Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

A lack of research exists around the most common forms of sexual risk behaviors among adolescents, including their underlying factors, in Sub-Saharan Africa. Using an Ecological Model of Adolescent Behavior, we explore the perceptions of 85 young people and 10 stakeholders on sexual risk behavior of adolescents in Kilifi County on the coast of Kenya. Our findings show that transactional sex, early sexual debut, coerced sex, and multiple sexual partnerships are prevalent. An urgent need exists to develop measures to counter sexual risk behaviors. The results contribute to understanding the range of risks and protective factors in differing contexts, tackling underlying issues at individual, family, local institutional, wider socio-economic, and political levels.

Original publication




Journal article


J Health Psychol

Publication Date





188 - 205


adolescence, qualitative methods, risk factors, sexual behavior, youth, Adolescent, Adolescent Behavior, Adult, Child, Female, Humans, Kenya, Male, Prevalence, Qualitative Research, Risk-Taking, Safe Sex, Sexual Partners, Socioeconomic Factors, Stakeholder Participation, Unsafe Sex, Young Adult