Journal of Community Health

, Volume 45, Issue 1, pp 141–147 | Cite as

Understanding the Socio-demographic Factors Surrounding Young Peoples’ Risky Sexual Behaviour in Ghana and Kenya

  • Eugene Kofuor Maafo DartehEmail author
  • Kwamena Sekyi Dickson
  • Hubert Amu
Original Paper


Globally, young people in sub-Saharan Africa continue to be the population at the greatest risk for sexually transmitted infections (STIs) such as HIV and AIDS, Syphilis, and Gonorrhoea. Research has shown significant relationship between young peoples risky sexual behaviours and their vulnerability to these STIs. The study examined risky sexual behaviours among the youth in Ghana and Kenya in relation to socio-demographic characteristics. The paper uses data from the 2014 Demographic and Health Surveys of Ghana and Kenya. Young people between the ages of 15 to 24 years who were not married or living with a man/woman were included in the study. They comprised 2545 females and 1437 males from Ghana and 3546 females and 4317 males from Kenya. Descriptive analyses and binary logistic regression estimation technique were used to analyse the data. While awareness of AIDS was universal among the youth of both countries, utilisation of condoms on last penetrative sex was low. Risky sexual behaviour among young people was significantly associated with age, level of education, wealth status and religion. Among males and females in Ghana, the odds of sexual risk taking behaviour were higher among those who were employed than those who were unemployed. The reverse of this, however, occurred in Kenya, where males and females who were employed were less likely to engage in risky sexual behaviours than their counterparts who were unemployed. Our findings underscore the need for the relevant stakeholders in the two countries; Ministries of Health, Ghana/KenyaHealth Service, and NGOs concerned with sexual and reproductive health of young people, to intensify education on consistent and proper use of condoms and, position condom use as an acceptable behaviour especially among young people who are sexually active; with multiple partners and who may have STIs. Health literacy, which is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services to make appropriate health decisions, should be given priority. The governments of the two countries, especially Kenya, should promote youth entrepreneurship to reduce unemployment and strengthen job creation as a way of ensuring that young people engage on productive economic activities. With productive economic activities, females for instance may not have to engage in transactional multiple sexual relationships which is risky and, therefore, predisposes them to STIs such as gonorrhoea and HIV.


Young people Ghana Kenya Risky sexual behaviour HIV and AIDS 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no competing interests.


