The effects of digital social networks utilisation on youth sexual and reproductive health in public universities in Addis Ababa City Administrative, Ethiopia

Abstract

BACKGROUND: Studies conducted in both developed and developing countries suggest that social media can have both negative and positive impacts on the sexual practices of the youth. While it can spread knowledge in various areas, there is a rise in addiction to digital social networks. The correlation between social media exposure and sexual initiation remains complex, but many young people in Ethiopia frequently use social media, which raises concerns about its potential risks on their sexual and reproductive health. PURPOSE: The aim of the study was to investigate the effects of digital social networks (DSN) on youth sexuality and reproductive health in institutions of higher education in Ethiopia. METHODS: The mixed-method approach was used to investigate the impact of digital social networks on the sexual and reproductive health of youth in selected public universities in Ethiopia. A cross-sectional survey was conducted to gather quantitative data, while in-depth interviews were carried out with prepared interview guides for qualitative data collection. A total of 393 respondents and 15 in-depth interview participants were selected for the quantitative and qualitative studies, respectively, using systematic random sampling techniques. The data were analyzed using SPSS version 25 software for quantitative data, and thematic content analysis was performed using ATLAS.ti 24 software for qualitative data. Logistic regression was utilized to identify factors associated with digital social network use and access to sexual reproductive health education in relation to risky sexual practices. RESULTS: The majority of respondents use various social media sites and believe that these digital platforms provide reliable information about sexual and reproductive health, despite not knowing the source of the information. Additionally, more than half of the respondents reported seeing sexual initiation activities on social media, and a significant number of participants reported a lack of adequate access to sexual and reproductive health information. There is no guide available for accessing digital social networks for sexual and reproductive health information. Furthermore, a large amount of qualitative data suggests a need that sexual and reproductive health be incorporated into existing university courses. CONCLUSION: The study identified that information from social media is being used without regulation and that there is a lack of understanding of sexual health services, as well as the risks and benefits of social media. Most students believed there was reliable information on digital social networks but were unsure of trustworthy sources. Additionally, limited access to sexual health services at universities increases the risk of sexual health issues. Based on this study findings, the “APPLE USE“guidelines were developed with the aim of guiding health promotion program on the use of digital social network for youth sexual and reproductive health thus reduce risky sexual behaviors and promote sexual and reproductive health well-being in higher institutions.