The Attitudes of Kenyan In-School Adolescents Toward Sexual Autonomy
Abstract
This was a cross-sectional study to examine the attitudes of Kenyan in-school adolescents towards premarital sex, unwanted pregnancies/abortions and contraception. Data collection was undertaken using a structured questionnaire. Kenyan in-school adolescents have conservative attitudes toward premarital sex, disagreeing that adolescent boy and girls should be left alone to satisfy their sexual needs. The girls had the view that boys have uncontrollable sexual appetites. With regards to unwanted pregnancies, the majority of the respondents disagreed with allowing abortions for pregnant school girls while they agreed that a pregnant school girl should be allowed to return to school. However, the majority of the girls held the view that a school boy who had impregnated a school girl should be expelled from school. The attitudes of the respondents to contraception were also largely conservative. The conservative attitudes of the respondents conflicts with the findings of high levels of unsafe sex and reproductive ill- health among Kenyan adolescents. There is need to help Kenyan in-school adolescents to develop more realistic attitudes toward sexuality in order to improve their reproductive health (Afr J Reprod Health 2010; 14[1]:33-41).
RĖSUMĖ
Attitudes des adolescentes Kenyanne qui sont encore etudiantes envers l’autonomie sexuelle. Il s’agissait d’une étude transversale destinée à étudier les attitudes des adolescentes Kenyannes qui sont encore étudiantes envers le sexe avant le mariage, les grossesses non voulues/l’avortement et la contraception. Nous avons collectionné les données à l’aide d’un questionnaire structuré. Les adolescentes Kenyanne qui sont encore étudiantes ont des attitudes conservatrices envers le sexe avant le mariage, n’étant pas d’accord que les adolescents et les adolescentes devraient être libres à satisfaire leurs besoins sexuels. Les filles avaient l’impression que les garçons avaient des appétits sexuels irrépressible. En ce qui concerne les grossesses non voulues, la majorité des enquêtés n’étaient pas d’accord que les étudiantes enceintes aient recours à l’avortement alors qu’ils sont d’accord que les filles enceintes peuvent retourner a l’école. Pourtant, la majorité des filles avaient l’impression que l’étudiante qui est responsable pour la grossesse doit être renvoyé de l’école. Les attitudes des enquêtés envers la contraception étaient aussi en grande partie conservatrices. Les attitudes conservatrices des enquêtés ne correspondent pas aux niveaux élevés du sexe dangereux et la mauvaise santé de la reproduction chez les adolescents Kenyanne. Il est nécessaire d’aider les adolescents kenyans qui sont encore étudiants à manifester des attitudes plus réalistes envers la sexualité afin d’améliorer leur santé de la reproduction (Afr J Reprod Health 2010; 14[1]:33-41).
KEYWORDS: Sexual autonomy, Unwanted pregnancies, Premarital sex, Contraceptives, In-school adolescents, Kenya
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Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet. 2007 7;369(9568):1220-31.
Blum RW, Nelson-Mmari K. The health of young people in a global context. J Adolesc Health. 2004 Nov;35(5):402-18.
Zabin L, Kiragu K. The health consequences of adolescent sexual and fertility behavior in sub-
Saharan Africa. Stud Fam Plann 1998 29(2):21032.
WHO. The Reproductive Health of Adolescents: A Strategy for Action. A joint WHO/UNFPA/ UNICEF Statement. Geneva; 1989.
CBS. Kenya Demographic and Health Survey 2003. Calverton, Maryland: Central Bureau of Statistics and Ministry of Health [Kenya] and ORC Macro.; 2004.
Askew I, Chege J, Njue C, Radeny S. Providing Reproductive Health Information and Services to
Young People in Western Kenya: Kenya
Adolescent Reproductive Health Project. Nairobi, Kenya: Frontiers in Reproductive Health publication, Population Council; 2004.
Ferry B, Carael M, Buve A, Auvert B, Laourou M, Kanhonou L, et al. Comparison of key parameters of sexual behaviour in four African urban populations with different levels of HIV infection. AIDS. 2001 ;15 Suppl 4:S41-50.
