Assessment Of Male Regular Sexual Partner Involvement In The Use Of Modern Contraceptive And Associated Factors Among Undergraduate Regular Female Students Of Addis Ababa University

Background:-University students most of which in the youth age category exposed to many risky sexualrnbehaviors in the context of low knowledge of modern contraception can lead to several sexual healthrnconsequences. Besides, studies have documented that male involvement raised family planning uptakernamong females. However, there is limited information among the youth, which are not married, but inrnregular sexual partnership. The paucity of information is particularly high among University students. rnObjective:-To assess the involvement of male regular sexual partner in the use of modern contraception,rnamong regular undergraduate female students of Addis Ababa, University, 2017. rnMethods: - A cross sectional study used on 634 undergraduate students from March 2017 to Aprilrn2017.Multi- stage stratified sampling used to select the study participants. First using purposive samplingrnfive colleges and ten departments with the highest number of female students were selected respectively.rnThen simple random sampling technique used to select the study participants. The study measuresrnmagnitude of female students in sexual partnership. A composite variable is determined and measures therninvolvement of males in modern contraception. The overall association of different covariates with malerninvolvement is assessed using multi-variants logistic regression. rnResult: - 621 female undergraduate students enrolled after fulfilling the inclusion criteria with responsernrate 97%. Two hundred seventy eight (44.8%) of them had regular sexual partner in past 12 month at therntime of data collection. In addition age (AOR=3.46, 95%CI [1.15, 10.32]), study year (AOR=8.62, 95%CIrn[3.99, 18.61]), current residence (AOR=11.01, 95%CI [4.25, 28.49]), average pocket money (AOR=3.22,rn95%CI [1.65, 6.29]). Attending nightclub (AOR=3.24, 95%CI [2.02, 5.2]), watching pornographyrn(AOR=2.83, 95%CI [1.38, 5.78]), peer pressure (AOR=1.83, 95%CI [1.15, 2.92]) were found to havernassociation with sexual partnership in the past 12 month. One third 86 (31%) of the regular sexualrnpartners were found to be involved in modern contraceptive use. Moreover, partners’ educational statusrn(AOR=3.04, 95%CI [1.3, 7.11]), partners’ monthly pocket money (AOR=4.86, 95%CI [1.23, 19.1]),rnhaving sex after partner used substance (AOR=2.07, 95%CI [1.03, 4.19]) and using contraceptives in thernpast 12 month (AOR=6.51, 95%CI [1.26, 33.48]), were found to have association with involvement ofrnmale regular sexual partner on modern contraceptive use.rnConclusion: Almost half of university students were engaged in sexual partnership in the past 12 month.rnThere was significant association between age, study year, current residence, average pocket money,rnattending nightclub, watching pornography and peer pressure with sexual partnership in the past 12rnmonth. From female students who were in regular sexual partnership the male partners who wererninvolved in contraceptive use were very low. Partner’s educational status, partner’s average pocket moneyrnand having sex after partner used substances, using modern contraceptive in the past 12, were tends to bernassociated with the outcome variable regular male sexual partner involvement in contraceptive use. Tornimprove male sexual partner participation in contraceptive use, all stakeholders on sexual andrnreproductive health should focus on male sexual partners' involvement in modern contraceptive use.

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