Relationship between sources of reproductive information and prevalence of risky sexual behaviour among secondary school adolescents in Thika West Sub-County, Kiambu County
Keywords:
Sources of reproductive information, Risky sexual behaviour, AdolescentsAbstract
Purpose: The purpose of this study was to determine the relationship between sources of reproductive information and prevalence of risky sexual behaviour among secondary school adolescents in Thika West Sub-County, Kiambu County.
Methodology: The study used descriptive survey method to collect data. A sample of 400 respondents was considered, with their guidance and counselling teachers as the key informants. A stratified sampling technique was adopted in selection of the secondary schools within Thika west sub-county, Kiambu County. The study used the researcher administered questionnaire, interview schedules (KII) and focus group discussion (FGD) as the data collection instruments. 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: The study showed significant relationship between sources of reproductive information and the prevalence of risky sexual behaviour among adolescents in Thika west sub-county. The study concluded that secondary school adolescents in Thika west sub-county engaged in risky sexual behaviours and lacked adequate reproductive information.
Unique contribution to theory, practice and policy: The study suggests that adolescents should be equipped with information as early as possible, and be consistently made available through their lives in order to empower them in sexual decision making and reduce chances of engaging in risky sexual behaviour.
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References
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Ritchwood, T. D., Ford, H., DeCoster, J., Sutton, M., & Lochman, J. E. (2015). Risky sexual behavior and substance use among adolescents: A meta-analysis. Children and youth services review, 52, 74-88.
Robinson, J., & Yeh, E. (2011). Transactional sex as a response to risk in Western Kenya. American Economic Journal: Applied Economics, 3(1), 35-64.
Shaw, D. (2009). Access to sexual and reproductive health for young people: bridging the disconnect between rights and reality. International Journal of Gynecology & Obstetrics, 106(2), 132-136.
Shiferaw, K., Getahun, F., & Asres, G. (2014). Assessment of adolescents' communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools' students in Debremarkos town, North West Ethiopia. Reproductive health, 11(1), 2.
Smith, A., Lyons, A., Ferris, J., Richters, J., Pitts, M., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex & Marital Therapy, 37(2), 104-115.
Steinberg, L. (2014). Age of opportunity: Lessons from the new science of adolescence. Houghton Mifflin Harcourt.
Svanemyr, J., Baig, Q., & Chandra-Mouli, V. (2015). Scaling up of life skills based education in Pakistan: a case study. Sex Education, 15(3), 249-262.
Sychareun, V., Thomsen, S., Chaleunvong, K., & Faxelid, E. (2013). Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR. BMC public health, 13(1), 1126.
Tesfaye, G., Derese, A., & Hambisa, M. T. (2014). Substance use and associated factors among university students in Ethiopia: a cross-sectional study. Journal of addiction, 2014.
UNESCO. (2013). Young people today: Time to Act now .Why Adolescent and young people need Comprehensive and Sexual Education and Reproductive Health Services in Eastern and South Africa.
UNESCO. (2015). Comprehensive Sexuality Education .Global review.
Wellings, K., Nanchahal, K., Macdowall, W., McManus, S., Erens, B., Mercer, C. H. ... & Field, J. (2001). Sexual behaviour in Britain: early heterosexual experience. The Lancet, 358(9296), 1843-1850.
WHO, UNICEF (2012). Countdown to 2015: Building a future for women and children. Washington, DC: WHO, UNICEF.
Ali, M. M., & Dwyer, D. S. (2011). Estimating peer effects in sexual behavior among adolescents. Journal of adolescence, 34(1), 183-190.
APHRC (2017). Annual Report 2017. Collaborating in Africa's Transformation. Available At: https://aphrc.org/wp-content/uploads/2018/07/APHRC-2017-Annual-Report-compressed-version.pdf
Banister, E. M., Begoray, D. L., & Daly, L. K. (2011). Responding to adolescent women's reproductive health concerns: empowering clients through health literacy. Health care for women international, 32(4), 344-354.