Johnston J. The Adolescent AIDS Epidemic in Kenya. Nairobi: Pathfinder International / Population Council; 2000.
Volk JE, Koopman C. Factors Associated With Condom Use in Kenya: A Test of the Health Belief Model. AIDS Educ Prev 2001;13(6):495 - 508.
Oindo ML. Contraception and sexuality among the youth in Kisumu, Kenya. Afr Health Sci. 2002 Apr;2(1):33-9.
Nzioka C. Perspectives of adolescent boys on the risks of unwanted pregnancy and sexually transmitted infections: Kenya. Repr Health Matters. 2001 May; 9(17):108-17.
Ajayi AA, Marangu LT, Miller J, Paxman JM. Adolescent sexuality and fertility in Kenya: a survey of knowledge, perceptions, and practices. Stud Fam Plann 1991 Jul-Aug;22(4):205-16.
Magadi MA, Curtis SL. Trends and determinants of contraceptive method choice in Kenya. Stud Fam Plann 2003 Sep;34(3):149-59.
Blanc AK, Way AA. Sexual behavior and contraceptive knowledge and use among adolescents in developing countries. Stud Fam Plann 1998 Jun;29(2):106-16.
Odongo F, Ojwang SB. Some aspects of teenage pregnancy in Nairobi: a prospective study on teenage mothers at Kenyatta National Hospital and Pumwani Maternity Hospital. East Afr Med J. 1990 Jun;67(6):432-6.
Chege I, Okumu MY. Female adolescent health and sexuality study in Kenya secondary schools. Nairobi, Kenya: African Medical and Research Foundation. Nairobi: African Medical and Research Foundation.; 1993.
Gebreselassie H, Gallo M, Monyo A, Johnson B. The magnitude of abortion complications in Kenya. Br J Obstet Gynaecol 2005 Sep;112(9):1229-35.
Wanyeki LM. KENYA-POPULATION: Church Burns Condoms and AIDS Materials. Inter Press Service. 1996.
Gunja P. Regional Description of Nyanza Province. Nairobi: National Council of Churches Kenya; 2002.
Erulkar AS, Karueru JPM, Kaggwa G, King’ola N, Nyagah FK, Ochieng B. Adolescent experiences and lifestyles in Central Province, Kenya. New York: Population Council; 1998.
Kangara LW. The Church, Youth and Sexuality in
Kenya. Sexuality in Africa. 2005:8 - 10.
Hulton LA, Cullen R, Khalokho SW. Perceptions of the risks of sexual activity and their consequences among Ugandan adolescents. Stud Fam Plann 2000 Mar;31(1):35-46.
Varga CA. How gender roles influence sexual and reproductive health among South African adolescents. Stud Fam Plann. 2003 Sep;34(3):16072.
Wood K, Maforah F, Jewkes R. "He forced me to love him": putting violence on adolescent sexual health agendas. Soc Sci Med. 1998 Jul;47(2):233-42.
Balmer DH, Gikundi E, Billingsley MC, Kihuho FG, Kimani M, Wang'ondu J, et al. Adolescent knowledge, values, and coping strategies: implications for health in sub-Saharan Africa. J Adolesc Health. 1997 Jul;21(1):33-8.
Brookman-Amissah E, Moyo JB. Abortion law reform in sub-Saharan Africa: no turning back. Repr Health Matters. 2004 Nov;12(24 Suppl):227-34.
Koster-Oyekan W. Why resort to illegal abortion in Zambia? Findings of a community-based study in Western Province. Soc Sci Med. 1998
May;46(10):1303-12.
Mensch BS, Lloyd CB. Gender differences in the schooling experiences of adolescents in lowincome countries: the case of Kenya. Stud Fam Plann 1998 Jun;29(2):167-84.
Lloyd CB, Mensch BS. Marriage and Childbirth as Factors for School Exit: An Analysis of Data from Sub-Saharan Countries. New York: Population Council; 2006. Report No.: 219.
