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Therefore, understanding the determinants of oral and anal sex using the ecological framework is crucial. Therefore, students need to be advised on safer sexual practices. The individual level factors included sex, age, self-esteem, attitude about sex, and educational aspirations. As a result, female education should be given sufficient consideration. Child sexual abuse is against human rights and has physical, psychological, and social consequences as well as negative impact on the education and future survival and hope of children [ 46 ]. This is a cross sectional study conducted among regularly attending high school youth in Addis Ababa, Ethiopia.

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