Prevalence and Correlates of Sexual Risk Behaviors among Nepalese Students

  • Ramesh Adhikari Geography and Population Department, Mahendra Ratna Campus, Tribhuvan University, Kathmandu
Keywords: Sexual risk behavior, students, sex workers, multiple sex partners, condom use

Abstract

This paper explores the prevalence of sexual risk behaviors for HIV among students in Nepal, and investigates the factors that may influence such behaviors. A self-administered questionnaire was completed by 1,276 (636 male and 640 female) students. A composite index of sexual risk behavior was constructed. Associations between sexual risk behavior and explanatory variables were first assessed using Chi-square tests, then further explored using multivariate logistic analysis (binary logistic regression). The study found that sex of the student, marital status, level of education, alcohol consumption, exposure to pornography and close unmarried friends’ sexual behavior are the main predictors of sexual risk behavior. Male students were about three times more likely to be involved in sexual risk behavior than female students. Unmarried students who received reproductive health (RH) education were less likely to be engaged in sexual risk behavior than married students. On the other hand, students who consumed alcohol frequently, who were exposed pornography and who had close unmarried friends with experience of sexual intercourse were more likely to be engaged in sexual risk behavior for HIV than their comparison groups. Students, especially male students, are exposed to health hazards through their sexual behavior. This problem should be addressed early by targeting these groups of high-risk students.

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References

Adhikari, R. (2010). Are Nepali students at risk of HIV? A cross-sectional study of condom use at first sexual intercourse among college students in Kathmandu. Journal of the International AIDS Society,
13:7. http://dx.doi.org/10.1186/1758-2652-13-7

Adhikari, R. & Tamang, J. (2009). Premarital sexual behavior among male college students of Kathmandu, Nepal. BMC Public Health, 9, 241. http://dx.doi.org/10.1186/1471-2458-9-241

Adhikari, R. (2008). Attitude and behavior towards premarital sex among college students of Kathmandu, Nepal. Kathmandu, Nepal: University Grant Commission.

Barnett E., Koning, Kd. & Francis, V. (1995). Health and HIV/AIDS education in primary and secondary schools in Africa and Asia. London: Department for International Development.

Bennell, P., Hyde, K. & Swainson, N. (2002). The impact of the HIV/AIDS epidemic on the education sectors in Sub-Saharan Africa: A synthesis of the findings and recommendations of three country studies. England: Centre for International Education, University of Sussex Institute of Education. Burbank, J. (1994). Culture shock: Nepal. A guide to customs and etiquette. London: Kuperard Ltd.

Campbell, B. & Lubben, F. (2003). The provision of a health promoting environment for HIV/AIDS education: The case of Namibian senior secondary schools. International Journal of Educational
Development, 23, 529-542. http://dx.doi.org/10.1016/s0738-0593(03)00058-0

Central Bureau of Statistics. (2012). National population and housing census, 2011 (National Report). Government of Nepal. National Planning Commission Secretariat. Katmandu, Nepal: Central
Bureau of Statistics.

Dahal, G. (2008). Sexual and contraceptive behavior among men in Nepal: The need for male friendly reproductive health policies and services. Lewiston, NY: Mellen Press.

Donenberg, G. R., Emerson, E., Bryant, F. B. & King, S. (2006). Does substance use moderate the effects of parents and peers on risky sexual behavior? AIDS Care, 18(3), 194-200.
http://dx.doi.org/10.1080/09540120500456391

Espada, J. P., Morales, A., Orgiles, M., Piqueras, J. A. & Carballo, J. L. (2013). Sexual behavior under the influence of alcohol among Spanish adolescents. Adicciones, 25(1), 55-62.

Francoeur, R. & Noonan, R. (2004). The continuum complete international encyclopaedia of sexuality. New York: Continuum. Retrieved from http://www.kinseyinstitute.org/ccies/

Gubhaju, B. B. (2001). Adolescent reproductive health in the Asian and Pacific Region. (Asian Population Studies Series No, 156.) Bangkok: Economic and Social Commission for Asia and the Pacific.