Chilisa B. National Policies on Pregnancy in Education Systems in Sub-Saharan Africa: The Case of Botswana. Gender Educ. 2002;14(1):21 - 35.
Lloyd CB, Mensch BS, Clark WH. The effects of primary school quality on school dropout among Kenyan girls and boys. Comp Educ Review.
;44(2):113 - 47.
CEDAW. General Recommendation 24 on Women and Health, CEDAW/C/1999/I/WG.II/WP2/Rev.1 [Online]. Available from: http://www.un.org/ womenwatch/daw/cedaw/recommendations/recom
m.htm#recom24. Accessed on 29th July 2007. Geneva: Committee on the Elimination of all forms of Discrimination Against Women; 1999.
Cook RJ. State accountability for women’s health. Int Digest Health Legisl 1998;49(1):265 - 82.
CESCR. General Comment No. 14: The right to the highest attainable standard of health [Online]. Available from: http://www.publichealthlaw.net/ Reader/docs/GenCom14.pdf. Accessed on 29th July 2007. Geneva: Committee on Economic,
Social, and Cultural Rights; 2000.
Jacobson JL. Transforming family planning programmes: towards a framework for advancing the reproductive rights agenda. Repr Health Matters. 2000 May;8(15):21-32.
Mann JM. Medicine and public health, ethics and human rights. In: Mann JM, Groskin S, Grodin MA, Annas GJ, editors. Health and Human Rights: A Reader. New York: Routledge; 1999.
Liljestrand J, Gryboski K. Women Who Die Needlessly: Maternal Mortality as a Human Rights Issue. In: Murphy E, Hendrix-Jenkins A, editors. Reproductive Health and Rights—Reaching the Hardly Reached. Seattle, Washington: PATH; 2002.
Kols A. A Rights-based Approach to Reproductive Health. OutLook. 2003;20(4):1 - 8.
Germain A. Reproductive health and human rights. Lancet. 2004 Jan 3;363(9402):65-6.
Gostin L, Mann JM. Towards the development of a human rights impact assessment for the formulation and evaluation of public health policies. Health and Human Rights. 1994
Fall;1(1):58-80.
Freedman LP. Using human rights in maternal mortality programs: from analysis to strategy. Int J Gynaecol Obstet 2001 Oct;75(1):51-60; discussion 1.
Cottingham J, Fonn S, Garcia-Moreno C, Gruskin S, Klugman B, Mwau AN, et al. Transforming Health Systems: Gender and Rights in Reproductive Health. A training curriculum for Health Programme Managers. Geneva: World Health Organization; 2001.
Creel LC, Perry RJ. Improving the quality of reproductive health care for young people. Washington DC: Population Reference Bureau; 2003.
Edouard L, Olatunbosun O. Sexual and reproductive rights: statements, rhetoric and responsibilities. British J Fam Plann 2000 Jan;26(1):44-7.
Cook RJ, Erdman JN, Dickens BM. Respecting adolescents' confidentiality and reproductive and sexual choices. Int J Gynaecol Obstet 2007 Aug;98(2):182-7.
Petchesky RP. Human rights, reproductive health and economic justice: why they are indivisible. Repr Health Matters. 2000 May;8(15):12-7.
Easton P. Senegal: Grassroots Democracy in Action.
Washinton DC: World Bank; 2000. Report No.:
Yamin AE, Maine DP. Maternal Mortality as a Human Rights Issue: Measuring Compliance With International Treaty Obligation. Human Rights Quarterly. 1999;21:563 - 607.
Kiragu K, Zabin LS. Contraceptive use among high school students in Kenya Int Fam Plann
Perspectives. 1995;21(3):108-13.
Eggleston E, Jackson J, Hardee K. Sexual Attitudes and Behaviour among Young Adults in Jamaica. Int Fam Plann Perspectives. 1999;25(2):78 - 84+91.
Becker D, Garcia SG, Larsen U. Knowledge and Opinions about Abortion Law Among Mexican Youth. Int Fam Plann Perspectives. 2002;28(4):205 - 13.
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