Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape

Background: Sexually transmitted infections (STIs) and HIV/AIDS are a major problem in South Africa. This, coupled with a high incidence of teenage pregnancy, alcohol and drug abuse, is of grave concern, especially its impact among the young (15–24 years) and in economically poor, rural populations....

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Main Authors: Vivek Bhat, A. Bana, X. Godlwana, S. Libazi, Y. Maholwana, N. Marafungana, K. Mona, A.M. Mbonisweni, N. Mbulawa, J. Mofuka, N.A. Mohlajoa, N.N. Nondula, Y. Qubekile, B. Ramnaran
Format: Article
Language:English
Published: AOSIS 2010-04-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/1367
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author Vivek Bhat
A. Bana
X. Godlwana
S. Libazi
Y. Maholwana
N. Marafungana
K. Mona
A.M. Mbonisweni
N. Mbulawa
J. Mofuka
N.A. Mohlajoa
N.N. Nondula
Y. Qubekile
B. Ramnaran
author_facet Vivek Bhat
A. Bana
X. Godlwana
S. Libazi
Y. Maholwana
N. Marafungana
K. Mona
A.M. Mbonisweni
N. Mbulawa
J. Mofuka
N.A. Mohlajoa
N.N. Nondula
Y. Qubekile
B. Ramnaran
author_sort Vivek Bhat
collection DOAJ
description Background: Sexually transmitted infections (STIs) and HIV/AIDS are a major problem in South Africa. This, coupled with a high incidence of teenage pregnancy, alcohol and drug abuse, is of grave concern, especially its impact among the young (15–24 years) and in economically poor, rural populations. This study aimed to assess the youths’ knowledge, attitudes and behaviours regarding STIs, teenage pregnancy, contraception and substance abuse. Methodology: This is an interview-based, descriptive study. The sample design employed a stratified sample (using schools as strata) of young people aged 15 to 24 years in three schools in the Mhlakulo region, Eastern Cape province. From each school, a sample of learners from grades 10 to 12 was selected randomly. Questionnaires covering relevant parameters were used to interview the learners, after which the data were assimilated and analysed. Results: A total of 150 learners were surveyed (86 females and 64 males). In total, 56% of them knew about STIs. About 88% of the participants learned about STIs from health care workers/nurses/doctors/clinics, the media, educators, the school and friends. Most preferred to communicate to friends (38.67%) and siblings (28%); only 15% communicated with parents. Among the sexually active, 54% reported the use of condoms; of these only 62% used them consistently. Of the participants, 7.33% had more than five sexual partners. Of the young women, 12.8% reported to have fallen pregnant with one-sixth of them wanting to become pregnant. Thirty per cent of those pregnant had to quit school, but did return subsequently. Common contraceptives used were condoms (54%) and pills (58%). Twenty-two per cent of the youths admitted to the use of recreational drugs at some time; most of these were related to alcohol (19.33%). A small fraction (1.33%) used dagga (cannabis). Conclusion: There is lack of knowledge of STIs and their prevention and condom and contraceptive use among young people of this community. Sexual promiscuity and teenage pregnancy in the group is a cause for concern. Substance abuse is another important problem that requires urgent attention.
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institution Kabale University
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series South African Family Practice
spelling doaj-art-433085550a184d6c8d1d2c417dbaac2c2025-08-20T04:03:17ZengAOSISSouth African Family Practice2078-61902078-62042010-04-0152210.1080/20786204.2010.108739591154Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern CapeVivek Bhat0A. Bana1X. Godlwana2S. Libazi3Y. Maholwana4N. Marafungana5K. Mona6A.M. Mbonisweni7N. Mbulawa8J. Mofuka9N.A. Mohlajoa10N.N. Nondula11Y. Qubekile12B. Ramnaran13Walter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityWalter Sisulu UniversityBackground: Sexually transmitted infections (STIs) and HIV/AIDS are a major problem in South Africa. This, coupled with a high incidence of teenage pregnancy, alcohol and drug abuse, is of grave concern, especially its impact among the young (15–24 years) and in economically poor, rural populations. This study aimed to assess the youths’ knowledge, attitudes and behaviours regarding STIs, teenage pregnancy, contraception and substance abuse. Methodology: This is an interview-based, descriptive study. The sample design employed a stratified sample (using schools as strata) of young people aged 15 to 24 years in three schools in the Mhlakulo region, Eastern Cape province. From each school, a sample of learners from grades 10 to 12 was selected randomly. Questionnaires covering relevant parameters were used to interview the learners, after which the data were assimilated and analysed. Results: A total of 150 learners were surveyed (86 females and 64 males). In total, 56% of them knew about STIs. About 88% of the participants learned about STIs from health care workers/nurses/doctors/clinics, the media, educators, the school and friends. Most preferred to communicate to friends (38.67%) and siblings (28%); only 15% communicated with parents. Among the sexually active, 54% reported the use of condoms; of these only 62% used them consistently. Of the participants, 7.33% had more than five sexual partners. Of the young women, 12.8% reported to have fallen pregnant with one-sixth of them wanting to become pregnant. Thirty per cent of those pregnant had to quit school, but did return subsequently. Common contraceptives used were condoms (54%) and pills (58%). Twenty-two per cent of the youths admitted to the use of recreational drugs at some time; most of these were related to alcohol (19.33%). A small fraction (1.33%) used dagga (cannabis). Conclusion: There is lack of knowledge of STIs and their prevention and condom and contraceptive use among young people of this community. Sexual promiscuity and teenage pregnancy in the group is a cause for concern. Substance abuse is another important problem that requires urgent attention.https://safpj.co.za/index.php/safpj/article/view/1367stissexually transmitted infectionsadolescentsteenage pregnancycontraceptionsubstance abuse
spellingShingle Vivek Bhat
A. Bana
X. Godlwana
S. Libazi
Y. Maholwana
N. Marafungana
K. Mona
A.M. Mbonisweni
N. Mbulawa
J. Mofuka
N.A. Mohlajoa
N.N. Nondula
Y. Qubekile
B. Ramnaran
Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
South African Family Practice
stis
sexually transmitted infections
adolescents
teenage pregnancy
contraception
substance abuse
title Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
title_full Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
title_fullStr Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
title_full_unstemmed Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
title_short Knowledge, attitudes and behaviours of adolescents in relation to STIs, pregnancy, contraceptive utilization and substance abuse in the Mhlakulo region, Eastern Cape
title_sort knowledge attitudes and behaviours of adolescents in relation to stis pregnancy contraceptive utilization and substance abuse in the mhlakulo region eastern cape
topic stis
sexually transmitted infections
adolescents
teenage pregnancy
contraception
substance abuse
url https://safpj.co.za/index.php/safpj/article/view/1367
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