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2017 ; 14
(1
): 113
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Prevalence and determinants of risky sexual practice in Ethiopia: Systematic
review and Meta-analysis
#MMPMID28877736
Muche AA
; Kassa GM
; Berhe AK
; Fekadu GA
Reprod Health
2017[Sep]; 14
(1
): 113
PMID28877736
show ga
BACKGROUND: Risky sexual practice is a major public health problem in Ethiopia.
There are various studies on the prevalence and determinants of risky sexual
practice in different regions of the country but there is no study which shows
the national estimate of risky sexual practices in Ethiopia. Therefore, this
review was conducted to estimate the national pooled prevalence of risky sexual
practice and its risk factors in Ethiopia. METHODS: The Preferred Reporting Items
for Systematic Reviews and Meta-Analyses guideline was followed to review
published and unpublished studies in Ethiopia. The databases used were; PubMed,
Google Scholar, CINAHL and African Journals Online. Search terms were; risky
sexual behavior, risky sexual practice, unprotected sex, multiple sexual partner,
early sexual initiation, and/or Ethiopia. Joanna Briggs Institute Meta-Analysis
of Statistics Assessment and Review Instrument was used for critical appraisal.
The meta-analysis was conducted using Review Manager software. Descriptive
information of studies was presented in narrative form and quantitative results
were presented in forest plots. The Cochran Q test and I (2) test statistics were
used to test heterogeneity across studies. The pooled estimate prevalence and the
odd ratios with 95% confidence intervals were computed by a random effect model.
RESULTS: A total of 31 studies with 43,695 participants were included in the
meta-analysis. The pooled prevalence of risky sexual practice was 42.80% (95% CI:
35.64%, 49.96%). Being male (OR: 1.69; 95% CI: 1.21, 2.37), substance use (OR:
3.42; 95% CI: 1.41, 8.31), peer pressure (OR: 3.41; 95% CI: 1.69, 6.87) and
watching pornography (OR: 3.6; 95% CI: 2.21, 5.86) were factors associated with
an increase in risky sexual practices. CONCLUSIONS: The prevalence of risky
sexual practices is high in Ethiopia. Being male, substance use, peer pressure
and viewing pornographic materials were found to be associated with risky sexual
practices. Therefore, life skills training is recommended to reduce peer pressure
among individuals. Interventions should be designed to reduce substance use and
viewing pornography.
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