Abstract:
Risky sexual behavior is a major health problem in Ethiopia. Some risky sexual behaviors
among University students are early sexual debut, having multiple sex partners, and
unprotected sex that makes them vulnerable to many health problems such as unintended
pregnancy, and sexually transmitted infections worldwide particularly in Ethiopia. The
objective of the study was to assess the prevalence and determinants of risky sexual behaviors
among Bahir Dar University students. A survey cross-sectional study was conducted
involving quantitative and qualitative methods. To get the required sample of students, the
study utilized a multistage cluster sampling technique. The data were collected using a self administered questionnaire. The study employed univariate, bivariate, and multivariate
analytical methods. The qualitative part involved five interviews selected purposively. The
qualitative data were analyzed by thematic areas. From the total respondents, 132(40.2%)
ever had sexual intercourse and the mean age at first sexual intercourse was 18.6 years.
About 37.5% of respondents head risky sexual behaviors. In multivariate analysis regarding
multiple sexual partners, years of study, monthly income, living arrangement, ever use
substance, watching pornography and discussion with parents significantly predicted
multiple sexual partners. In multivariate analysis, monthly income, living arrangements,
years of study, substance use, attending night clubs, peer pressure, and religiosity
significantly predicated risky sexual behaviors. The prevalence of risky sexual behaviors
among Bahir Dar University students was high. Therefore, life skills training is
recommended to diminish peer pressure among students. Interventions should be designed to
reduce substance use, and attending night clubs are recommended.
Keywords: Risky Sexual Behaviors, Determinants, University student, Bahir Dar, Ethiopia