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RSB among youth increases the risk of HIV infection, other sexually transmitted infections (STIs), unintended pregnancy, and unsafe abortion. Therefore, the aim of this study was to examine RSB and its associated factors among university students in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was employed in six randomly selected public universities in Ethiopia from August 2021 to February 2022. A stratified two-stage sampling technique was applied to reach the required number of study participants, and a structured self-administered questionnaire was used. RSB was defined as having had sexual relationships with more than one partner and using condoms with a new sexual partner irregularly or not at all in the last 12\u00a0months. Bivariable and multivariable logistic regression analyses were used to identify factors associated with RSB among those participants who were sexually active.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of RSB among those who had had sexual intercourse in the last 12\u00a0months (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009523) was 19.5% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009102). One hundred forty-four (29.9%) students had multiple sexual partners, and 325 (69.3%) students did not always use condoms with a new sexual partner. Adjusted odds ratios (AOR) showed that those students aged 21\u201324\u00a0years had lower odds of RSB than those aged above 25\u00a0years AOR 0.18 (95% CI 0.03\u20130.98). The adjusted odds of RSB were 6.7 times higher (95% CI 1.26\u201335.30) among students who started sex at the age of 10\u201317\u00a0years than those who started sex at 21\u00a0years and above and 3.9 times higher (95% CI 1.33\u201311.39) among students who had experienced emotional violence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RSB continues to be a problem among university students in Ethiopia. Those students who started sex at an early age and those who experienced emotional violence were more likely to engage in RSB. Therefore, universities in Ethiopia should implement strategies such as RSB targeted health education programs that consider early sexual debut, experiences of emotional violence, and safe sexual practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-024-19213-2","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T23:39:59Z","timestamp":1719358799000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Risky sexual behavior and associated factors among university students in Ethiopia: a cross-sectional national survey"],"prefix":"10.1186","volume":"24","author":[{"given":"Wudinesh Belete","family":"Belihu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minilik Demissie","family":"Amogne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Herder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper","family":"Sundewall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Agardh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,26]]},"reference":[{"key":"19213_CR1","unstructured":"World Health Organization. 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Written informed consent was obtained from the study participants during their class sessions prior to administering the questionnaire and blood sample collection. Individuals were informed that participation was voluntary and they could withdraw at any point in the study process. No personal identifier was collected and confidentiality of the information was maintained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1701"}}