ArticleBMC public health2026
Sexual health literacy and risky sexual behaviour among female university students in Tanzania: a social-ecological analysis of levels, differences, and determinants.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introduction and purposeUnintended pregnancy (UIP) remains a persistent public health concern among young women in sub-Saharan Africa, including Tanzania. This study examined Sexual Health Literacy for Pregnancy Prevention (SHLPP) and engagement in Sexual Behaviours potentially leading to UIP (referred to in this study as Risky Sexual Behaviours [RSB]) among female university students using a Social Ecological Model (SEM). Specifically, it assessed (i) levels of SHLPP and RSB, (ii) differences across individual, interpersonal, and contextual factors, and (iii) the predictive effects of these factors on SHLPP and RSB, including the influence of SHLPP on RSB.
methodA cross-sectional study was conducted involving 255 female university students at Sokoine University of Agriculture, Tanzania. Data were collected using a structured questionnaire and analysed using descriptive statistics, factorial ANOVA, and hierarchical multiple regression.
findingsMost participants (75.6%) exhibited low-to-moderate SHLPP, while 63.7% reported moderate-to-high RSB. Upbringing environment significantly influenced both RSB (F(1,165) = 17.817, p < .001, η
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