Introduction: According to WHO; youth are young people within 15-24 years old. Studies reported that more than half of all new HIV infections occur in people between the ages of 15 and 24 years. Identifying risky sexual behaviors and associated factors among this group of youth is critical to design sound intervention. However limited studies acknowledge the differential vulnerability of high school students for risky sexual behavior in Ethiopia. Therefore this study aims to investigate risky sexual behaviors and associated factors among high school students in Gondar city administration. Objective: To assess the prevalence of risky sexual behaviors and associated factors among high school students in Gondar city administration. Methods: Institution based quantitative cross-sectional study was conducted from March 23/2015 to march 26/ 2015 among high school students in Gondar city administration. Multistage sampling technique was employed to recruit study participants and Data was collected using structured self-administered questionnaire, and entered using epiinfo version 7 and imported to SPSS version 21 for analysis. Descriptive statistics like frequency, proportion and mean were computed to describe important variables in relation to the outcome variable, and Binary and multivariable logistic regression were used to identify independent predictors Results: The overall prevalence of risky sexual behavior was 12.8%%. Ever used alcohol ((AOR, 3.53 95% CI (1.73-7.19)), had no parental monitor (AOR, 12.21 95% CI (6.55-22.78), watching pornographic film (AOR, 2.24 95% CI (1.15-4.35), had parental discussion on SRH issues (AOR, 2.57 95% CI (1.36-4.85) and peer pressure (AOR, 2.50, 95%CI (1.20-5.21), were factors which significantly increases the odds of risky sexual behavior among youth Conclusion and recommendations: Risky sexual behaviors among high school students in Gondar city administration was very high and worrisome so that a concerted effort is needed from parents, school, health facility and policy makers to bring accepting attitude for condom use.

Abstract

Background: Tuberculosis and intestinal parasitic infections are worldwide health problems; they are particular major public health burdens, in the developing world. In Ethiopia, tuberculosis as well as intestinal parasitic infections is among the prevalent causes of morbidity and mortality particularly in people living in congregated settings. To prevent the morbidity and mortality of tuberculosis and intestinal parasitic infections require improved understanding of the prevalence of tuberculosis and intestinal parasitic infections. Objective: To determine the prevalence of smear positive pulmonary tuberculosis and intestinal parasitic infections among tuberculosis suspected Orthodox Church religious students in Gondar town. Methods: A cross-sectional study was conducted on 423 tuberculosis suspected religious students and interviewed by using pre-tested structured questionnaire. Smears prepared from sputum samples were stained by the Auramine O stain and examined by under 20 x, 40 x magnifications of light emitting diode fluorescence microscopy. Both direct saline and concentration methods were employed for microscopic examination of stool samples. The data were analyzed using SPSS version -20 soft ware. Results: The prevalence of smear positive pulmonary tuberculosis among the Church students was 8 (1.89 %). In this study, the prevalence of intestinal parasitic infection was 240 (58.5 %). 7 (87.5 %) were co-infected with intestinal parasites. Pulmonary tuberculosis infection was significantly associated with history of contact with TB patients (p=0.024), and duration of stay (<6 month) in a church (p=0.033). Unprotected water source for drinking (p=0.037), absence of toilet facilities (p=0.044) were significantly associated with intestinal parasitic infections. Conclusions: The prevalence of smear positive pulmonary tuberculosis can be considered significant for tuberculosis transmission as the students are living in severely crowded environment. Therefore, strong cooperation between Orthodox Church authorities and the national tuberculosis control programmers is urgently required to develop locally appropriate interventions to reduce transmission