{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:04:44Z","timestamp":1791561884653,"version":"4.3.4"},"reference-count":44,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>In Ethiopia, HIV\/AIDS continues to be a major public health problem mostly due to the high prevalence of risky sexual behaviors. However, research on risky sexual behavior and its determinants among unmarried men (never married, widowed, and divorced) who are highly vulnerable to risky sexual behavior was limited. Therefore, this study aimed to assess the magnitude of risky sexual behavior and its determinants among non-married men using a nationally representative sample.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The analysis was done on 5680 sexually active unmarried men aged 15\u201359 years using data from the 2016 Ethiopia Demographic Health Survey (EDHS). The main outcome variable was risky sexual behavior which defined as having at least one of the following: multiple sexual partners; initiation of sex before the age of 18 years; inconsistent condom use in the last 12 months; alcohol consumption at last sex. Multivariable generalized linear mixed-effects regression was employed to identify variables associated with risky sexual behavior.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Result<\/jats:title>\n<jats:p>The overall magnitude of risky sexual behavior was 26.9% (95% CI; 25.7, 28.0). Currently employed (AOR = 2.49, 95% CI = 1.64\u20133.77), history of HIV testing (AOR = 2.51, 95% C = 1.95\u20133.23), drinking alcohol almost every day (AOR = 5.49, 95 CI = 2.73\u201311.02), and using Internet daily (AOR = 1.99, 95% CI = 1.06\u20133.74) increase the odds of risky sexual behavior. Whereas, primary education (AOR = 0.44, 95% CI = 0.32\u20130.61), secondary education level (AOR = 0.46, 95% CI = 0.29\u20130.72) and a high proportion of community-level media exposure (AOR = 0.42, 95% CI = 0.12\u20130.75) decrease the odds of risky sexual behavior.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>In general, a significant proportion of sexually active unmarried men in Ethiopia have practiced risky sexual behavior. An intervention should be designed which are against the factors found to increase the odds of risky sexual behavior to reduce the incidence of HIV and other sexually transmitted infections.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0270083","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T17:59:04Z","timestamp":1658426344000},"page":"e0270083","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":12,"title":["Individual and community-level determinates of risky sexual behaviors among sexually active unmarried men: A multilevel analysis of 2016 Ethiopian Demographic and Health Survey"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-0034","authenticated-orcid":true,"given":"Gedefaw","family":"Diress","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seteamlak","family":"Adane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melese","family":"Linger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abebe","family":"Merchaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belayneh","family":"Mengist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"pone.0270083.ref001","first-page":"2013","article-title":"Risky sexual practices and associated factors for HIV\/AIDS infection among private college students in Bahir Dar City, Northwest Ethiopia","author":"Z Alamrew","year":"2013","journal-title":"International Scholarly Research Notices"},{"issue":"7760","key":"pone.0270083.ref002","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1038\/s41586-019-1200-9","article-title":"Mapping HIV prevalence in sub-Saharan Africa between 2000 and 2017","volume":"570","author":"L Dwyer-Lindgren","year":"2019","journal-title":"Nature"},{"issue":"4","key":"pone.0270083.ref003","doi-asserted-by":"crossref","first-page":"67","DOI":"10.11648\/j.sjcm.20150404.11","article-title":"Risky sexual behavior and associated factors among high school youth in Pawe Woreda, Benishangul Gumuz Region.","volume":"4","author":"M Agajie","year":"2015","journal-title":"Science Journal of Clinical Medicine"},{"key":"pone.0270083.ref004","first-page":"6","article-title":"Factors associated with adolescent risky sexual behavior among school adolescents in Addis Ababa, Ethiopia.","volume":"2","author":"C Amsale","year":"2012","journal-title":"World Journal of AIDS"},{"issue":"6","key":"pone.0270083.ref005","doi-asserted-by":"crossref","first-page":"e0198657","DOI":"10.1371\/journal.pone.0198657","article-title":"The prevalence of risky sexual behaviors among youth center reproductive health clinics users and non-users in Addis Ababa, Ethiopia: A comparative cross-sectional study.","volume":"13","author":"N Fetene","year":"2018","journal-title":"PloS one"},{"key":"pone.0270083.ref006","article-title":"Youth Risky Sexual Behavior: Prevalence and Socio-Demographic Factors in North-West Ethiopia: A Community-Based Cross-Sectional Study","author":"AB Geremew","year":"2020","journal-title":"International Quarterly of Community Health Education"},{"key":"pone.0270083.ref007","article-title":"Centeral Stastical Agencey","author":"Ethiopian Demographic Health Surevy (EDHS)","year":"2016"},{"issue":"1","key":"pone.0270083.ref008","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s12978-015-0001-3","article-title":"Association between wanting circumcision and risky sexual behaviour in Zimbabwe: evidence from the 2010\u201311 Zimbabwe demographic and health survey","volume":"12","author":"A Chikutsa","year":"2015","journal-title":"Reproductive Health"},{"key":"pone.0270083.ref009","first-page":"311","article-title":"Unsafe sex is the main mode of HIV transmission, Monitoring trends in sexual behaviour in Zambia, 1996\u20132003","volume":"81","author":"E. 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Its prized and dangerous effects.","volume":"45","author":"CM Steele","year":"1990","journal-title":"The American psychologist"},{"issue":"5","key":"pone.0270083.ref042","doi-asserted-by":"crossref","first-page":"424. e11","DOI":"10.1016\/j.jadohealth.2004.05.006","article-title":"Internet-initiated sex crimes against minors: Implications for prevention based on findings from a national study","volume":"35","author":"J Wolak","year":"2004","journal-title":"Journal of adolescent health"},{"issue":"2","key":"pone.0270083.ref043","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1177\/0093650205285369","article-title":"Adolescents\u2019 exposure to sexually explicit material on the Internet","volume":"33","author":"J Peter","year":"2006","journal-title":"Communication Research"},{"issue":"2","key":"pone.0270083.ref044","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.2196\/publichealth.7149","article-title":"Social Media and Sexual Behavior Among Adolescents: Is there a link?","volume":"3","author":"M Landry","year":"2017","journal-title":"JMIR Public Health Surveill."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0270083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T17:59:52Z","timestamp":1658426392000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0270083"}},"subtitle":[],"editor":[{"given":"Devon J.","family":"Hensel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,7,21]]},"references-count":44,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,7,21]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0270083","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,21]]}}}