ArticleAfrican journal of primary health care & family medicine2024
Adolescents' risky sexual behaviours and practices: Implications for sexuality education implementation in Zambia.
Article in African journal of primary health care & family medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Health-Related Consequences of Gender-Based Violence Against Women in South Africa.International journal of environmental research and public health · 2026Review
- Adolescents' engagement with comprehensive sexuality education in Zambian schools: implications for strengthening responses to risky sexual behaviours.BMC public health · 2026Article
- Prevalence and correlates of risky sexual behaviour among in-school adolescents in Bulawayo, Zimbabwe: a cross-sectional study.BMJ public health · 2026Article
- Exploring prevalence of risky sexual behaviour among adolescents in high schools: A systematic review.SAGE open medicine · 2026Review
- The dissociation between condom use knowledge and actual behavior among college students in Guangzhou, China: a cross-sectional study.Frontiers in reproductive health · 2026Article
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4 authors.
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Abstract
backgroundAdolescents' risky sexual behaviours (RSB) are detrimental to their sexual and reproductive health (SRH) well-being and present a serious public health threat, particularly in low- and middle-income countries (LMICs).
aimThis study aims to assess RSB among Grade 12 school-going adolescents after exposure to comprehensive sexuality education (CSE).
settingThis study was conducted in Kitwe district, Zambia.
methodsThis cross-sectional study included 807 Grade 12 pupils at 13 selected secondary schools. Data were collected using a structured questionnaire. Proportionate probability sampling involving 13 schools was employed. Risky sexual behaviours binary outcome variables were based on transactional sex, sex while drunk, multiple sexual partners, age-disparate sexual relationships, and condomless sex. We conducted univariate and bivariate analyses to summarise sociodemographic factors and fitted binary and multivariable logistic regression models.
resultsThe prevalence of RSB was 40.4%. Drinking alcohol (adjusted odds ratio [AOR] = 20.825; 95% CI [6.7-64.489]); ever had sex (AOR = 9.024; 95% CI [1.953-41.704]); school location (AOR = 6.50; 95% CI [1.61-26.24]); living with mother only (AOR = 4.820; 95% CI [1.328-17.493]); sex (male) (AOR = 2.632; 95% CI [1.469-4.713]), watching pornography (AOR = 1.745; 95% CI [1008-3.021]); religion (AOR = 0.472; 95% CI [0.250-0.891]) and attending religious functions (AOR = 0.317; 95% CI [0.118-0.848]) were significantly associated with RSB. Of the sexually active pupils, 221 (67.7%), 64 (19.6%) and 41 (12.5%) were in the low, medium and high-risk categories, respectively.
conclusionClose to half of the respondents engaged in RSB. This is a significant number that needs intervention. The CSE programme needs to be linked with structural programmes that address the social drivers of RSB among adolescents.Contribution: The study provides a backdrop for evaluating current CSE strategies in LMICs.
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