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A Knowledge, Attitudes And Practices Survey Regarding Sex, Contraception And Sexually Transmitted Diseases Among Commerce College Students In Mumbai.

3038 words - 13 pages

Introduction
There are about 300 million young people aged 10-24 in India, that is, one amongst every 4 Indians (1). Mumbai is one of the most westernized cities in India, but talking or discussing about sexual practices is still considered a taboo in majority households. Between these two contrasting scenarios is the youth of Mumbai, whose attitudes toward sex have been changing dramatically with premarital sex and high-risk sexual behaviors becoming commoner than ever (2). This was revealed by a survey carried out by a non-governmental organization in Mumbai (2005), according to which premarital sex among 18 to 20 year-old girls and boys was as high as 65.6 and 63.3 per cent, respectively (3).
Increase in the incidence of premarital sex leads to an increase in unwanted pregnancies, abortion morbidity/mortality, sexually transmitted diseases (STDs), secondary infertility and the development of cervical abnormalities in adolescents (4). Adolescents who become sexually active enter an arena of high-risk behavior that can lead to physical and emotional damage (5).
Sexual assault and rape cases are on the rise in India. Rape cases have doubled between 1990 and 2008 and in 2012, almost 25,000 rape cases were reported across India (6).The latest estimates suggest that a new case of rape is reported every 22 minutes in India (7). Research has shown a link between the rise of sexual crimes and the lack of sexual awareness and education among other factors (8).
Thus, in the current scenario, sexuality education and awareness are paramount. Sexuality education comprises of physiological, psychological and social issues related to sex, a lack of which may lead to inappropriate attitudes and practices. Sex education can help children transform into well-adjusted adults with established sexual identity, functioning, and ability.
Previous studies have revealed a less than satisfactory awareness and attitudes towards sexuality and also that the educational background plays a role with the overall knowledge of science students being better compared to that of the commerce and arts students (9,10).
Keeping the above in mind, we conducted this study with the following objectives:
1. To determine the knowledge and awareness regarding various aspects of sex.
2. To determine the factors affecting the above.
3. To provide baseline data that can help in formulating a comprehensive sexuality education program for college students.
Methodology
After the Institutional Ethics Committee approval, a prospective cross sectional survey was conducted amongst 500 commerce students of the K.P.B. Hinduja College of Commerce from December 2012 to March 2013 as per the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Assuming a prevalence rate of sex related knowledge to be 30%, and for a permissible error of 5% and 98% confidence levels, the calculated sample size was 445. Hence, we decided to collect 500 completed questionnaires...

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