Age At First Sexual Debut And Condom Use Among In School Youth In Debre Markos Town Amhara Region Ethiopia

Background: Early initiation of sexual activity has been escalating among young people.and it leadsrnto risky sexual behaviors. This might lead to health and health related burden among youth. In orderrnto prevent this problem as well as to implement youth reproductive health (RH) programs effectivelyrnconducting different reasearches is necessary.rnObjective: To assess the age of first sexual debut and condom use among in school youth in DebrernMarkos townrnMethod: A cross sectional study was employed in Debre Markos town from December, 2013 tornDecember, 2014. The study populations were secondary school students in the town. Seven hundredrnstudents were selected from three secondary schools. Self administered structured questionnaire andrnin depth interview was a method used to collect data. Data entered into EPI-info software andrnanalyzed using the SPSS statistical package. Descriptive statistics, Chi square test, bivariate andrnmultivariate logistic regressions were used.rnResult: About a fifth (22.3%) of study participants started sexual intercourse at the time of the study.rnThe median age at first sexual intercourse was 16. Socio-demographic factors such as being gradernnine (AOR =5.5: 95%CI (1.2, 25.6), living with renting alone AOR=1.7:95%CI (1.2, 17.6) and gettingrnless than 100 birr/month pocket money AOR=5.1:95%CI(1.1,26.0)were significantly associated withrnearly sexual activity. Similarly, students who did not hear about the negative effect of early sexualrnactivity AOR=3. 5:95%CI (1.1, 11.2) and who did not agree with the idea of their parental connectionrnand supervision might postpone sex AOR=3.5:95% CI (1.1, 10.7) significantly associated with earlyrnsexual debut. Majority 109 (69.9%) did not use any family planning method including condom at therntime of their first sexual intercourse. Those who planned their first sexual intercourse (36.5%) andrnwho had willingness to get condom themselves (36.8%) used condom more than their counterparts.rnThose who got more than 200 Birr per month pocket money (AOR=5.7: 95%CI (1.1, 29.9) were usedrncondom more at last sexual intercourse. Among student’s community norms, lack of comprehensivernknowledge and misconception about condom is a reason not using condom during sexrnConclusion: Age of sexul debut among high school students was low in the town. Students’rnknowledge about early sexual activity influence to start sex at earlier age. Parental connection andrnsupervision has a role to start sex at earliy age.Use of condom or other family planning method at firstrnsexual intercourse among student was low. Students who are not willing to get condom themselvesrnused condom lower than others.rnRecommendation: In order to decrease early sexual activity, equip students with comprehensivernsexual health knowledge is a crucial work. This could be done by the collaboration of family,rngovernmental and non governmental organizations. Condom use at sex might be increased byrnimproving their willingness to get condom themselves. Awareness creation in the community andrnavoiding misconception could be a a strategy.

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