scholarly journals Relationship Between Access to Reproductive Health Information and Risky Sexual Behaviour Among Secondary School Adolescents in Kiambu County, Kenya

2021 ◽  
Vol 6 (1) ◽  
pp. 14-39
Author(s):  
Peris Murugi Mureithi ◽  
Dr. Syprine Otieno ◽  
Dr.Wachuka Njoroge
Keyword(s):  
Reproductive Health ◽  
Secondary School ◽  
Health Information ◽  
Sexual Behaviour ◽  
Boarding School ◽  
Safe Sex ◽  
Risky Sexual Behaviour ◽  
Adolescent Students ◽  
Age Appropriate ◽  
Hiv Aids

Purpose: The study aimed to determine the relationship between access to reproductive health information and risky sexual behaviour among secondary school adolescents in Kiambu County, Kenya. Methodology: This was a descriptive cross-sectional study. The study targeted 7002 adolescent students from all the 13 public secondary schools in Thika West Sub-County. The following schools were selected Chania girls’ boarding school; Chania boys’ boarding school and Broadway mixed day school. Thus, specifically, the study targeted 2047 students. Fisher’s formula was used to arrive at 364 respondents which 10% was added to cater for attrition. This gave a sample of 400. Stratified sampling techniques was adopted in selecting participating schools to allocate the sample in the respective strata. The study sampled 400-students, their guidance and counselling teachers as the key informants. The researcher administered questionnaires, interview schedules (KII) and focus group discussions (FGD) were used in data collection. Descriptive statistics such as mean, mode and percentages, and inferential statistics such as chi-square and binary logistic regression were applied. P-value ≤ 0.05 was considered statistically significant. Results: Results revealed that the majority of the adolescent students were aware of contraceptives n=220 (64.7%), safe sex n=284 (83.5%) HIV/AIDS and STIs. The main source of information was found to be from parents and social media (n=172, 50.6%) and mass media as well as religious leaders (n=48, 14.1%).  Majority of the students n=228 (67.1%) considered the availability of reproductive health information less easy, n=152 (44.7%) found the age-appropriate reproductive information helpful Majority of the students n=288 (84.7%) found age-appropriate reproductive information easy to understand, while n=192 (56.5%) found age-appropriate reproductive information easy to apply. Culture, religion and Poverty were also found to have a great and significant influence on age-appropriate reproductive health information. The study concluded that secondary school adolescents in Thika West Sub-County were aware of the contraceptives, safe sex and HIV/Aids and STIs, but the majority had a first sexual encounter at the age of 15 years and though they preferred reproductive information from sources they relied on such as their parents, teachers and social environment, what they received from such was minimal While culture, religious affiliation and economic status greatly influenced their access to age-appropriate reproductive health information. Unique contribution to theory, policy and practice: The study recommends that policymakers should enhance on programmes that advocate for age-appropriate reproductive information through the engagement of all stakeholders like parents’ teachers religious and community leaders, who should be sensitized and in training to provide this information as early as six years of age through all stages of life. Adolescents should be imparted with age-appropriate reproductive information at the early stages of life before they start experiencing biological changes so that they can be in control of the changes.

scholarly journals Factors Influencing HIV/AIDS and Risky Sexual Behaviour Among Learners in South Africa

2018 ◽  
Vol 10 (5) ◽  
pp. 197 ◽  
Author(s):  
Pelonomi F. Malga ◽  
Boitumelo Marilyn Setlalentoa ◽  
Choja Oduaran ◽  
Nopasika Maforah
Keyword(s):  
Attitude Change ◽  
Sexual Behaviour ◽  
Teenage Pregnancy ◽  
Risky Sexual Behaviour ◽  
Health Concern ◽  
Mixed Method Research ◽  
Key Factor ◽  
Unwanted Pregnancies ◽  
Training Programmes ◽  
Hiv Aids

