BMC Public Health volume 12 , Article number: 5 Cite this article. Metrics details. Understanding the full range of sexual behaviors of young people is crucial in developing appropriate interventions to prevent and control sexually transmitted infections including HIV. However, such information is meager in developing countries. The objective of this study was to describe oral and anal sex practices and identify associated factors among high school youth. A cross-sectional study was conducted among high school youth in Addis Ababa, Ethiopia.
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NBHS Administration was notified of the situation immediately after it occurred and took swift action. This included opening an investigation and alerting all appropriate authorities. The investigation, which is now being conducted by the New Britain Police Department, is ongoing. As such, we have no further comments at this time. Skip to content. New Britain High School. The overall proportion of people who reported ever having oral sex was 5.
Of these Multiple partnerships were reported by Consistent condom use was reported by Reasons for oral and anal sex included prevention of pregnancy, preserving virginity, and reduction of HIV and STIs transmission. Considerable proportion of adolescents had engaged in oral and anal sex practices. Multiple sexual partnerships were common while consistent condom use was low.
Sexual health education and behavior change communication strategies need to cover a full range of sexual practices. Peer Review reports. Each year an estimated million new cases of curable STIs occurs worldwide [ 4 - 6 ]. Abstinence, being faithful, and consistent condom use ABC are the recommended prevention interventions. However, young people are still involved in early sexual practices, have multiple sexual partners and do not use condoms consistently [ 7 - 10 ]. Ugleicyferreira.comotected vaginal-penile intercourse has been known to be the predominant route for HIV and STIs transmission [ 2 - 411 ].
However, it is becoming evident that youth are involved in oral and anal intercourse [ 12 - 14 ]. Although the oral and anal sex behaviors of youth have been researched in the United States US for more than two decades [ 15 - 18 ], it was only recently that research evidences in some parts of Africa revealed the practice of oral and anal sex [ 19 ]. Studies in the US indicated that between In contrast a study conducted in Tanzania identified that 8.
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Although there is a perception among youth that oral sex is risk free, evidence supports that several STIs, including chlamydia, human papillomavirus HPVgonorrhea, herpes, hepatitis, and HIV can be transmitted through oral sex [ 2021 ]. Ugleicyferreira.comotected anal intercourse carries the highest risk of HIV transmission as compared to oral and vaginal sex [ 22 ].
It was identified that 5. The majority of students who reported having had anal sex had multiple sexual partners and most of them have not used condoms during anal intercourse [ 1923 - 25 ]. Most studies and interventions related to youth sexual behavior focused on vaginal-penile intercourse. Also, sexual activity has been measured on the basis of whether young people have had vaginal intercourse or not [ 26 ].
Studies have identified that individual, family, and peer factors predict vaginal-penile intercourse among youth [ 132728 ]. However, only few studies have assessed the relationship between these multilevel factors with oral and anal sex.
Although data on the proportion of young people engaged in forced oral and anal sex is lacking, available evidences on vaginal sex suggested that not all sexual experiences of young people are voluntary. Studies also shown that reported unwanted sex among males ranged from 2. Studies on oral and anal sex practices and the associated factors among youth in Ethiopia are scarce. In addition, most studies use individual factors as a predictor to sexual behavior while the sexual behavior of young people is influenced by a multitude of factors.
The ecological framework, however, looks into the individual, parental and peer influences on youth sexual behavior.
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Therefore, understanding the determinants of oral and anal sex using the ecological framework is crucial. Thus, it was the purpose of this study to describe oral and anal sex practices and identify associated factors among high school youth.
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In effect, this research provides the basis for the designing and implementation of effective preventive interventions that seek to minimize sexual risk behavior and, thereby reducing the incidence of HIV and STIs. This research also seeks to inform clinical practice, education and counseling guidelines. This is a cross sectional study conducted among regularly attending high school youth in Addis Ababa, Ethiopia. Addis Ababa is the capital city of Ethiopia and has an estimated 3 million population.
There were 70 secondary schools in the city 21 Government, 43 private and 6 foreign community schools at the time of the study.
Of this, students were attending Government high schools.
About All high schools primarily established to enroll Ethiopian students in the city of Addis Ababa and students whose age was years were included in the study. However, students who were not able to complete the questionnaire without assistance such as the visually impaired were excluded.
The study population was selected from the source population using three-stage sampling.