  1. 1.
    UNAIDS. (2014). The gap report. Geneva: UNAIDS.Google Scholar
  2. 2.
    The National AIDS and Control Programme STI, Kenya. (2007). Kenya AIDS indicator survey: Preliminary report. Nairobi, Kenya: Kenyan Ministry of Health.Google Scholar
  3. 3.
    Dancy, B. L., Kaponda, C. P., Kachingwe, S. I., & Norr, K. F. (2006). Risky sexual behaviours of adolescents in rural Malawi: Evidence from focus groups. Journal of National Black Nurses' Association: JNBNA, 17(1), 22–28.PubMedGoogle Scholar
  4. 4.
    Monasch, R., & Mahy, M. (2006). Young people: The centre of the HIV epidemic. World Health Organisation technical report series 938. Geneva: WHO.Google Scholar
  5. 5.
    Uchudi, J., Magadi, M., & Mostazir, M. (2012). A multilevel analysis of the determinants of high-risk sexual behaviour in sub-Saharan Africa. Journal of Biosocial Science, 44(3), 289–311.CrossRefGoogle Scholar
  6. 6.
    Eaton, L., Flisher, A. J., & Aarø, L. E. (2003). Unsafe sexual behaviour in South African youth. Social Science & Medicine, 56(1), 149–165.CrossRefGoogle Scholar
  7. 7.
    Hervish, A., & Clifton, D. (2012). Status report: Adolescents and young people in sub-Saharan Africa, opportunities and challenges. New York: UNFPA.Google Scholar
  8. 8.
    Goicolea, I., Wulff, M., Sebastian, M. S., & Öhman, A. (2010). Adolescent pregnancies and girls’ sexual and reproductive rights in the amazon basin of Ecuador: an analysis of providers’ and policy makers’ discourses. BMC International Health and Human Rights,10(1), 12.CrossRefGoogle Scholar
  9. 9.
    Amu, H., & Nyarko, S. H. (2016). Trends in contraceptive practices among women in reproductive age at a health facility in Ghana: 2011–2013. Contraception and Reproductive Medicine, 1, 2.CrossRefGoogle Scholar
  10. 10.
    Moore, K. A., Sacks, V. H., Manlove, J., & Sawhill, I. (2014). " What if" you earned a diploma and delayed parenthood? Intergenerational simulations of delayed childbearing and increased education. Research brief. Washington, DC: Child Trends.Google Scholar
  11. 11.
    Centre for Disease Control and Prevention (CDC). (2016). Sexual risk behaviours: HIV, STD, & teen pregnancy prevention. Retrieved August 14, 2016, from
  12. 12.
    Sychareun, V., Thomsen, S., Chaleunvong, K., & Faxelid, E. (2013). Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR. BMC Public Health, 13, 1126.CrossRefGoogle Scholar
  13. 13.
    Bachanas, P. J., Morris, M. K., Lewis-Gess, J. K., Sarett-Cuasay, E. J., Sirl, K., Ries, J. K., & Sawyer, M. K. (2002). Predictors of risky sexual behavior in African American adolescent girls: Implications for prevention interventions. Journal of Pediatric Psychology, 27(6), 519–530.CrossRefGoogle Scholar
  14. 14.
    Azmat, S. K., Mustafa, G., Hameed, W., Ali, M., Ahmed, A., & Bilgrami, M. (2012). Barriers and perceptions regarding different contraceptives and family planning practices amongst men and women of reproductive age in rural Pakistan: A qualitative study. Pakistan Journal of Public Health, 2(1), 17–23.Google Scholar
  15. 15.
    Ball, V., & Moore, K. A. (2008). What works for adolescent reproductive health: Lessons from experimental evaluations of programs and interventions. Washington, DC: Child Trends.Google Scholar
  16. 16.
    Dixon-Mueller, R. (2008). How young is “too young”? Comparative perspectives on adolescent sexual, marital, and reproductive transitions. Studies in Family Planning, 39(4), 247–262.CrossRefGoogle Scholar
  17. 17.
    Swahn, M. H., Culbreth, R., Salazar, L. F., Kasirye, R., & Seeley, J. (2016). Prevalence of HIV and associated risks of sex work among youth in the Slums of Kampala. AIDS Research and Treatment. Scholar
  18. 18.
    Berhan, Y., & Berhan, A. (2015). A meta-analysis of risky sexual behaviour among male youth in developing countries. AIDS Research and Treatment. Scholar
  19. 19.
    Awusabo-Asare, K., & Annim, M. S. (2008). Wealth status and risky sexual behaviour in Ghana and Kenya. Applied Health Economics and Health Policy, 6(1), 27–39.CrossRefGoogle Scholar
  20. 20.
    Ghana Statistical Service (GSS), Ghana Health Service (GHS), ICF International. (2015). Ghana demographic and health survey 2014. Maryland: GSS, GHS and ICF International.Google Scholar
  21. 21.
    Kenya National Bureau of Statistics (KNBS), Ministry of Health (MOH), National AIDS Control Council, Kenya Medical Research Institute (KMRI), National Council for Population and Development (NCPD), ICF International. (2015). Kenya demographic and health survey 2014. Rockville: KNBS, MOH, National AIDS Control Council, KMRI, NCPD, ICF International.Google Scholar
  22. 22.
    Silas, J., Jacobstein, R., Curtis, C., Spieler, J., Radloff, S., Wong, et al. (2013). Poverty and risky sexual behaviours: Evidence from Tanzania. International Journal of Gynecology and Obstetrics,121(1), S9–S15.Google Scholar
  23. 23.
    Tumwesigye, N. M., Atuyambe, L., Wanyenze, R. K., Kibira, S. P., Li, Q., Wabwire-Mangen, F., & Wagner, G. (2012). Alcohol consumption and risky sexual behaviour in the fishing communities: Evidence from two fish landing sites on Lake Victoria in Uganda. BMC Public Health, 12, 1069.CrossRefGoogle Scholar
  24. 24.
    Darteh, E. K. M., Kumi-Kyereme, A., & Awusabo-Asare, K. (2016). Perception of risk of HIV among adolescents living in an urban slum in Ghana. African Journal of Reproductive Health, 20(1), 62–70.CrossRefGoogle Scholar
  25. 25.
    Sychareun, V., Thomsen, S., Chaleunvong, K., & Faxelid, E. (2013). Risk perceptions of STIs/HIV and sexual risk behaviours among sexually experienced adolescents in the Northern part of Lao PDR. BMC Public Health, 13, 1126.CrossRefGoogle Scholar
  26. 26.
    Cheluget, B., Baltazar, G., Orege, P., Ibrahim, M., Marum, L. H., & Stoverm, J. (2006). Evidence for population level declines in adult HIV prevalence in Kenya. Sexually Transmitted Infections, 82(1), i21–i26.CrossRefGoogle Scholar
  27. 27.
    Sauvé, N., Dzokoto, A., Opare, B., Kaitoo, E. E., Khonde, N., Mondo,r M., Bekoe, V., & Pépin, J. (2002). The price of development: HIV infection in a semiurban community of Ghana. Journal of Acquired Immune Deficiency Syndromes, 29(4), 402–408.CrossRefGoogle Scholar
  28. 28.
    Nukunya, G. K. (2003). Tradition and change in Ghana: An introduction to sociology. Accra: Ghana Universities Press.Google Scholar
  29. 29.
    Bingenheimer, J. B. (2010). Men's multiple sexual partnerships in 15 sub-Saharan African countries: Socio-demographic patterns and implications. Studies in Family Planning, 41(1), 1–7.CrossRefGoogle Scholar
  30. 30.
    Scott, E., Simon, T., La Foucadeb, A., Karl, T., & Gittens-Baynes, K. A. (2011). Poverty, employment and HIV/AIDS in Trinidad and Tobago. International Journal of Business and Social Science, 2(15), 63–71.Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Eugene Kofuor Maafo Darteh
    • 1
    Email author
  • Kwamena Sekyi Dickson
    • 1
  • Hubert Amu
    • 2
  1. 1.Department of Population and HealthUniversity of Cape CoastCape CoastGhana
  2. 2.Department of Population and Behavioural Sciences, School of Public HealthUniversity of Health and Allied SciencesHohoeGhana

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