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Rosenberg M: conceiving the self. However, attempts were made to minimize this bias by using self-administered anonymous questionnaire and ensuring privacy during data collection. Consistent with other studies, best friend's sexual activity was a strong predictor for engagement in oral and anal sexual activity in this study [ 27 , 41 ]. Students engaged in multiple partners' oral and anal sexual relationships without proper protection, and received gift for the exchange of oral and anal sex. Table 3 depicts the anal sex practices of respondents. Sexual health education and behavior change communication strategies need to cover a full range of sexual practices. Among ever had oral sex;

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Emersyn. Age: 27.
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Forhan SE, et al: Prevalence of sexually transmitted infections among female adolescents aged 14 to 19 in the United States.

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Samara. Age: 30.
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Oral and anal sex practices among high school youth in Addis Ababa, Ethiopia

Also, sexual activity has been measured on the basis of whether young people have had vaginal intercourse or not [ 26 ]. Among ever had oral sex; Young people engaged in transactional oral and anal sex are at high risk for STIs including HIV, because they may be less able to negotiate and make decision about the timing and conditions of sex with their partners [ 36 ]. Both authors participated from the inception of the research idea to proposal development, data collection, analysis and preparation of the manuscript.

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