title: Sexual practices of young educated men: implications for further research and health education in Kingdom of Saudi Arabia (KSA).
abstract: BACKGROUND
  Considering the high prevalence of sexually transmitted infections (STIs) and other associated health problems among young people globally, it is important to identify sexual practices that could potentially compromise health. This study explored the sexual practices of young men in Riyadh city, the Kingdom of Saudi Arabia (KSA).  Materials and methodology A cross-sectional study among young, male students was conducted using a pre-tested, structured, self-administered questionnaire. Descriptive analysis and adjusted odds ratio (OR) were calculated.
  
  
  RESULTS
  Among 225 study participants, 31% had engaged in premarital sexual activity at least once and 61% viewed pornographic movies/materials. Only 51% knew that condom use could prevent STIs, 20% were not aware that HIV could be transmitted through both homosexual and heterosexual contacts. Premarital sexual activity was associated with the use of illegal drugs (OR: 2.51), viewing of pornographic movies (OR: 6.79) and traveling alone abroad (OR: 3.10).
  
  
  CONCLUSIONS
  and recommendations Our study was the first to report the existence of premarital sexual practices among young educated men in KSA. There is a need to identify in detail the risks and the knowledge gaps, and base sexual health awareness among youth on such knowledge in order to prevent the spread of STIs and HIV.
authors.affiliation: Department of Family and Community Medicine, College of Medicine, King Saud University and King Khalid Hospital, P.O. Box 2925, Riyadh 11461, Kingdom of Saudi Arabia. hafsaraheel@yahoo.com
authors.forename: Hafsa
authors.initials: H
authors.lastname: Raheel
authors.forename: Muhammad Afzal
authors.initials: MA
authors.lastname: Mahmood
authors.forename: Abdulaziz
authors.initials: A
authors.lastname: BinSaeed
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004522:Educational Status; D004882:Erotica; D006266:Health Education; D006801:Humans; D008297:Male; D016017:Odds Ratio; D012529:Saudi Arabia / Q000453:epidemiology; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult