains neglected, marginalized, and ignored in many countries. The purpose of this study was to assess the magnitude & factors associated with early sexual debut of high and preparatory school students in Shire-Endasellassie town, Tigray region, from March to June 2013.

Methods: A school-based cross-sectional study was conducted among 550 high and preparatory school students in Shire-Endasellassie town. Two-stage cluster sampling was used to select participating classes from preparatory and high schools. A self-administered, structured questionnaire was used to collect the data. It was pre-tested for clarity among 26 students in a nearby town. Eleven data collectors (12th grade graduates) and two supervisors (BSc nurses) facilitated the data collection. Data was entered, cleaned, and analyzed using SPSS Version 16. Frequency distributions and binary and multiple logistic regressions were done. OR and 95% confidence interval was computed.

Results: About 19% of the students (109/550, 95% CI: 15.46%, 21.96%) had early sexual debut. Income, access to pornography media, female gender, prior experience of discussing reproductive health topics, and having a boyfriend or girlfriend were significant predictors of early sexual debut.

Conclusion: There was relatively low prevalence of early sexual debut, but high prevalence of premarital sex. Female students should be targeted with messages. Access to pornographic media encourages students to start sexual intercourse earlier, so we recommend taking action to limit access to such media.


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