ArticleBMJ global health2025
Climate change, resource insecurities and sexual and reproductive health among young adolescents in Kenya: a multi-method qualitative inquiry.
Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Changes in resource insecurity, sexual and mental health among young women after Kenya's 2024 heavy rains and floods.International health · 2026Article
- Psychosocial stressors related to extreme weather events and multiple resource insecurities: qualitative insights from refugee youth in an Ugandan humanitarian setting.SSM. Mental health · 2026Article
- Associations Between Extreme Weather Events, Resource Insecurities, and HIV Vulnerabilities Among Adolescent Girls and Young Women in Kenya: Latent Profile Analysis Findings.AIDS and behavior · 2026Article
- Associations between water insecurity and reproductive health outcomes among adolescent girls and young women in Sub-Saharan Africa.PLOS global public health · 2026Article
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16 authors.
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Abstract
introductionGrowing evidence supports linkages between climate change and extreme weather events (EWEs) and sexual and reproductive health (SRH) among adults. Yet knowledge gaps persist regarding climate-related experiences and pathways to SRH among young adolescents (YA). We conducted a multi-method qualitative study to explore climate change-related factors and linkages with SRH among YA aged 10-14 years in Kenya.
methodsThis six-site study was conducted in Nairobi's urban slum Mathare; Naivasha's flower farming community; Kisumu's fishing community; Isiolo's nomadic and pastoralist community; Kilifi's coastal smallholder farms and Kalobeyei refugee settlement. Methods involved: n=12 elder focus groups, n=60 YA walk-along interviews (WAIs) and n=12 2-day YA participatory mapping workshops (PMWs). We conducted codebook thematic analysis informed by the resource insecurity framework.
resultsParticipants (n=297) included: elders (n=119; mean age: 60.6 years, SD: 7.9; men: 48.7%, women: 51.3%), YA WAI participants (n=60; mean age: 13.4, SD: 1.5; boys: 51.4%, girls: 48.6%) and YA PMW participants (n=118; mean age: 12.1, SD: 1.3; boys: 50.8%, girls: 49.2%). Narratives identified climate-related changes and EWEs increased existing resource insecurities that, in turn, were linked directly and indirectly with SRH vulnerabilities. Food and water insecurity contributed to YA missing school, sexual violence, transactional sex and exploitative relationships. Sanitation insecurity produced challenges regarding menstrual hygiene, sexual violence risks and transactional sex. Transactional sex and exploitative relationships were linked with unplanned pregnancy and sexually transmitted infection risks. Gender inequities increased girls' risks for violence and sexual exploitation, whereas boys were more prone to running away.
conclusionWe found that climate change exacerbated resource insecurities that may drive SRH outcomes among YA in Kenya. We developed a conceptual model to illustrate these pathways linking climate change, EWEs, resource insecurities and SRH. Climate-informed interventions should consider these pathways within larger social environmental contexts to advance young adolescent SRH in Kenya.
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