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2015 ; 12
(ä): 106
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"Once you join the streets you will have to do it": sexual practices of street
children and youth in Uasin Gishu County, Kenya
#MMPMID26573581
Embleton L
; Wachira J
; Kamanda A
; Naanyu V
; Winston S
; Ayuku D
; Braitstein P
Reprod Health
2015[Nov]; 12
(ä): 106
PMID26573581
show ga
BACKGROUND: Adolescents living in HIV endemic settings face unique sexual health
risks, and in the context of abject poverty, orphanhood, social marginalization,
and discrimination, adolescents may be particularly at-risk of horizontal HIV
transmission. Street-connected children and youth are a particularly vulnerable
and marginalized population and therefore may be a key population at-risk.
METHODS: We sought to describe the sexual behaviours of street-connected children
and youth in order to comprehend their sexual practices and elucidate
circumstances that put them at increased risk of contracting HIV utilizing
qualitative methods from a sample of street-connected children and youth in
Eldoret, Kenya. We recruited participants aged 11-24 years who had lived on the
street for???3 months to participate in 25 in-depth interviews and 5 focus group
discussions stratified by age and sex. RESULTS: In total we interviewed 65
street-connected children and youth; 69 % were male with a median age of 18 years
(IQR: 14-20.5 years). Participants identified both acceptable and unacceptable
sexual acts that occur on the streets between males and females, between males,
and between females. We grouped reasons for having sex into four categories based
on common themes: pleasure, procreation, transactional, and forced. Transactional
sex and multiple concurrent partnerships were frequently described by
participants. Rape was endemic to street life for girls. CONCLUSION: These
findings have important policy and programming implications, specifically for the
government of Kenya's adolescent reproductive health policy, and highlight the
need to target out-of-school youth. There is an urgent need for social protection
to reduce transactional sex and interventions addressing the epidemic of sexual
and gender-based violence.
|Adolescent
[MESH]
|Adolescent Behavior/psychology
[MESH]
|Attitude to Health
[MESH]
|Child
[MESH]
|Female
[MESH]
|Focus Groups
[MESH]
|Homeless Youth/*psychology/statistics & numerical data
[MESH]
|Homosexuality/psychology/statistics & numerical data
[MESH]
|Humans
[MESH]
|Interviews as Topic
[MESH]
|Kenya
[MESH]
|Male
[MESH]
|Qualitative Research
[MESH]
|Rape/psychology/statistics & numerical data
[MESH]
|Sexual Behavior/*psychology/statistics & numerical data
[MESH]
|Sexual Partners
[MESH]
|Terminology as Topic
[MESH]
|Vulnerable Populations/psychology/statistics & numerical data
[MESH]