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Published in: Reproductive Health 1/2018

Open Access 01-12-2018 | Research

Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study

Authors: Upuli Amaranganie Pushpakumari Perera, Chrishantha Abeysena

Published in: Reproductive Health | Issue 1/2018

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Abstract

Background

Risky sexual behaviors (RSB) are becoming an important problem all over the world. RSB are defined as behaviors leading to sexually transmitted diseases and unintended pregnancies. The objective of this study was to determine the prevalence and associated factors of RSB among undergraduate students in state universities of Western Province in Sri Lanka.

Methods

A descriptive cross sectional study was conducted on1575 second and third year undergraduates using stratified cluster sampling of the selected universities. A pretested self-administered questionnaire was used to assess socio-demographic, knowledge attitudes and behavior on reproductive health. RSB was defined as reporting of one or more following behavior/s; having more than one sexual partner, use of alcohol or inability to use condom or other contraceptive methods in sexual activities. The results were expressed as prevalence and its 95% confidence interval (CI) of RSB. Multiple logistic regression was performed ascertain the association between RSB and possible associated factors. The results were expressed as adjusted odds ratios (AOR).

Results

Prevalence of RSB in last 1 year and 3 months periods were 12.4%, (95% CI: 11.8–13.1) and 12.1% (95% CI: 11.5–12.7) respectively. The significantly associated risk factors for RSB were, attended night clubs in last month (AOR = 3.58, 95% CI: 1.29–9.88), alcohol consumption within last 3 months (AOR = 2.67, 95% CI: 1.87–3.80) and good knowledge on condoms (AOR = 2.82, 95% CI: 1.94–4.10). Those who thought religion was very important to their lives (AOR = 0.68, 95% CI: 0.48–0.95) was a protective factor.

