Ecological factors influencing HIV sexual risk and resilience among young people in rural Kenya: Implications for prevention

Gary W. Harper*, Andrew J. Riplinger, Leah C. Neubauer, Alexandra G. Murphy, Jessica Velcoff, Audrey K. Bangi

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Most new HIV infections in Kenya occur among young people. The purpose of this study was to understand ecological factors that influence HIV-related sexual risk and resilience among young people in rural Kenya and to elicit their ideas for HIV prevention interventions. Nine focus groups (N = 199) were conducted with both female (55%) and male (45%) participants (ages 14-24 years) living in rural communities in Kenya. Findings were organized into thematic areas related to the following systems of influence: (i) intrapersonal (substance use, HIV knowledge), (ii) interpersonal (peer pressure, lack of parent-child communication, interpersonal sexual violence), (iii) institutional/community (pornography, transactional sex, 'idleness', lack of role models) and (iv) socio-cultural/policy (Kikuyu culture, Western influence, religious beliefs, HIV-related stigma and gendered sexual scripts). Results regarding the types of HIV prevention programs that participants believed should be developed for young people in rural Kenya revealed seven primary themes, including (i) HIV prevention community/group workshops, (ii) condom distribution, (iii) job skills trainings, (iv) athletic and social clubs, (v) HIV-related stigma reduction campaigns, (vi) community-wide demonstrations and (vii) other HIV/AIDS activities led by young people. Implications for the development of culturally and developmentally appropriate HIV prevention interventions for young people in rural Kenya are discussed.

Original languageEnglish (US)
Pages (from-to)131-146
Number of pages16
JournalHealth Education Research
Volume29
Issue number1
DOIs
StatePublished - Feb 1 2014

ASJC Scopus subject areas

  • Education
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Ecological factors influencing HIV sexual risk and resilience among young people in rural Kenya: Implications for prevention'. Together they form a unique fingerprint.

  • Cite this