Abstract:
Background: Risky sexual behaviours are a significant global public health concern, especially among youth. These behaviours are associated with an increased risk of sexually transmitted infections, unintended pregnancies, and unsafe abortions. This study aims to assess the prevalence of risky sexual behaviours among female university students in Albania to design evidence-based health policies and interventions.
Methodology: A national cross-sectional study was conducted across both public and private universities in Albania from October to December 2024. Data were collected using an online self-administered questionnaire designed to assess the sexual behaviours of female university students. The data were analysed using SPSS v.29 statistical software to identify key risk factors and trends.
Results: Among the 5,966 female students surveyed, 47.2% reported being sexually active. Of these, 61.7% began sexual activity at an early age, between 12 and 18 years old. Nearly half of the participants (48.6%) reported never using a condom, and 32.7% used condoms occasionally. Additionally, 17.6% had multiple sexual partners. Furthermore, 70.6% did not use a condom the last time they had sex. Despite engaging in risky sexual behaviours, 79.7% of female had never been tested for STIs, and 88.1% had never been tested for HIV.
Conclusion: Risky sexual behaviours are widespread among female university students in Albania, with early initiation of sexual activity, multiple sexual partners, and unprotected sex being prevalent. These findings underscore the urgent need for comprehensive sexual health education and interventions that promote safe sexual practices and regular STI and HIV testing.

Keywords : Albania, Condom use, Risky sexual behaviours, Sexual health, University students.