A qualitative exploration of factors influencing non-use of sexual reproductive health services among university students in South Africa
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Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI
Abstract
: (1) Background: There is growing concern in South Africa about risky sexual behaviour,
sexual transmitted infections (STIs), and unplanned pregnancy among young people. Many sexually
active students engage in several risky behaviours, including sex with multiple sexual partners,
low condom use, and low contraceptive use. This paper qualitatively explores factors influencing
non-use of sexual reproductive health services by students at Mangosuthu University of Technology
in South Africa (MUT). (2) Methods: Data was collected through 20 in-depth interviews with MUT
students and subjected to inductive thematic analysis. Informed consent was obtained before all
data collection. (3) Results: The main themes identified were risky sexual behaviours translating to
multiple intimate partners, perceived quality of condom use, perceived benefits of contraceptives,
negotiating safer sex with partners, developing a greater sense of autonomy, alcohol and drug abuse,
perceived benefits of health education provided by the MUT, and lack of open communication.
(4) Conclusions: The findings suggest that university students need multi-faceted interventions
designed to address challenges with risky sexual behaviours including knowledge and benefits of
condom and contraceptive use to prevent STIs and unwanted pregnancies, as well as providing
psychosocial interventions to support these students’ autonomy.
Description
Keywords
Sexual reproductive health, Public health, HIV, Higher education, Young adults, South Africa
Citation
Mazibuko, N. E. et al. (2023). A qualitative exploration of factors influencing non-use of sexual reproductive health services among university students in South Africa. International Journal of Environmental Research and Public Health, 20(3), 2418. https://doi.org/10.3390/ijerph20032418