Blum W.B. 2009: Young People not; as Healthy as they seem. Lancet 374,853-854
Cargan, L. (2007).Doing Social Research .Rawman & littlefield Publishers Inc., 4501, Forbes Boulevard, suite 200, Lanham, Maryland 20706.United States of America.
CDC (2013). Health, United States, 2013 With Special Feature on Prescription Drugs. Retrieved From: https://www.cdc.gov/nchs/data/hus/hus13.pdf
Chemtai,A.(2011). Factors influencing implementation of lifeskills education in puplic primary schools. Case study in Nakuru County.
Chio, C., & V., Mishra (2009). Trends in primary and secondary abstinence among Kenyan Youth. Journal of AIDS Care. 21(7), 881-892
Cho,H., Hallfors,D.D., Mba,I.I, Hindi, J., Milimo, B.W., Halpern,C.T., &Iritani B.J., (2011). Keeping Adolescents in school to prevent Human immunodeficiency Virus infection: Evidence from a randomized controlled trial in Kenya. 48(5), 523-526.
Delva, WK et al., (2010). HIV prevalence thru sport: the case of the Mathare Youth and Sports Association in Kenya. Journal of AIDS Care, 22(8), 1012-102
Dixon"Mueller, R. (2008). How young is "too young"? Comparative perspectives on adolescent sexual, marital, and reproductive transitions. Studies in family planning, 39(4), 247-262.
Fauk, N. K., Merry, M. S., Sigilipoe, M. A., Putra, S., & Mwanri, L. (2017). Culture, social networks and HIV vulnerability among men who have sex with men in Indonesia. PloS one, 12(6), e0178736.
Gordia, P.M, Olenja, M. J., Hofman, J.J &Nynkeran D. B. (2014). Young People's perception of sexual and reproductive health. Article BMC health service research Doi: 10:1186/1472-6963-14-172
Hussain, R. (2012). Abortion and unintended pregnancy in Kenya. Issues in brief (Alan Guttmacher Institute), (2), 1-4.
Joloza, T., Evans, J., O'Brien, R., & Potter-Collins, A. (2010). Measuring sexual identity: an evaluation report (p. 10). ONS.
Kabiru, C., W., &Orpinas P. (2009). Factors associated with sexual activity among high-school Students in Nairobi, Kenya. Journal of Adolescence Health. 32(4), 1023-1039.
Kamangu, A. A., John, M. R., & Nyakoki, S. J. (2017). Barriers to parent-child communication on sexual and reproductive health issues in East Africa: A review of qualitative research in four countries. Journal of African Studies and Development, 9(4), 45-50.
Kohler, P. K., Manhart, L. E., & Lafferty, W. E. (2008). Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. Journal of adolescent Health, 42(4), 344-351.
Lesedi, C., Hoque M.E., & Ntuli-Ngcobo, B. (2011). Youth's perception towards sexual and Reproductive Health Services at Family Welfare Association Centres in Botswana, South Africa. Journal of social science, 28(2): 137-143
Lindberg, L. D., Maddow-Zimet, I., & Boonstra, H. (2016). Changes in adolescents' receipt of sex education, 2006-2013. Journal of Adolescent Health, 58(6), 621-627.
Lloyd, C.B, (2005). Growing Up Global: The Changing Transitions to Adulthood in Developing Countries: Executive Summary. In: (ends Countries., P. O. T. T. A. I. D., Committee on Population and Board on Children, Y., and Families & Education., D. O. B. A. S. S. A.) The National Academies Press, Washington, DC, pp. 1-14.
Mbonile, L., & Kayombo, E. J. (2008). Assessing acceptability of parents/guardians of adolescents towards introduction of sex and reproductive health education in schools at Kinondoni Municipal in Dar es Salaam city.
Mbugua N. (2007). Factors inhibiting Educated Mothers in Kenya from giving meaningful sex-education to their daughters. Socesci.med.j.64 (5): 1079-1089.
McKay, A., Byers, E. S., Voyer, S. D., Humphreys, T. P., & Markham, C. (2014). Ontario parents' opinions and attitudes towards sexual health education in the schools. The Canadian journal of human sexuality, 23(3), 159-166.
