Oral and anal sex practices among high school youth in Addis Ababa, Ethiopia.
Oral and anal sex practices among high school youth in Addis Ababa, Ethiopia.
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DOI：
10.1186/1471-2458-12-5
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发表时间：
2012-01-04
影响因子：
4.5
通讯作者：
Berhane Y
中科院分区：
文献类型：
--
作者：
Cherie A;Berhane Y
了解年轻人的各种性行为对于制定适当的干预措施以预防和控制包括艾滋病毒在内的性传播感染至关重要。然而，在发展中国家，这类信息很少。本研究的目的是描述高中生的口交和肛交行为，并确定相关因素。在埃塞俄比亚阿迪斯的高中青年中进行了一项横断面研究。调查采用多阶段抽样程序，从学生中选出具代表性的样本。本研究的总样本量为3840。使用自填问卷收集数据。数据分析以生态学框架为指导。报告曾经有过口交的人的总体比例为5.4%（190），肛交的比例为4.3%（154）。其中51.6%（98人）在过去12个月内有过口交，57.1%（87人）有过肛交。61.2%的口交者和51.1%的肛交者报告有多个伴侣。12.2%的口交者和26.1%的肛交者报告了一致的避孕套使用。口交和肛交的原因包括防止怀孕、保持童贞和减少艾滋病毒和性传播感染。口交行为与最好的朋友参与口交的感知（AOR = 5.7; 95%CI 3.6-11.2）和母亲是文盲（AOR = 11.5; 95%CI 6.4-18.5）密切相关。类似地，肛交行为与对肛交的良好态度（AOR = 6.2; 95%CI 3.8-12.4）和感知最好的朋友参与肛交（AOR = 9.7; 95%CI 5.4-17.7）密切相关。相当比例的青少年从事口交和肛交行为。多个性伴侣很常见，而安全套的持续使用率很低。性健康教育和行为改变沟通策略需要涵盖全方位的性行为。
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. A multi-stage sampling procedure was followed to select a representative sample of school youth. The total sample size for this study was 3840. Data were collected using a self-administered questionnaire. Data analysis was guided by the ecological framework. The overall proportion of people who reported ever having oral sex was 5.4% (190) and that of anal sex was 4.3% (154). Of these 51.6% (98) had oral sex and 57.1% (87) had anal sex in the past 12 months. Multiple partnerships were reported by 61.2% of the respondents who had oral sex and 51.1% of students practicing anal sex. Consistent condom use was reported by 12.2% of those practicing oral sex and 26.1% of anal sex. Reasons for oral and anal sex included prevention of pregnancy, preserving virginity, and reduction of HIV and STIs transmission. Oral sex practice was strongly and significantly associated with perception of best friends engagement in oral sex (AOR = 5.7; 95% CI 3.6-11.2) and having illiterate mothers (AOR = 11.5; 95%CI 6.4-18.5). Similarly, anal sex practice was strongly and significantly associated with favorable attitude towards anal sex (AOR = 6.2; 95%CI 3.8-12.4), and perceived best friends engagement in anal sex (AOR = 9.7; 95%CI 5.4-17.7). 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.
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DOI：
10.1363/3015604
发表时间：
2004-12-01
期刊：
INTERNATIONAL FAMILY PLANNING PERSPECTIVES
影响因子：
--
作者：
Koenig, MA;Zablotska, I;Gray, R
通讯作者：
Gray, R
影响因子：
4.5
作者：
Kazaura MR;Masatu MC
通讯作者：
Masatu MC
影响因子：
8
作者：
Brady, Sonya S.;Halpern-Felsher, Bonnie L.
通讯作者：
Halpern-Felsher, Bonnie L.
影响因子：
2.2
作者：
Kirby, D
通讯作者：
Kirby, D
影响因子：
3.6
作者：
Kirby, D
通讯作者：
Kirby, D