HIV/AIDS is a global health concern and young people are more at risk of being infected. The explored factors that contribute to HIV/AIDS and risky sexual behaviour among learners aged 12-18 years in Vuyolwethu High School. The study focused on learners who were in Grade 10-12. This study employed a mixed method research. Quantitative phase was limited to learners while the qualitative phase focused on life-orientation teachers. The total study sample is 150, and the gender distribution is equally distributed at 50% for both males and females. The dominating age and grade among respondents is age 17-18 years and grade 11. Quantitative data were subjected to descriptive analyses while thematic analysis is employed for analysis of qualitative data. Overall, about 51.3% of the respondents strongly agreed that engaging in sexual intercourse without protection is risky, and that unprotected sexual activity can lead to unwanted sexual encounters, unwanted teenage pregnancy and HIV/AIDS. Similarly, substance abuse is found to be a key factor that influences risky sexual behaviour among adolescents, thus resulting to unwanted pregnancies and HIV/AIDS infection. The main conclusion drawn from the findings is that while adolescents seem to be knowledgeable on the factors that contribute to risky sexual behaviour, this knowledge does not lead to attitude change. It is therefore recommended, based on the study’s findings, that there should be more focused training programmes directed not only at knowledge but also attitude and behaviour change.

Multilevel influences of women’s empowerment and economic resources on risky sexual behaviour among young women in Zomba district, Malawi

2020 ◽  
pp. 1-21
Author(s):  
Melissa Ward-Peterson ◽  
Kristopher Fennie ◽  
Sarah Baird ◽  
Stefany Coxe ◽  
Mary Jo Trepka ◽  
...  
Keyword(s):  
Secondary School ◽  
Young Women ◽  
Sexual Behaviour ◽  
Regression Models ◽  
Economic Resources ◽  
School Level ◽  
Risky Sexual Behaviour ◽  
Level Of Education ◽  
Secondary School Level ◽  
Age Factor

Abstract Gender disparities are pronounced in Zomba district, Malawi. Among women aged 15–49 years, HIV prevalence is 16.8%, compared with 9.3% among men of the same age. Complex structural factors are associated with risky sexual behaviour leading to HIV infection. This study’s objective was to explore associations between multilevel measures of economic resources and women’s empowerment with risky sexual behaviour among young women in Zomba. Four measures of risky sexual behaviour were examined: ever had sex, condom use and two indices measuring age during sexual activity and partner history. Multilevel regression models and regression models with cluster-robust standard errors were used to estimate associations, stratified by school enrolment status. Among the schoolgirl stratum, the percentage of girls enrolled in school at the community level had protective associations with ever having sex (OR = 0.76; 95% CI: 0.60, 0.96) and condom use (OR = 1.06; 95% CI: 1.01, 1.11). Belief in the right to refuse sex was protective against ever having sex (OR = 0.76; 95% CI: 0.60, 0.96). Participants from households with no secondary school education had higher odds of ever having sex (OR = 1.59; 95% CI: 1.14, 2.22). Among the dropout stratum, participants who had not achieved a secondary school level of education had riskier Age Factor and Partner History Factor scores (β = 0.51; 95% CI: 0.23, 0.79, and β = 0.24; 95% CI: 0.07, 0.41, respectively). Participants from households without a secondary school level of education had riskier Age Factor scores (β = 0.26; 95% CI: 0.03, 0.48). Across strata, the most consistent variables associated with risky sexual behaviour were those related to education, including girl’s level of education, highest level of education of her household of origin and the community percentage of girls enrolled in school. These results suggest that programmes seeking to reduce risky sexual behaviour among young women in Malawi should consider the role of improving access to education at multiple levels.

scholarly journals Does Having Comprehensive HIV and AIDS Knowledge Affect the Risky Sexual Behaviour of Young People in Sub – Saharan Africa: Pooled Analysis of Demographic and Health Surveys

