Predictors of risky sexual behaviour among pre-college students in Adama town, Ethiopia

Geremew Werkeshe Wana, Oyedunni Arulogun, Adebola Roberts, Abraham Sahilemichael Kebede

Research output: Contribution to journalArticlepeer-review


Introduction: the rate of sexually transmitted infection's, including HIV has increased in recent years in Ethiopia. Many adolescents and young people still do not protect themselves against unintended pregnancies and STIs. Therefore, this study was conducted to assess the predictors of risky sexual behavior among pre-college students in Adama Town, Ethiopia. Methods: school based cross-sectional study was employed. In this study 364 students were recruited from all pre-college schools in Adama town, Ethiopia. Bivariate and multivariate logistic regression analysis were used to examine the relationship between the outcome variables and independent variables. Results: the mean age at sexual debut was 16.1 years (± 2.72SD). Social media usage for sexual activity and having multiple sexual partners were observed among students. About 7% of students used social media for watching pornography. The odds of risky sexual behaviour were higher among social media users compared to the nonusers AOR = 1.23 (95% CI 1.13,3.12). Risky sexual behaviour was almost 4 times more likely among night club goers AOR = 4.294 (95% CI: 2.033, 9.073). Peer pressure and substance abuse were also a significant predictor for risky sexual behavior AOR = 6.97 (95% CI: 4.24, 9.69). Conclusion: social media use, peer pressure, substance abuse, and night club going were found to be significantly associated with risky sexual behaviour among pre-college students. Thus, schools need to establish and strengthen reproductive health clubs to be able to equip students with required skills and knowledge about sexuality. Parents should be aware of the dynamic behavioral change of their children, listen and attend to their needs.

Original languageEnglish
Article number135
Journal Pan African Medical Journal
Publication statusPublished - 24 Jun 2019

Bibliographical note

© Geremew Werkeshe Wana et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original
work is properly cited.


  • Attitude
  • Reproductive health
  • Risky sexual behaviour
  • Sexual orientation
  • Social media usage


Dive into the research topics of 'Predictors of risky sexual behaviour among pre-college students in Adama town, Ethiopia'. Together they form a unique fingerprint.

Cite this