Sexual Behaviour And Risk Of Sexually Transmitted Diseases Among Moshi Rural District Secondary School Students In Kilimanjaro Region, Tanzania

ABSTRACT

Tanzania is realizing an increase in adolescents engaged in multiple sex partner

behaviour and premarital sex. The objective of this study was to assess sexual

behaviour and risk factors among secondary school students in Moshi rural district

in Kilimanjaro, Tanzania. Anonymous questionnaires were completed by 360

students in six secondary schools randomly selected by gender and students' grade.

Statistical analyses were performed using descriptive statistics. Of 360 students,

55.3% reported ever having sexual intercourse, and 18.1% reported having multiple

sex partners. Of all students who had engaged in sexual intercourse, 59.6% reported

having a single sexual partner and 40.4% of them reported having multiple partners.

Several demographic, family, peer and work influences, and student factors

including knowledge and attitude toward sex were risk factors for students having

sex. About 60% of the sexually active students in both sexes reported to have never

used condoms in the previous year. Both pregnancy and induced abortion had been

experienced by about 12% to 27% of the sexually active female students and about

10% of the sexually active students of both sexes reported to have been diagnosed

with Sexually Transmitted Diseases (STDs). The results also show that students

were likely to practice masturbation, start having sex at a younger age, and have sex

with married men/women and/or men/women not their "sexual partner" at first

coitus. With the risks of STDs and Human Immunodeficiency Virus (HIV) among

young people, teaching sex education at secondary schools in Tanzania offers the

best hope of raising awareness in students who are approaching sexual maturity.