Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia

Yang, Xu; Yuan, Shuai; Zhang, Rui; Jin, Yu; Nzala, Selestine; Wang, Peigang; He, Qi-qiang

doi:10.1007/s10508-019-1442-5

Cited by 28 publications

(24 citation statements)

References 39 publications

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“…As previously mentioned, pornography use has also been associated with an increased involvement in high-risk sexual behaviors, including an association with an increased number of hook up partners, oral sex and sexual intercourse during a hookup, sexual permissiveness, anal intercourse, number of sexual partners, engaging in extramarital sex, and in paying for sex (Baggaley et al, 2010;Weinberg et al, 2010;Brody and Weiss, 2011;Morgan, 2011;Poulsen et al, 2013;Wright, 2013a,b;Braithwaite et al, 2015;Stannah et al, 2020). While it was beyond the scope of our study to directly address the prevalence of such risky behaviors in our sample, the aspects pertaining to the Extrinsic factor, including being more likely to view internet pornography when under the influence of alcohol or drugs and being with a sexual partner or peer-pressured appear to reflect circumstances with a potential to predispose the individual to vulnerable situations involving sexually risky behaviors (Lane et al, 2004;Camchong et al, 2014;Yang et al, 2019).…”

Section: Risky Behaviorsmentioning

confidence: 97%

“…Additionally, research indicates an increase in the prevalence of risky sexual behaviors (e.g., number of sexual partners, age of initial sexual encounter, sexting, etc.) among university students (Tyden et al, 2012;Stenhammar et al, 2015;Ingram et al, 2019;Yang et al, 2019), which have also been reported to be associated with mental health issues (Meade and Sikkema, 2007;Agardh et al, 2012;Tesfaye et al, 2019). Related is an increase in the prevalence of pornography use among this population (Carroll et al, 2008;Willoughby et al, 2014), with reports of negative effects associated with its use, including associations with other high risk sexual behaviors (Weinberg et al, 2010;Morgan, 2011;Poulsen et al, 2013;Wright, 2013a,b;Van Ouytsel et al, 2014;Braithwaite et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Compulsive Internet Pornography Use and Mental Health: A Cross-Sectional Study in a Sample of University Students in the United States

2021

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BackgroundThe sustained rise in negative mental health reports among university students is a source of continued global concern, and investigation continues into potential contributors to this rise. This includes the increased prevalence of risky sexual behaviors. Related is the increased prevalence of pornography use. Our study sought to explore the potential relationship between compulsive use of pornography and mental health in university students.MethodsOur sample consisted of university students (N = 1031; 34% male, 66% female) from Franciscan University of Steubenville, Steubenville, Ohio. An anonymous survey was sent to all students at the university over the age of 18. The survey was comprised of the following: (1) demographic questions, (2) questions on pornography use and perception, (3) a modified version of the Compulsive Internet Use Scale (mCIUS) assessing various factors associated with compulsive internet pornography use, (4) questions assessing emotional and sexual states relative to pornography use (EmSS), and (5) the 21-question version of the Depression, Anxiety and Stress Scale (DASS-21).ResultsOur results indicate that 56.6% of those surveyed reported lifetime pornography use, with a significantly higher proportion of males than females reporting such use. The majority of students reported accessing pornography through internet-related technologies. Additionally, 17.0, 20.4, and 13.5% of students reported severe or extremely severe levels of depression, anxiety and stress, respectively, with compulsive pornography use significantly affecting all three mental health parameters in both sexes. Exploratory Factor Analysis identified three factors suggesting emotional coping, dependence and preoccupation for the mCIUS items and three factors reflecting interoceptive, impotent, and extrinsic characteristics for the EmSS items. Regression analysis indicated that various demographics, items pertaining to reduced control and social impairment, and other variables pertaining to pornography use predicted mental health outcomes. Faith, morals and personal motivation were the primary variables reported to help reduce pornography use.ConclusionOur analyses indicate a significant relationship between mental health and pornography use, including behaviors reflecting behavioral addictions, highlighting the necessity for a better understanding and consideration of the potential contribution of internet pornography to negative mental health among university students.

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Section: Risky Behaviorsmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Compulsive Internet Pornography Use and Mental Health: A Cross-Sectional Study in a Sample of University Students in the United States

2021

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“…The figure of sexual behavior among university students varied greatly among studies and different regions. The lifetime prevalence of risky sexual behavior among college students was 40.8% in Ethiopia 6 , one year prevalence was 72.2% in Zambia 7 . A survey including 19,123 Chinese college students found that only 24.8% of sexually active college students reported using a condom for every sexual encounter 8 .…”

Section: Introductionmentioning

confidence: 97%

Effects of health education on HIV/AIDS related knowledge among first year university students in China

Liang¹,

Lu²,

Wang³

et al. 2020

Afr H. Sci.

