{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:28:52Z","timestamp":1786969732682,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Adolescents need to have adequate life skills along with personal and social competencies to build responsible adults for healthy behavior. Works of literature agree that life skills improve adolescent\u2019s cognitive, social, and emotional skills; however, there is a paucity of evidence on the association of life skills with sexual behaviors. Therefore, this study aimed to determine the association of life skills with sexual behavior among school adolescents aged 15\u201319\u2009years in Mettu Town, South West Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>School-based cross-sectional study was employed among 372 school adolescents from 15 to 25 April 2016. A list of school adolescents aged 15\u201319\u2009years old from students\u2019 register was taken as a sampling frame. Then, simple random sampling was employed using computer-generated random numbers for final study participants\u2019 selection. A pretested self-administered questionnaire was used. The data were entered into Epidata version 4.1 and analyzed using SPSS version 20. A bivariable and multivariable logistic regression analysis was carried out.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-one (24.5%) adolescents ever practiced sexual intercourse, of which 19.1% of them were exposed to risky sexual behaviors. Unfavorable life skill dimensions, that is, social (adjusted odds ratio\u2009=\u20093.71; 95% confidence interval\u2009=\u20091.64, 8.38), coping with emotions (adjusted odds ratio\u2009=\u20093.114; 95% confidence interval\u2009=\u20091.286, 7.542), and cognitive (adjusted odds ratio\u2009=\u20092.835; 95% confidence interval\u2009=\u20091.288, 6.239), were found to be statistically significant associations with risky sexual behaviors, after controlling for confounders, that is, use of psychoactive substance (adjusted odds ratio\u2009=\u20096.73; 95% confidence interval\u2009=\u20092.27, 19.87) and urban adolescents who dwell in a rental house (adjusted odds ratio\u2009=\u20094.05; 95% confidence interval\u2009=\u20091.59, 10.33) as compared to those living with families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Developing life skills helps adolescents make more reasoned and intentional choices sexually, which will result in fewer unwanted pregnancies, less sexually transmitted disease, and stronger relationships.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2050312120940545","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T05:33:55Z","timestamp":1595914435000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Sexual behaviors and its association with life skills among school adolescents of Mettu town, South West Ethiopia: A school-based cross-sectional study"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5682-6117","authenticated-orcid":false,"given":"Desalew","family":"Tesema","sequence":"first","affiliation":[{"name":"Health Science College, Nekemte, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meseret","family":"Tamirat","sequence":"additional","affiliation":[{"name":"Population and Family Health, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afework","family":"Tadele","sequence":"additional","affiliation":[{"name":"Population and Family Health, Jimma University, Jimma, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"bibr1-2050312120940545","doi-asserted-by":"crossref","unstructured":"Amanuel A, Assefa S. Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: a community-based cross-sectional study. BMC Health Serv Res 2014; 14(1): 1\u201311, http:\/\/www.biomedcentral.com\/1472-6963\/14\/138.pdf","DOI":"10.1186\/1472-6963-14-138"},{"key":"bibr2-2050312120940545","unstructured":"Siegrid T. Youth to youth initiative\u2014an assessment of results in Ethiopia and Kenya, http:\/\/www.dsw.org\/uploads\/tx_aedswpublication\/201108Y2Yassessmentreportfinal.pdf (2011, accessed September 2015)."},{"key":"bibr3-2050312120940545","unstructured":"Chaudhary S. Life skills intervention at high school: a needed pedagogic shift, https:\/\/slideplayer.com\/slide\/2492769\/ (2008, accessed 22 July 2020)."