Conclusions

Alcohol consumption and attending night clubs were associated with RSB. Necessary measures should be taken to reduce risk behaviors within university to reduce RSB.
Literature
1.
go back to reference Brener ND, Kann L, Kinchen SA, Grunbaum JA, Whalen L, Eaton D, et al. Methodology of the youth risk behavior surveillance system. Morb Mortal Wkly Rep. 2004;53(RR-12):1–13. Brener ND, Kann L, Kinchen SA, Grunbaum JA, Whalen L, Eaton D, et al. Methodology of the youth risk behavior surveillance system. Morb Mortal Wkly Rep. 2004;53(RR-12):1–13.
2.
go back to reference Madise N, Zulu E, Ciera J. Is poverty a driver for risky sexual behavior? Evidence from National Surveys of adolescents in four African countries. Afr J Reprod Health. 2007;11(3):83–98. Madise N, Zulu E, Ciera J. Is poverty a driver for risky sexual behavior? Evidence from National Surveys of adolescents in four African countries. Afr J Reprod Health. 2007;11(3):83–98.
3.
go back to reference Abels MD, Blignaut RJ. Sexual risk behavior among sexually active first year students at the University of the Western Cape, South Africa. Afr J AIDS Res. 2011;10(3):255–61.CrossRefPubMed Abels MD, Blignaut RJ. Sexual risk behavior among sexually active first year students at the University of the Western Cape, South Africa. Afr J AIDS Res. 2011;10(3):255–61.CrossRefPubMed
6.
go back to reference Fernando NS. Sexual behavior and substance abuse among youth in the coastal region in Galle district. Thesis (MD in Community medicine, Postgraduate Institute of Medicine, University of Colombo). 2009. Fernando NS. Sexual behavior and substance abuse among youth in the coastal region in Galle district. Thesis (MD in Community medicine, Postgraduate Institute of Medicine, University of Colombo). 2009.
7.
go back to reference Thalagala N, Rajapaksha L. National survey on emerging issues among adolescents in Sri Lanka. In: UNICEF; 2004. Thalagala N, Rajapaksha L. National survey on emerging issues among adolescents in Sri Lanka. In: UNICEF; 2004.
8.
go back to reference Perera B, Reece M. Sexual behavior of young adults in Sri Lanka: implications for HIV prevention. AIDS Care. 2006;18(5):497–500.CrossRefPubMed Perera B, Reece M. Sexual behavior of young adults in Sri Lanka: implications for HIV prevention. AIDS Care. 2006;18(5):497–500.CrossRefPubMed
9.
go back to reference Sujay R. Premarital Sexual Behavior among Unmarried College Students of Gujarat, India. In: Health and Population Innovation Fellowship Programme, Working paper. New Delhi: Population Council; 2009. Sujay R. Premarital Sexual Behavior among Unmarried College Students of Gujarat, India. In: Health and Population Innovation Fellowship Programme, Working paper. New Delhi: Population Council; 2009.
10.
go back to reference Raj RP, Padam S, Edwin RT. There are too many naked pictures found in papers and on the net : factors encouraging premarital sex among young people of Nepal. Health Sci J. 2010;4(3):162–74. Raj RP, Padam S, Edwin RT. There are too many naked pictures found in papers and on the net : factors encouraging premarital sex among young people of Nepal. Health Sci J. 2010;4(3):162–74.
11.
go back to reference Dingeta T, Oljira L, Assefa N. Patterns of sexual risk behavior among undergraduate university students in Ethiopia: a cross-sectional study. Pan Afr Med J. 2012;12:33.PubMedPubMedCentral Dingeta T, Oljira L, Assefa N. Patterns of sexual risk behavior among undergraduate university students in Ethiopia: a cross-sectional study. Pan Afr Med J. 2012;12:33.PubMedPubMedCentral
12.
go back to reference Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiop J Heal Sci. 2012;22(3):170–80. Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiop J Heal Sci. 2012;22(3):170–80.
17.
go back to reference Bayissa D, Mebrahtu G, Bayisa G, Mekuanint Y. Assessment of Early Sexual Initiation and Associated Factors among Ambo University Undergraduate Students, Ambo, Ethiopia. J Health Med Nurs. 2016;25:35-40. Bayissa D, Mebrahtu G, Bayisa G, Mekuanint Y. Assessment of Early Sexual Initiation and Associated Factors among Ambo University Undergraduate Students, Ambo, Ethiopia. J Health Med Nurs. 2016;25:35-40.
18.
go back to reference Ruangkanchanasetr S, Plitponkarnpim A, Hetrakul P, Kongsakon R. Youth risk behavior survey: Bangkok, Thailand. J Adolesc Health. 2005;36:227–35.CrossRefPubMed Ruangkanchanasetr S, Plitponkarnpim A, Hetrakul P, Kongsakon R. Youth risk behavior survey: Bangkok, Thailand. J Adolesc Health. 2005;36:227–35.CrossRefPubMed
19.
go back to reference Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol. 2002;14:101–17.CrossRef Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol. 2002;14:101–17.CrossRef
20.
go back to reference Kebede D, Alem A, Mitike G, Enquselassie F, Berhane F, Abebe Y, et al. Khat and alcohol use and risky sex behavior among in-school and out-of-school youth in Ethiopia. BMC Public Health. 2005;14(5):109.CrossRef Kebede D, Alem A, Mitike G, Enquselassie F, Berhane F, Abebe Y, et al. Khat and alcohol use and risky sex behavior among in-school and out-of-school youth in Ethiopia. BMC Public Health. 2005;14(5):109.CrossRef
21.
go back to reference Cooper ML. Does drinking promote risky sexual behavior? A Complex Answer to a Simple Question. Drinking Risk Sexual Behav. 2006;15(1):19–23. Cooper ML. Does drinking promote risky sexual behavior? A Complex Answer to a Simple Question. Drinking Risk Sexual Behav. 2006;15(1):19–23.
25.
go back to reference Martiniuk ALD, Steel O’Connor K, King WD. A cluster randomized trial of a sex education program in Belize, central America. Int J Epidemiol. 2003;32:131–6.CrossRefPubMed Martiniuk ALD, Steel O’Connor K, King WD. A cluster randomized trial of a sex education program in Belize, central America. Int J Epidemiol. 2003;32:131–6.CrossRefPubMed
28.
go back to reference Somaratna WA. Study on knowledge and attitudes on HIV/AIDS and current sexual practices among first year agriculture students of university of Ruhuna, Dissertation. 2010 (Diploma in Reprod Health, Postgraduate Institute of Medicine, University of Colombo). Somaratna WA. Study on knowledge and attitudes on HIV/AIDS and current sexual practices among first year agriculture students of university of Ruhuna, Dissertation. 2010 (Diploma in Reprod Health, Postgraduate Institute of Medicine, University of Colombo).
29.
go back to reference Henok A, Kassa A, Lenda A, Nibret A, Lamaro T. Knowledge, attitude and practice of risky sexual behavior and condom utilization among regular students of Mizan-Tepi university, South West Ethiopia Journal of child and adolescent behavior https://doi.org/10.4172/2375-4494. Accessed 25 May 2016. Henok A, Kassa A, Lenda A, Nibret A, Lamaro T. Knowledge, attitude and practice of risky sexual behavior and condom utilization among regular students of Mizan-Tepi university, South West Ethiopia Journal of child and adolescent behavior https://​doi.​org/​10.​4172/​2375-4494. Accessed 25 May 2016.
30.
go back to reference Morrison DM, Baker SA, Gillmore MR. Sexual risk behavior, knowledge and condom use among adolescents in juvenile detention. J Youth Adolescence. 1994;23(2):271–8.CrossRef Morrison DM, Baker SA, Gillmore MR. Sexual risk behavior, knowledge and condom use among adolescents in juvenile detention. J Youth Adolescence. 1994;23(2):271–8.CrossRef
31.
go back to reference Peltzer K. Knowledge and practice of condom use among first year students at University of the North. Curationis. 2001;24(1):53–7.CrossRefPubMed Peltzer K. Knowledge and practice of condom use among first year students at University of the North. Curationis. 2001;24(1):53–7.CrossRefPubMed
34.
go back to reference Fentahum N, Mamo A. Risky sexual behaviors and associated factors among male and female students in Jimma zone preparatory schools, south West Ethiopia: comparative study. Ethiop J Health Sci. 2014;24(1):59–68.CrossRef Fentahum N, Mamo A. Risky sexual behaviors and associated factors among male and female students in Jimma zone preparatory schools, south West Ethiopia: comparative study. Ethiop J Health Sci. 2014;24(1):59–68.CrossRef
Metadata
Title
Prevalence and associated factors of risky sexual behaviors among undergraduate students in state universities of Western Province in Sri Lanka: a descriptive cross sectional study
Authors
Upuli Amaranganie Pushpakumari Perera
Chrishantha Abeysena
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2018
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-018-0546-z

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