Ajayi A A, Marangu L T, Miller J, Paxman J M
Pathfinder International, Nairobi.
Stud Fam Plann. 1991 Jul-Aug;22(4):205-16.
This article presents findings from a survey conducted in Kenya in 1985 of the reproductive health knowledge, attitudes, and practices among more than 3,000 unmarried Kenyan youth, students and nonstudents, between the ages of 12 and 19. The survey was designed to elicit information that would be useful in gauging the kinds of problems Kenyan adolescents face in order to design programs that meet their needs. The study shows that although a solid majority of adolescents appear to have received information on reproductive health, the quality of the information is generally low. Fewer than 8 percent could correctly identify the fertile period in a woman's menstrual cycle. A substantial proportion of the population surveyed, more than 50 percent, is sexually active, having initiated intercourse some time between 13 and 14 years of age, on average. In spite of a general disapproval of premarital sex (but approval of the use of contraceptives among the sexually active), most of the sexually active population--89 percent--have never used contraceptives. The many contradictions between attitudes and practices pose serious questions and demonstrate the need to reexamine the programs (and policies) that provide access to reproductive health services to adolescents in Kenya.
本文介绍了1985年在肯尼亚对3000多名12至19岁未婚肯尼亚青年（包括学生和非学生）进行的一项关于生殖健康知识、态度和行为的调查结果。该调查旨在获取有助于评估肯尼亚青少年所面临问题类型的信息，以便设计出满足他们需求的项目。研究表明，尽管绝大多数青少年似乎已获得生殖健康方面的信息，但这些信息的质量普遍较低。不到8%的人能够正确识别女性月经周期中的排卵期。在接受调查的人群中，超过50%的人有性行为，平均在13至14岁之间开始有性交行为。尽管普遍不赞成婚前性行为（但赞成性活跃人群使用避孕药具），但大多数有性行为的人群——89%——从未使用过避孕药具。态度和行为之间的诸多矛盾引发了严重问题，表明有必要重新审视肯尼亚为青少年提供生殖健康服务的项目（和政策）。
