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2016 ; 18
(3
): 337-48
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Eating sweets without the wrapper: perceptions of HIV and sexually transmitted
infections among street youth in western Kenya
#MMPMID26394208
Embleton L
; Wachira J
; Kamanda A
; Naanyu V
; Ayuku D
; Braitstein P
Cult Health Sex
2016[]; 18
(3
): 337-48
PMID26394208
show ga
Street-connected youth in Kenya are a population potentially at risk of HIV
transmission, yet little is known about their perceptions and experiences of
sexually transmitted infections (STIs), despite their living in an HIV endemic
region. We sought to elucidate the language and sociocultural factors rooted in
street life that impact on street-connected young people's knowledge of and
perceptions about the prevention and transmission of STIs, and their diagnosis
and treatment, using qualitative methods in western Kenya. We conducted a total
of 25 in-depth interviews and 5 focus-group discussions with 65 participants aged
11-24 years in Eldoret, Kenya. Thematic analysis was conducted and data were
coded according to themes and patterns emergent until saturation was reached. In
general, street-connected young people knew of STIs and some of the common
symptoms associated with these infections. However, there were many
misconceptions regarding transmission and prevention. Gender inequities were
prominent, as the majority of men described women as individuals who spread STIs
due to unhygienic practices, urination and multiple partners. Due to
misconceptions, gender inequity and lack of access to youth-friendly healthcare
there is an urgent need for community-based organisations and healthcare
facilities to introduce or augment their adolescent sexual and reproductive
health programmes for vulnerable young people.