Sexual risk-taking behavior amongst emerging adults in a tertiary institution of learning in Coastal Kenya: A qualitative study of stakeholders' perspectives using causal loop mapping.
| Autor: | Chea SK; Department of Nursing Sciences, School of Health and Human Sciences, Pwani University, Kilifi, Kenya.; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, International Centre for Reproductive Health, Ghent University, Ghent, Belgium.; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Public Health Nutrition Unit, Ghent University, Ghent, Belgium., Kagonya VA; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya., Oyugi EA; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya., Nasambu C; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya., Menza I; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya., Ibrahim F; County Department of Health, Kilifi, Kenya., Abdullahi O; Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya., Anika A; Department of Educational Psychology, School of Education, Pwani University, Kilifi, Kenya., Hassan AS; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya.; Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya., Abbeddou S; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Public Health Nutrition Unit, Ghent University, Ghent, Belgium., Michielsen K; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, International Centre for Reproductive Health, Ghent University, Ghent, Belgium., Abubakar A; Centre for Geographic Medicine Research (Coast), Kenya Medical Research Institute/Wellcome Trust Research Programme, Kilifi, Kenya.; Department of Public Health, School of Health and Human Sciences, Pwani University, Kilifi, Kenya.; Institute for Human Development, The Aga Khan University, Nairobi, Kenya. |
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| Jazyk: | angličtina |
| Zdroj: | PloS one [PLoS One] 2023 Oct 10; Vol. 18 (10), pp. e0284550. Date of Electronic Publication: 2023 Oct 10 (Print Publication: 2023). |
| DOI: | 10.1371/journal.pone.0284550 |
| Abstrakt: | Background: It is known from previous studies that university students in sub-Saharan Africa (sSA) engage in sexual risk-taking behaviour (SRTB). However, there is paucity of data on factors contributing to SRTB among university students (emerging adults) at the Kenyan Coast thus hindering intervention planning. This study seeks to provide an in-depth qualitative understanding of the factors contributing to SRTB and their interconnectedness among university students at the Kenyan Coast combining qualitative research with a systems thinking approach. Methods: Using the ecological model, and employing in-depth interviews, we explored the perceptions of twenty-six key informants (twenty-one emerging adults and five other stakeholders) on what constitutes and influences SRTB among emerging adults at a tertiary institution of learning in Coastal Kenya. Data were analysed using a thematic framework approach. A causal loop diagram (CLD) was developed to map the interconnectedness of the correlates of SRTB. Results: Our findings show that unprotected sex, transactional sex, cross-generational sex, multiple sex partnerships, gender-based violence, sex under influence of alcohol/drugs, early sex debut, and sharing sex toys were common SRTBs. Based on the ecological model and CLD, most of the reported risk factors were interconnected and operated at the individual level. Conclusion: Our study shows that emerging adults are frequently engaging in unprotected sex. Enhancing sexuality education programs for students in Kenyan universities and strengthening support systems including counselling for those using alcohol/drugs may help reduce SRTB among emerging adults in Kenyan universities. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Chea et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.) |
| Databáze: | MEDLINE |
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