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Background: The number of new HIV infections has increased and implementation of school-based health education programs on AIDS have been advocated for a long time. Objective: This study aimed to explore the effectiveness of an intervention of HIV/AIDS on the knowledge of HIV/ AIDS prevention and control among first year university students. Methods: An awareness questionnaire was adopted to assess awareness and knowledge of HIV/AIDS pre- and post-health education among first year university students in Qinghai, China. Independent sample t-test, chi-square test, and multiple logistic regression analyses were used. Results: A total of 2,165 and 2,062 first year university students were respectively recruited pre- and post- HIV/AIDS health education. The awareness rate increased significantly after the health education intervention (from 48.59%, 95%CI: 46.47%-50.72% to 76.24%, 95%CI: 74.35%-78.06%). Students from Hui and Tibetan ethnicities, and those holding prej- udices against AIDS patients were less knowledgeable than their counterparts regarding HIV/AIDS related knowledge, whereas urban-dwellers and those with higher paternal education were positively associated with awareness of HIV/AIDS related knowledge (p <0.05). Conclusion: HIV/AIDS awareness among first year university students improved greatly after receiving an education inter- vention, which underscores its utility as part of the approaches of HIV/AIDS control and prevention. Keywords: HIV/AIDS knowledge; awareness; health education; university students; China.

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“…This finding was lower than other studies in Ethiopia (62%, 49.1%, and 43.1%) and Zambia (72.2%). 16,[53][54][55] The difference might be related to characteristics of the study population, methods employed, and study settings. Those studies cited were conducted in institutions, among students, in an urban setting, and used self-administered questionnaires, which may minimize underreporting of adolescent sexual behavior.…”

Section: Discussionmentioning

confidence: 99%

“…This finding is in line with a study conducted among high school students in West Gojjam Zone and Zambia. 16,53 This could be because of increasing physical maturity and sexual awareness and/or that unmarried adolescents may discover more opportunities to experiment.…”

Section: Discussionmentioning

confidence: 99%

<p>Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia</p>

Munea¹,

Alene²,

Debelew³

2020

RMHP

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Background: Risky sexual behavior established during adolescence adversely affect young people's health and well-being. Youth-friendly services (YFS) programs are believed to improve the sexual and reproductive health of adolescents. Little is known about the effect of YFS programs on adolescents' sexual behavior in Ethiopia. Therefore, this study assessed the sexual behavior of unmarried adolescents in YFS-program and nonprogram areas and factors contributing to their sexual behavior in West Gojjam Zone, Northwest Ethiopia. Methods: This community-based comparative cross-sectional study was conducted among 1,125 randomly selected unmarried adolescents (545 from program areas and 580 from nonprogram areas) in June 2018. Data were collected in face-to-face interviews using a pretested questionnaire and analyzed using SPSS version 21. Between groups, comparisons were made using χ 2 and t-tests. A hierarchical logistic regression model was employed to identify important variables explaining risky sexual behavior. Results: Of all respondents, 305 (27.1%) had risky sexual behavior, which was comparable between the YFS-program and nonprogram areas (25.0% vs 29.1%, p=0.12). Including YFS program-related variables in the hierarchical regression model did not improve the explanation of risky sexual behavior over the individual attributes. On the other hand, including interpersonal-related variables (eg, with parents) significantly improved the explanation of risky sexual behavior over and above individual attributes and YFS program-related variables. A point increase in parent-adolescent communication score reduced risky sexual behavior by 20% (AOR 0.80, 95% CI 0.75-0.85). Being female, being older, having knowledge on family planning and HIV, out of school, and watching pornography were associated with higher odds of engaging in risky sexual behavior. Conclusion: Risky sexual behavior was comparable between settings. Parent-adolescent communication about sexual and reproductive health issues is more important in predicting adolescents' risky sexual behavior than other variables. Therefore, interventions should give emphasis to parent-adolescent communication to reduce adolescents' risky sexual behavior.

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Risky Sexual Behaviors and Associated Factors Among College Students in Lusaka, Zambia

Cited by 28 publications

References 39 publications

Compulsive Internet Pornography Use and Mental Health: A Cross-Sectional Study in a Sample of University Students in the United States

Compulsive Internet Pornography Use and Mental Health: A Cross-Sectional Study in a Sample of University Students in the United States

Effects of health education on HIV/AIDS related knowledge among first year university students in China

<p>Does Youth-Friendly Service Intervention Reduce Risky Sexual Behavior in Unmarried Adolescents? A Comparative Study in West Gojjam Zone, Northwest Ethiopia</p>

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