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Although there is a perception among youth that oral sex is risk free, evidence supports that several STIs, including chlamydia, human papillomavirus HPV , gonorrhea, herpes, hepatitis, and HIV can be transmitted through oral sex [ 20 , 21 ]. Moreover, a large proportion of youths involved in oral and anal sex were not taking appropriate protection measures such as consistent condom use. Data were collected using a self-administered questionnaire. The mean age at first anal sex among the study population was Unless measures are taken to change this misperception, oral and anal sex could become the source for the next wave of HIV and STIs epidemic. The mean age of the study population was Nearly half of the currently sexually active students received gift at the exchange of oral and anal sex.

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Lucy. Age: 21.
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From the respondents,

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Kori. Age: 31.
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However, such information is meager in developing countries. Correspondence to Amsale Cherie. The study included items dealing with the dependent variable oral and anal sexual behavior of students and potential independent factors at the individual, family, and peer level factors identified from previous studies [ 26 , 27 , 33 , 34 ]. The survey was a paper-and-pencil self-administered questionnaire.

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