2021 ◽  
Author(s):  
Kwamena Sekyi Dickson ◽  
Abdul-Aziz Seidu ◽  
Kenneth Setorwu Adde ◽  
Joshua Okyere ◽  
Felicia Commey ◽  
...  
Keyword(s):  
Young People ◽  
Sexual Behaviour ◽  
Young Men ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Risky Sexual Behaviour ◽  
Demographic And Health Surveys ◽  
Comprehensive Knowledge ◽  
Aids Knowledge ◽  
Hiv Aids

Abstract Background: Risky sexual behaviours (RSB) include all those behaviours such as multiple sexual unions, inconsistent use of condoms, or having sex under the influence of stimulants which have a greater propensity to exacerbate an individual’s vulnerability to unintended pregnancies and sexually transmitted infections including HIV/AIDS. This study explores the relationship between comprehensive knowledge on HIV and RSB among young people in sub-Saharan Africa (SSA).Methods: Data for this study were obtained from the current Demographic and Health Surveys (DHS) conducted between 2010 and 2018 in 28 SSA countries. These countries were chosen because they had complete information on the variables of interest for both males and females. Both descriptive and inferential analyses were conducted.Results: It was found that 54.4% of young women and 40.0% of young men engaged in RSB. This ranged from 16.1% in Lesotho to 91.6% in Sierra Leone among young women and 17.1% in Namibia to 80.5% in Sierra Leone among young men. We also found that young men [AOR=0.78, CI=0.73–0.84] and women [AOR=0.92, CI=0.87–0.98] who had comprehensive HIV and AIDS knowledge had lower odds of engaging in RSB compared to those who did not have comprehensive HIV and AIDS knowledge.Conclusion: The study showed a low level of comprehensive knowledge on HIV/AIDS in SSA and a gap in the proportion of young males and females regarding comprehensive knowledge on HIV/AIDS. Risky sexual behaviour varied by sex. This reflected in a higher proportion of young females (54.5%) indulging in RSB as compared to young males (40.0%). Our findings also revealed that comprehensive knowledge of HIV/AIDS influences risky sexual behaviour of young people. Age, level of education, place of residence, wealth status, exposure to radio, television, and newspaper or magazine have a significant relationship with RSB. These findings infer the need for targeted messages and interventions for the various categories of young people in SSA with relevant information on comprehensive knowledge of HIV/AIDS.

scholarly journals Effects of mobile health education on sexual and reproductive health information among female school-going adolescents of rural Thailand

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 452
Author(s):  
Premyuda Narkarat ◽  
Surasak Taneepanichskul ◽  
Ramesh Kumar ◽  
Ratana Somrongthong
Keyword(s):  
Health Literacy ◽  
Health Education ◽  
Reproductive Health ◽  
Secondary School ◽  
Sexual Health ◽  
Health Information ◽  
Sexual And Reproductive Health ◽  
Female Students ◽  
The Mean ◽  
Rural Thailand

Background: Adolescent pregnancy is one of the major public health issues globally, as well as in Thailand. Sexual health literacy (SHL) has been a proved effective intervention for preventing teenage pregnancy. The objective of this study was to evaluate the effects of mobile messages to improve sexual and reproductive health literacy among secondary school female students. Methods: A comparative cross-sectional study with pre–post design was conducted in two secondary schools of rural Thailand. 128 respondents were selected through a simple random sampling method; equal number of female secondary school students were selected from each school. Health education through mobile messages on sexual and reproductive health literacy were delivered in one group while the other group was observed through routine care for 24 weeks. Baseline (pre) and endline (post) measurement was taken to compare the effects of mobile messages. Study was ethically approved by the institutional review board of Chulalongkorn University, Thailand. Results: Both groups were same at baseline and found statistically non-significant (p>0.05). After the 24-week health education program, the mean scores of health education groups was found statistically significant (p<0.05), while the mean score in observed group did not show any statistical change (p>0.05) . Level of sexual health literacy scores among female students in the health education group was found statistically significant (p<0.05) in all four domains. While, the observation group was remained same at both measurements pre and post (p=0.521). Conclusion: The study concluded that the mobile messages have proved an effective information method for sexual and reproductive health information among female secondary students of rural Thailand.

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