Epidemiology of Non Penetrative Sexual Behavior Among University Students in the Context of HIV/AIDS Prevention: The Case of Bahir Dar University, Ethiopia

Background: Although non-penetrative sexual (NPS) practices might be considered as one of the options for young people to reduce the risk of HIV infection and other sexually transmitted infections, we are unaware of a study in Ethiopia regarding such sexual behavior in the context of HIV/AIDS prevention. This study was conducted to explore the knowledge, attitude and practices related to NPS behavior in the context of HIV/AIDS prevention among Bahir Dar University students. Methods: In a cross-sectional survey conducted from November 05 – 09, 2007, a representative sample of 624(5.5%) regular undergraduate students attending their education in academic year 2007 in Bahir Dar University, were approached. One stage cluster sampling procedure was utilized to select departments. Pre-tested self-administered unlinked questionnaire was used to collect the required information. Results: Eighty four percent of the students had scored above the mean value of the knowledge assessment score. Around 46.7% were currently practicing one or more of the non penetrative sexual practices. Among those who were practicing at least one NPS behaviors 56.8%, 49.8%, 17.1%, and 16.7% were practicing it for sexual pleasure, to prevent HIV and STI, to keep virginity and to prevent pregnancy, respectively. Around 60.7% of the respondents were under unfavorable conditions towards NPS behavior. Having good knowledge, being male student, and having favorable attitudes towards NPS were significantly associated with NPS practice. Conclusions: Most of the students have relatively good level of knowledge about NSP and a reasonable proportion of them were already engaged in one of the NPS practices withstanding the unfavorable attitude they have towards it.