Individual and relational level factors perceived to influence risky sexual behaviours among Adolescents in Addis Ababa, Ethiopia: Qualitative research

Background: Globally, adolescents aged between 10-19 years account for 1.2 billion (16%) of the world population, and nearly one fourth of the total population in Sub-Saharan Africa. The adolescents are facing with life-threatening health risks attributed to sexual and reproductive health issues such as unwanted pregnancies and sexually transmitted infections, including HIV and AIDS. The aim of this research is exploring factors at individual and relational level contributing to risky sexual behaviour among adolescents Methods: Qualitative research approach, using grounded theory was followed among adolescents and health professionals. Individual interviews and focus group discussions were used to collect data. A constant comparison method of data analysis was applied by following a Strauss and Corbin (1998) analysis process. The researcher conducted vigorous literature review to assure theoretical saturation and theoretical sensitivity. Results: various biological , knowledge , attitude , skill gap on SRH, and behaviour of adolescents , family, Peer/partener related factors were perceived as drivers of risky sexual. Male dominance in deciding condom use, pressuring female to sexual activities, Exposing to sexual violence were a perceived as drivers to risky sexual behaviour specially in partner related factors. Conclusion: Individual level and relational level factors are influencing adolescents to engage in risky sexual behaviour. Adolescent should get training on SRH. Interventions at peer and partners level should be consider to enhance their life skill that enable to resist pressure from pees and their partners. Child parent communication SRH matters Should be promoted