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ORIGINAL RESEARCH article

Front. Reprod. Health
Sec. Adolescent Reproductive Health and Well-being
Volume 6 - 2024 | doi: 10.3389/frph.2024.1348953
This article is part of the Research Topic Intersection of Adolescent Sexual, Reproductive, and Mental Health in Sub-Saharan Africa View all 4 articles

Individual and relational dynamics perceived to influence the sexual behaviour of adolescents in Ethiopia: qualitative research

Provisionally accepted
Semere g. baraki Semere g. baraki 1*Gloria B. Thupayagale-tshweneagae Gloria B. Thupayagale-tshweneagae 2
  • 1 Kotebe University of Education, Addis Ababa, Ethiopia
  • 2 University of South Africa, Pretoria, South Africa

The final, formatted version of the article will be published soon.

    Background: There are 1.2 billion adolescents in the world today, more than ever before, making up 16 percent of the world's population and nearly one-fourth of the total population in Sub-Saharan Africa. Adolescents are facing life-threatening health challenges attributed to sexual and reproductive health issues such as unwanted pregnancies, unsafe abortions, and sexually transmitted infections, including the human immunodeficiency virus, and acquired immunodeficiency syndrome. The aim of this research is to explore the individual and relational levels of factors that drive adolescents to engage in risky sexual behaviour.Methods: A qualitative phenomenological study design was used from February to June 2020.Adolescents and health professionals were selected purposefully. A total of twelve individual indepth interviews, five focus group discussions with adolescents, and eight key informant interviews with health professionals were conducted using a semi-structured guide. Data analysis was performed using thematic analysis with ATLAS Ti version 7 software. Credibility, dependability, transferability, and confirmability were used to ensure the trustworthiness of the data.Results: In this study, two themes were identified; individual level factors such as sexual desire and emotion driven sex, limited knowledge of sexual and reproductive health, and a permissive attitude towards sexual activities drive adolescents to engage in risky sexual behaviour; and relational level factors such as, limited family support and involvement, negative peer pressure and influence, male partner dominance during the partnership, and pressuring females to engage in sexual intercourse were perceived factors influencing adolescents to engage in risky sexual behaviour.Various individual-level and relational-level factors are influencing adolescents to engage in risky sexual behaviour. Socially and culturally acceptable, comprehensive sexual education should be provided for in-school and out-school adolescents to enhance their knowledge, attitude, and skill about sexual and reproductive health. Interventions at the peer and partner level should be considered to enhance the life skills that enable them to resist pressure from peers and 3 their partners. Child-parent communication on sexual and reproductive health matters should be promoted.

    Keywords: adolescents, Exploratory, Individual level, influence, Relational level, Sexual behaviours

    Received: 03 Dec 2023; Accepted: 19 Jul 2024.

    Copyright: © 2024 baraki and Thupayagale-tshweneagae. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Semere g. baraki, Kotebe University of Education, Addis Ababa, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.