“…The similarity may be due to large sample size of previous studies. This finding is lower than college and university students reported in Pakistan 10.7% [ 15 ], and Iran (11% Kerman College and 21% Semnan Province) [ 22 , 29 ], 12.94% in Rajasthan [ 16 ], 13.7% in Nigeria [ 2 ], 14.7% in Malaysia [ 30 ], 60% in Dhaka Bangladesh [ 17 ], 54% in India [ 31 ], 14% in Western Saudi Arabia [ 19 ], 12.4% in Yemen [ 20 ], and 10.5% in Iraq [ 27 ]. Furthermore, previous studies in Ethiopia university students indicated prevalence of 11.3% in Wollo [ 32 ], 11.8% in Adigrat [ 33 ], 14.5% Jigjiga [ 23 ], 19.17% in Dilla [ 25 ], and 20.6% in Hawassa [ 24 ].…”