ArticleStudies in family planning2021
"We Don't Fear HIV. We Just Fear Walking around Pregnant.": A Qualitative Analysis of Adolescent Sexuality and Pregnancy Stigma in Informal Settlements in Kisumu, Kenya.
Article in Studies in family planning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- A Dual Prevention Pill for HIV & Pregnancy Prevention: A Pilot Study Among Adolescent Girls and Young Women in Zimbabwe.AIDS and behavior · 2026Trial
- Adolescent views on participating in HIV biomedical research during pregnancy: a qualitative analysis of motivators and barriers.AIDS care · 2026Article
- Visible Pregnancy, Invisible HIV: How Social Norms Shape Adolescents Protection Choice in Kenya and Nigeria.Annals of global health · 2026Article
- Silenced, stigmatised and struggling: early childbearing, minority stress and mental distress among pregnant and parenting adolescent girls in an urban informal settlement in Kenya - an explanatory qualitative study.BMJ public health · 2026Article
- Co-design of a digital health intervention to provide pharmacy-based, person-centered contraceptive decision support for youth in Kenya.PLOS global public health · 2026Article
- Increasing young people's use of sexual and reproductive health services in government health facilities in rural Kenya.PloS one · 2026Article
- School-based and animation-based comprehensive sexuality education in Kenya: protocol for a quasiexperimental study.BMJ open · 2025Article
- Opening the black box of agency in contraceptive decision-making: A cross-country qualitative study of a complex process.SSM. Qualitative research in health · 2025Article
- "Something Like That": Awareness and Acceptability of HIV PrEP and PEP Among Kenyan Adolescents.International journal of behavioral medicine · 2025Article
- Peer-led public service announcement creation workshops for adolescent sexual and reproductive health education in Kenya.Health promotion international · 2025Article
- Article
- Exploring Adolescents' Contraceptive Preferences and Trade-Offs: Findings From a Discrete Choice Experiment in Kenya.Studies in family planning · 2025Article
- Preventing HIV in women in Africa.Nature medicine · 2025Review
- 'Better she gets infected by other diseases but not pregnancy'. Narratives from adolescent girls and community males following pregnancy escalation during COVID-19 lockdown.Frontiers in reproductive health · 2025Article
- Teen mothers' experiences with youth-friendly health services in Eastern Cape, South Africa.Journal of public health in Africa · 2025Article
- The reasons for and influences of unintended teenage pregnancy in Kericho county, Kenya: a qualitative study.Reproductive health · 2024Article
- Evaluation of the participation of community pharmacists in family planning services: A nonrandomized controlled trial.Exploratory research in clinical and social pharmacy · 2024Article
- Safeguarding in practice: anticipating, minimising and mitigating risk in teenage pregnancy research in urban informal settlements in Nairobi, Kenya.BMJ global health · 2024Article
- Brief Report: HIV Pre-Exposure Prophylaxis Awareness and Use Among Adolescents in Kenya.Journal of acquired immune deficiency syndromes (1999) · 2024Article
- Sexual and reproductive health knowledge, attitudes, and behaviors: A survey of 12-17 year old Sudanese refugees in Chad.PLOS global public health · 2024Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
In Kenya, adolescent pregnancy rates are high, contraception utilization is low, and adolescent sexuality is stigmatized. We describe how perceptions of sexuality and pregnancy stigma influence decision-making among adolescents in the informal settlements of Kisumu. We used purposive sampling to recruit 120 adolescent boys and girls aged 15-19 for focus group discussions. A semistructured interview guide was used to elicit social norms and community attitudes about sexual and reproductive health. We analyzed the data using the Framework Approach. The social stigma of adolescent sexuality and the related fear of pregnancy as an unambiguous marker of sexual activity emerged as main themes. This stigma led adolescents to fear social retribution but did not lead to more frequent contraception use due to additional stigma. The intensity of this fear was most acutely expressed by girls, leading some to seek unsafe, sometimes fatal, abortions, and to contemplate suicide. Fear of pregnancy outweighed fear of contracting HIV that was viewed as both treatable and less stigmatized. Our findings illustrate how fear of pregnancy among these adolescents is driven primarily by fears that their community will discover that they are sexually active. Interventions are urgently needed to address adolescent sexual stigma and to prevent negative outcomes.
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