Understanding the full range of sexual behaviors of young people is crucial in developing appropriate interventions to prevent and control sexually transmitted infections including HIV. However, such information is meager in developing countries. The objective of this study was to describe oral and anal sex practices and identify associated factors among high school gleicyferreira.com by: 31
Addis Ababa is administratively divided into 10 Sub Cities. In the first step one high school was selected randomly from each sub-city.
The sample size for each selected school was assigned proportionate to the total student population. Then, in the selected schools, from each grade, one section was selected by lottery method. Students from the identified section were selected using a systematic sampling method.
The starting number was randomly chosen from the first three in the section roll call. Every third student was then taken until the assigned number was reached.
This study is part of a PhD project. Based on these the required sample size was found to be students.
The survey was a paper-and-pencil self-administered questionnaire. The questionnaire was prepared in English and translated into Amharic the Ethiopian national language. The Amharic questionnaire was pre-tested in schools not selected for the study.
Two supervisors with master of public health and ten nurses facilitated the data collection. The research team was trained for 2 days to help them understand the purpose of the study and familiarize themselves with the questions so that they can explain to students, if asked.
Data collection in all schools was completed within 1 week to minimize information contamination. The Principal Investigator made both scheduled and unscheduled surprise supervisory visits during the data collection. Before commencing the study, official contact with concerned personnel of the City Education Bureau, Zonal Education Bureau, directors of the selected schools and guidance of each school were made by the Principal Investigator.
Refreshments were provided for all participants.
The study included items dealing with the dependent variable oral and anal sexual behavior of students and potential independent factors at the individual, family, and peer level factors identified from previous studies [ 26273334 ]. The individual level factors included sex, age, self-esteem, attitude about sex, and educational aspirations.
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Family factors consisted of parental education level and family structure. Peer level factors comprised of perceived oral and anal sexual experience of the participant's best friends. To assess the oral and anal sexual activity of students all participants were asked whether they ever had oral or anal sexual intercourse in their lifetime. Yes and no responses were available to be circled by the respondents. Oral sex was defined as "when some-one puts his or her mouth on their partner's penis or vagina or lets their partner put his or her mouth on their penis or vagina".
Anal sex means when a man puts his penis in his partner's anus or when one lets their partner insert the penis in their anus".
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Self-esteem was measured by Rosenberg's self-esteem scale [ 35 ]. The scale consisted of ten questions answered on a four point scale-from strongly agree to strongly disagree. Attitude about sex was assessed through two items which asked, how do you feel about teenagers having oral sex and, how do you feel about teenagers having anal sex? Data coding, entry, and cleaning was processed using EPI info version 6.
Analysis was guided by the ecologi cal framework.
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The coding of open ended questions was made by two persons. Each coder categorized the responses in the same way. Logistic regression models were used to see the association of oral and anal sex and independent variables at the individual, familial, and extra-familial levels. Variables were entered into three blocks.
Block 1 contained the individual level variables sex, age, self-esteem, attitude, and college aspiration. Family structure and parental education were entered next in Block 2. At the extra-familial level Block 3peer sexual activity was entered.
The three regression models were significant at each of the three levels. Ethical clearance was secured from the Addis Ababa University, School of Public Health and IRB of the Faculty of Medicine.
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Persons between 15 and 18 years in Ethiopia are regarded 'Consenting Minors' and can be interviewed without parental consent. Verbal informed consent was obtained from each respondent after explaining the purpose of the study. Participants were assured that participation is voluntary, the information they provide will be kept completely anonymous and confidential.
Students were also informed the possibility of opting out at any time if they feel to do so.
A total of in school youth aged were identified from 10 high schools. There was no refusal, but 7. Thus, their responses were not included in the analysis.
The Socio-demographic characteristics of the respondents are depicted in Table 1. From the respondents, The mean age of the study population was Over all Regarding parental education The reported oral sex practices of high school students are shown in Table 2.
The overall proportion of those who reported ever having oral sex was 5. Of which The mean age at first oral sex among the study population was Among ever had oral sex; Table 3 depicts the anal sex practices of respondents.
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Overall 4. The mean age at first anal sex among the study population was Of these only The main reasons given by the respondents for practicing oral sex were preventing pregnancy See Figure 1. The predominant reasons reported by the respondents for practicing anal sex were minimizing the risk of pregnancy See Table 4.
See Table 5. The study also looked into familial factors that might be associated with anal and oral sex practices. me ? Young Nudist Family Nudist Family Naturals HD XXX Videos Redwap.
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