},{"key":"bibr4-2050312120940545","unstructured":"Allen C. Situation analysis of adolescent sexual and reproductive health and HIV in the caribbean executive summary, http:\/\/www.paho.org\/hq\/index.php?option=com_docman&task=doc_download&gid=21837&Itemid=270.pdf (2013, accessed September 2015)."},{"key":"bibr5-2050312120940545","unstructured":"Sharma S. Measuring life skills of adolescents in a secondary school of Kathmandu: an experience. Kathmandu Univ Med J 2003; 1(3): 170\u2013176, http:\/\/www.kumj.com.np\/issue\/3\/170-176.pdf (accessed September 2015)."},{"key":"bibr6-2050312120940545","unstructured":"Developing national standards for adolescent\/youth friendly health services in Maldives. 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Youth fact sheet, 2013, pp. 1\u201310, https:\/\/www.worldywca.org\/wp-content\/uploads\/2016\/07\/World-YWCA-Sexual-Reproductive-Health-and-Rights-For-Adolescents-in-Sub-Saharan-Africa-2.pdf"},{"key":"bibr11-2050312120940545","doi-asserted-by":"crossref","unstructured":"Alemu A, Shegaze M, Gobena T, et al. Assessment of substance use and risky sexual behaviour among public college students in Bonga Town, Southwest Ethiopia. Am J Biomed Life Sci 2015; 3(5): 91\u201397, http:\/\/www.sciencepublishinggroup.com\/j\/ajbls.pdf (accessed 24 August 2016).","DOI":"10.11648\/j.ajbls.20150305.11"},{"key":"bibr12-2050312120940545","unstructured":"Federal Democratic Republic of Ethiopia Ministry of Health. Adolescent and youth reproductive health: blended learning module for the health extension programme, 2004, pp. 11\u201317, https:\/\/www.open.edu\/openlearncreate\/mod\/oucontent\/view.php?id=59&printable=1x (accessed 20 May 2012)."},{"key":"bibr13-2050312120940545","doi-asserted-by":"crossref","unstructured":"Kennedy F, Pearson D. The Life Skills Assessment Scale: measuring life skills of disadvantaged children in the developing world. Soc Behav Pers 2014; 42(2): 197\u2013210, https:\/\/www.google.com\/search?sclient=psyab&btnG=Search&q=3518_lsas_sbp_journal_m arch_2014.pdf","DOI":"10.2224\/sbp.2014.42.2.197"},{"key":"bibr14-2050312120940545","unstructured":"Dingeta T, Oljira L, Assefa N. Patterns of sexual risk behavior among undergraduate university students in Ethiopia: a cross-sectional study. Pan Afr Med J 2012;12(1): https:\/\/www.ajol.info\/index.php\/pamj\/article\/view\/82228"},{"key":"bibr15-2050312120940545","unstructured":"Tura G, Alemseged F, Dejene S. Risky sexual behavior and predisposing factors among students of Jimma University, Ethiopia. Ethiop J Health Sci 2012; 22: 170\u2013180, http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3511895\/"},{"key":"bibr16-2050312120940545","unstructured":"Grime B, Assefa D, Tusheries K. Determinants of condom use among Agaro High School students using behavioral models, 1998, pp. 25\u201329, https:\/\/www.ejhd.org\/index.php\/ejhd\/article\/view\/651"},{"key":"bibr17-2050312120940545","doi-asserted-by":"crossref","unstructured":"Daka D, Shaweno D. Magnitude of risky sexual behavior among high school adolescents in Ethiopia: a cross-sectional study. J Public Health Epidemiol 2014; 6(7): 211\u2013215, https:\/\/academicjournals.org\/journal\/JPHE\/article-abstract\/0F2733545456","DOI":"10.5897\/JPHE2014.0639"},{"key":"bibr18-2050312120940545","doi-asserted-by":"publisher","DOI":"10.11648\/j.ajhr.20140202.18"},{"key":"bibr19-2050312120940545","unstructured":"Germany A, Mariam AG. 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Young people today, time to act now: why adolescents and young people need comprehensive sexuality education and sexual and reproductive health services in Eastern and Southern Africa, 2013, pp. 8\u201316, http:\/\/unesdoc.unesco.org\/images\/0022\/002234\/223447E.pdf"}],"container-title":["SAGE Open Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050312120940545","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050312120940545","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050312120940545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:17:51Z","timestamp":1777594671000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050312120940545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":23,"alternative-id":["10.1177\/2050312120940545"],"URL":"https:\/\/doi.org\/10.1177\/2050312120940545","relation":{},"ISSN":["2050-3121","2050-3121"],"issn-type":[{"value":"2050-3121","type":"print"},{"value":"2050-3121","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2050312120940545"}}