Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data
Sexual behaviour of adolescents is contextual, with various determinants affecting sexual activity and age of sexual debut. Insight into sexual activity among young adolescents has the potential to influence appropriate sexual and reproductive health interventions. For this analysis, adolescents wer...
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Taylor & Francis Group
2024-12-01
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| Series: | SAHARA-J |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/17290376.2024.2320188 |
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| author | Victor Mudhune Kate Winskell Robert A. Bednarczyk Ken Ondenge Calvin Mbeda Emily Kerubo Richard Ndivo Judith Arego Marissa Morales Brianna Halliburton Gaëlle Sabben |
| author_facet | Victor Mudhune Kate Winskell Robert A. Bednarczyk Ken Ondenge Calvin Mbeda Emily Kerubo Richard Ndivo Judith Arego Marissa Morales Brianna Halliburton Gaëlle Sabben |
| author_sort | Victor Mudhune |
| collection | DOAJ |
| description | Sexual behaviour of adolescents is contextual, with various determinants affecting sexual activity and age of sexual debut. Insight into sexual activity among young adolescents has the potential to influence appropriate sexual and reproductive health interventions. For this analysis, adolescents were recruited as part of the Tumaini smartphone game efficacy trial. Data collection included a self-administered behavioural survey and blood test for HIV and HSV-2. Descriptive statistics were calculated for demographics and measures of sexual behaviour and behavioural intent based on gender and sexual experience, with associations assessed using chi-square tests, t-tests and Wilcoxon rank sum tests as appropriate. We enrolled 996 adolescents, mean age 14 years and 2.2% HSV-2 positivity. Overall, 15% of the adolescents were sexually experienced, this being associated with lower socio-economic status (p = 0.01), household food insecurity (p = 0.008), a living situation without both parents (p < 0.01), substance use (p = 0.02), no adult conversation about future goals (p = 0.003), conversations about condoms (p = 0.01), with some gender disparity within these factors. Among those sexually experienced, 21.7% reported unwilling sex; 17.5% had engaged in transactional sex; 57.8% had willing first sex, of whom 60.9% reported no condom use. Among those abstaining, female adolescents were less likely to contemplate condom use at first sex (p = 0.006). Our findings determine that young sexually active adolescents are likely engaging in unprotected sex and having unwilling sexual experiences. Socio-economic status, living situation and parental monitoring remain significant factors associated with sexual experience among young adolescents. In this context, early adolescence is an opportunity to provide age- and developmentally appropriate education about safer sex practices.Trial registration: ClinicalTrials.gov identifier: NCT04437667. |
| format | Article |
| id | doaj-art-86dc906d096f489687d12f2a35283722 |
| institution | OA Journals |
| issn | 1729-0376 1813-4424 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | SAHARA-J |
| spelling | doaj-art-86dc906d096f489687d12f2a352837222025-08-20T01:53:26ZengTaylor & Francis GroupSAHARA-J1729-03761813-44242024-12-0121110.1080/17290376.2024.2320188Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline dataVictor Mudhune0Kate Winskell1Robert A. Bednarczyk2Ken Ondenge3Calvin Mbeda4Emily Kerubo5Richard Ndivo6Judith Arego7Marissa Morales8Brianna Halliburton9Gaëlle Sabben10HIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USAHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHIV Research Division, Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, KenyaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USADepartment of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, USAHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USASexual behaviour of adolescents is contextual, with various determinants affecting sexual activity and age of sexual debut. Insight into sexual activity among young adolescents has the potential to influence appropriate sexual and reproductive health interventions. For this analysis, adolescents were recruited as part of the Tumaini smartphone game efficacy trial. Data collection included a self-administered behavioural survey and blood test for HIV and HSV-2. Descriptive statistics were calculated for demographics and measures of sexual behaviour and behavioural intent based on gender and sexual experience, with associations assessed using chi-square tests, t-tests and Wilcoxon rank sum tests as appropriate. We enrolled 996 adolescents, mean age 14 years and 2.2% HSV-2 positivity. Overall, 15% of the adolescents were sexually experienced, this being associated with lower socio-economic status (p = 0.01), household food insecurity (p = 0.008), a living situation without both parents (p < 0.01), substance use (p = 0.02), no adult conversation about future goals (p = 0.003), conversations about condoms (p = 0.01), with some gender disparity within these factors. Among those sexually experienced, 21.7% reported unwilling sex; 17.5% had engaged in transactional sex; 57.8% had willing first sex, of whom 60.9% reported no condom use. Among those abstaining, female adolescents were less likely to contemplate condom use at first sex (p = 0.006). Our findings determine that young sexually active adolescents are likely engaging in unprotected sex and having unwilling sexual experiences. Socio-economic status, living situation and parental monitoring remain significant factors associated with sexual experience among young adolescents. In this context, early adolescence is an opportunity to provide age- and developmentally appropriate education about safer sex practices.Trial registration: ClinicalTrials.gov identifier: NCT04437667.https://www.tandfonline.com/doi/10.1080/17290376.2024.2320188Kenyayoung adolescentsexual behavioursexual activitysexual debut |
| spellingShingle | Victor Mudhune Kate Winskell Robert A. Bednarczyk Ken Ondenge Calvin Mbeda Emily Kerubo Richard Ndivo Judith Arego Marissa Morales Brianna Halliburton Gaëlle Sabben Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data SAHARA-J Kenya young adolescent sexual behaviour sexual activity sexual debut |
| title | Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data |
| title_full | Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data |
| title_fullStr | Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data |
| title_full_unstemmed | Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data |
| title_short | Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV: a cross-sectional analysis of baseline data |
| title_sort | sexual behaviour among kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent hiv a cross sectional analysis of baseline data |
| topic | Kenya young adolescent sexual behaviour sexual activity sexual debut |
| url | https://www.tandfonline.com/doi/10.1080/17290376.2024.2320188 |
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