MoH. (2009). National Reproductive Health Strategy 2009-2015. Division of Reproductive Health: Nairobi, Kenya, Ref Type: Report.
MoH (2005). National Guidelines for Provision of Youth-Friendly Services (YFS) in Nairobi, Kenya: Ministry of Health, Ref Type: Report.
NASCOP (2016). Guidelines on Use of Antiretroviral Drugs for Treating and Preventing HIV Infection in Kenya. Available At: https://aidsfree.usaid.gov/sites/default/files/kenya_art_2016.pdf
Nicholson. J. (2012). Risky sexual Behaviour among Adolescents and Young Adults, University of North Carolina Chapel Hill.
Nigatu, R. & Seman, K. (2011). "Attitudes and Practice on HIV prevention among student of higher education institutions in Ethiopia". Educational Research 2(2), 828-840
Nigatu, R. & Seman, K. (2011). "Attitudes and Practice on HIV prevention among student of higher education institutions in Ethiopia". Educational Research 2(2), 828-840
Njoroge, K., M., Olsson, P., Pertet, A.M. &Maina, B., A. (2010).Voices unheard: youth and sexuality in the wake of HIV prevention in Kenya. Sexual and Reproductive Healthcare (4), 143-148.
Omobuwa, O., Asekun-Olarinmoye, E. O., & Olajide, F. O. (2012). Knowledge and perception of reproductive health services among in-school adolescents in Ile-Ife Osun State Nigeria. Journal of Medicine and Medical Sciences, 3(7), 481-488.
Ritchwood, T. D., Ford, H., DeCoster, J., Sutton, M., & Lochman, J. E. (2015). Risky sexual behavior and substance use among adolescents: A meta-analysis. Children and youth services review, 52, 74-88.
Robinson, J., & Yeh, E. (2011). Transactional sex as a response to risk in Western Kenya. American Economic Journal: Applied Economics, 3(1), 35-64.
Shaw, D. (2009). Access to sexual and reproductive health for young people: bridging the disconnect between rights and reality. International Journal of Gynecology & Obstetrics, 106(2), 132-136.
Shiferaw, K., Getahun, F., & Asres, G. (2014). Assessment of adolescents' communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools' students in Debremarkos town, North West Ethiopia. Reproductive health, 11(1), 2.
Smith, A., Lyons, A., Ferris, J., Richters, J., Pitts, M., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex & Marital Therapy, 37(2), 104-115.
Steinberg, L. (2014). Age of opportunity: Lessons from the new science of adolescence. Houghton Mifflin Harcourt.
Svanemyr, J., Baig, Q., & Chandra-Mouli, V. (2015). Scaling up of life skills based education in Pakistan: a case study. Sex Education, 15(3), 249-262.
Sychareun, V., Thomsen, S., Chaleunvong, K., & Faxelid, E. (2013). Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR. BMC public health, 13(1), 1126.
Tesfaye, G., Derese, A., & Hambisa, M. T. (2014). Substance use and associated factors among university students in Ethiopia: a cross-sectional study. Journal of addiction, 2014.
UNESCO. (2013). Young people today: Time to Act now .Why Adolescent and young people need Comprehensive and Sexual Education and Reproductive Health Services in Eastern and South Africa.
UNESCO. (2015). Comprehensive Sexuality Education .Global review.
Wellings, K., Nanchahal, K., Macdowall, W., McManus, S., Erens, B., Mercer, C. H. ... & Field, J. (2001). Sexual behaviour in Britain: early heterosexual experience. The Lancet, 358(9296), 1843-1850.
WHO, UNICEF (2012). Countdown to 2015: Building a future for women and children. Washington, DC: WHO, UNICEF.
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Published
2019-05-15
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Mureithi, P. M., Otieno, D. S., & Njoroge, D. (2019). Relationship between sources of reproductive information and prevalence of risky sexual behaviour among secondary school adolescents in Thika West Sub-County, Kiambu County. Global Journal of Health Sciences, 4(1), 32–43. Retrieved from https://iprjb.org/journals/index.php/GJHS/article/view/885
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