Behavioral Sexual Characteristics of Female Students in Bosnia and Herzegovina

Introduction: Characteristics of sexual behaviour of female students, which will affect fertility in adulthood, represent one of the critical parameters of reproductive health. Aim: The aim of this study was assess characteristics of sexual behavior of female students in Bosnia and Herzegovina. Materials and Methods: In a prospective study on a representative sample of 2,872 regular girls aged 19-24 years, an anonymous survey on the reproductive health of female students in Bosnia and Herzegovina from 2007 to 2009 was conducted. Results: Of the total number (N = 2872) of surveyed female students, 49.44% were sexually active. Average sexarcha age was 18.14±1.83 years, and there was statistically significant earlier sexarcha in female students in Banja Luka vs. female students of the University of Sarajevo (p<0.001), as well as in female students in Mostar vs. female students of the University of Tuzla (p<0.001). Sexually active female students in 74,4 % cases had intercourses with only one partner, and 7,7 % of them had intercourses with three or more partners. Regarding the use of contraceptive methods, 69.4% female students were using contraception at first intercourse and 66.7% of them at last intercourse. 3.5% of sexually active students (N=50) had intentional abortion. Almost half (46.9%) of surveyed female students had regular pelvic exams; nearly two-third of those (63.4%) had gynecological exams in private institutions, and 36.6% of them in public health facilitie. Only one-third (35.8%) sexually active female students in BiH stated that Pap test was performed. Conclusion: Sexual behaviour of female students in BiH is less risky than in the immediate environment, but health care quality is poor.