Hutton, H. E., McCaul, M. E., Chander, G., Jenckes, M. W., Nollen, C., Sharp, V. L. & Erbelding, E. J. (2013). Alcohol use, anal sex, and other risky sexual behaviors among HIV-infected women and
men. AIDS and Behavior, 17(5), 1694-1704. http://dx.doi.org/10.1007/s10461-012-0191-4

Jha, S. M., Chaurasia, R. & Jha, B. (2010). Knowledge about condoms among adolescents in Kathmandu Valley. Journal of Nepal Pediatric Society, 30, 18-22. http://dx.doi.org/10.3126/jnps.v30i1.2455

Kapiga, S. H. & Lugalla, J. L. (2002). Sexual behavior patterns and condom use in Tanzania: Results from the 1996 demographic and health survey. AIDS Care, 14(4), 455-469. http://dx.doi.org/10.1080/09540120208629665

Kalmuss, D., Davidson, A., Cohall, A., Laraque, D. & Cassell, C. (2003). Preventing sexual risk behaviors and pregnancy among teenagers: Linking research and programs. Perspectives on Sexual and
Reproductive Health, 35(2), 87-93. http://dx.doi.org/10.1363/3508703

Kirby, D. B., Laris, B. A. & Rolleri, L. A. (2007). Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world. Journal of Adolescent Health, 40(3), 206-217.
http://dx.doi.org/10.1016/j.jadohealth.2006.11.143

National Centre for AIDS and STD Control (NCASC). (2012). National estimates of HIV infections in Nepal, 2012. Kathmandu, Nepal: National Centre for AIDS and STD Control, Ministry of Health and
Population.

National Centre for AIDS and STD Control (NCASC). (2014). Nepal country progress report. Kathmandu, Nepal: National Centre for AIDS and STD Control, Ministry of Health and Population.

Pokharel, S., Kulczyki, A. & Shakya, S. (2006). School based sex education in Western Nepal: Uncomfortable for both teachers and students. Reproductive Health Matters, 14, 156-161.
http://dx.doi.org/10.1016/s0968-8080(06)28255-7

Puri, M. (2002). Sexual risk behavior and risk perception of unwanted pregnancy and sexually transmitted infection among young factory workers in Nepal. Kathmandu, Nepal: Center for Research on
Environment, Health and Population Activities (CREHPA).

Puri, M. & Cleland, J. (2006). Sexual behavior and perceived risk of HIV/AIDS among young migrant factory workers in Nepal. Journal of Adolescent Health, 38, 237-246.
http://dx.doi.org/10.1016/j.jadohealth.2004.10.001

Regmi, P. (2008). Sexual and reproductive health status among young people in Nepal. Kathmandu University Medical Journal. 6(2), 248-256.

Rwenge, M. (2000). Sexual risk behaviors among young people in Bamenda, Cameroon. International Family Planning Perspectives, 26(3), 118-123. http://dx.doi.org/10.2307/2648300

Saniel, O. P. & de los Reyes, S. J. (2010). Prevalence of risky behaviors and determinants of multiple sex partnerships among male Filipino seafarers. International Maritime Health, 62(4), 215-223.

Tamang, A., Nepal, B., Puri, M. & Shrestha, D. (2001). Sexual behavior and risk perception among young men in border towns of Nepal. Asia Pacific Population Journal, 16(2), 195-210.

Willoughby, B. J., Carroll, J. S., Nelson, L. J. & Padilla-Walker, L. M. (2014). Associations between relational sexual behavior, pornography use, and pornography acceptance among US college students. Culture, Health & Sexuality, 16(9), 1052-1069. http://dx.doi.org/10.1080/13691058.2014.927075

WHO. (1993). The health of young people: A challenge and a promise. Geneva: World Health Organization.

Xenos, P. & Kabamalan, M. (2002). A comparative history of age-structure and social transformations among Asian youth. Population Series no. 110. Honolulu, HI: East-West Center.

Zaba, B., Pisani, E., Slaymaker, E. & Boerma, J. T. (2004). Age at first sex: Understanding recent trends in African demographic surveys. Sexually Transmitted Infections, 80(2), ii28-ii35. http://dx.doi.org/10.1136/sti.2004.012674

Zambuko, O. & Mturi, A. J. (2005). Sexual risk behavior among the youth in the era of HIV/AIDS in South Africa. Journal of Biosocial Science, 37(5), 569-584. http://dx.doi.org/10.1017/s0021932004007084
Published
2015-06-30
How to Cite
Adhikari, R. (2015). Prevalence and Correlates of Sexual Risk Behaviors among Nepalese Students. Social Science Asia, 1(4), 39-50. Retrieved from https://socialscienceasia.nrct.go.th/index.php/SSAsia/article/view/72
Section
Research Article