Abstract
BackgroundRisky sexual behaviors (RSB) are becoming an important problem all over the world. RSB are defined as behaviors leading to sexually transmitted diseases and unintended pregnancies. The objective of this study was to determine the prevalence and associated factors of RSB among undergraduate students in state universities of Western Province in Sri Lanka.MethodsA descriptive cross sectional study was conducted on1575 second and third year undergraduates using stratified cluster sampling of the selected universities. A pretested self-administered questionnaire was used to assess socio-demographic, knowledge attitudes and behavior on reproductive health. RSB was defined as reporting of one or more following behavior/s; having more than one sexual partner, use of alcohol or inability to use condom or other contraceptive methods in sexual activities. The results were expressed as prevalence and its 95% confidence interval (CI) of RSB. Multiple logistic regression was performed ascertain the association between RSB and possible associated factors. The results were expressed as adjusted odds ratios (AOR).ResultsPrevalence of RSB in last 1 year and 3 months periods were 12.4%, (95% CI: 11.8–13.1) and 12.1% (95% CI: 11.5–12.7) respectively. The significantly associated risk factors for RSB were, attended night clubs in last month (AOR = 3.58, 95% CI: 1.29–9.88), alcohol consumption within last 3 months (AOR = 2.67, 95% CI: 1.87–3.80) and good knowledge on condoms (AOR = 2.82, 95% CI: 1.94–4.10). Those who thought religion was very important to their lives (AOR = 0.68, 95% CI: 0.48–0.95) was a protective factor.ConclusionsAlcohol consumption and attending night clubs were associated with RSB. Necessary measures should be taken to reduce risk behaviors within university to reduce RSB.
Highlights
Risky sexual behaviors (RSB) are becoming an important problem all over the world
Plain English summary Risky sexual behaviors (RSB) are defined as behaviors leading to sexually transmitted diseases and unintended pregnancies
About 100,000 undergraduate students studying at state universities in Sri Lanka who may be at risk of practicing RSB
Summary
RSB are defined as behaviors leading to sexually transmitted diseases and unintended pregnancies. The Centers for Disease Control and Prevention (CDC) defines RSB as Sexual behaviors leading to unintended pregnancies and sexually transmitted infections (STI) include Human immuno-deficiency Virus (HIV) and acquired immuno-deficiency syndrome (AIDS) [1]. It includes having multiple sexual partners, having sex without using a condom or other contraceptive method. Global prevalence studies including other Asian countries would give a better estimate of considerably higher RSB in undergraduates [9, 10]. There is a vast amount of literature on undergraduates’ RSB in African countries indicating that higher prevalence of RSB among them ranging from 7 to 47% [11,12,13,14,15,16,17]
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