Faculty of Economic and Management Sciences, Stellenbosch University, Stellenbosch 7599, South Africa.
School of Public Health, University of the Western Cape, Cape Town 7535, South Africa.
Int J Environ Res Public Health. 2023 Jan 29;20(3):2418. doi: 10.3390/ijerph20032418.
(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.
(1) 背景：南非越来越关注年轻人的危险性行为、性传播感染（STIs）和意外怀孕问题。许多活跃于性方面的学生存在多种危险行为，包括与多个性伴侣发生性关系、低避孕套使用率和低避孕措施使用率。本文定性探讨了南非曼古苏托理工大学（MUT）学生不使用性生殖健康服务的因素。(2) 方法：通过对 MUT 学生进行 20 次深入访谈收集数据，并进行归纳主题分析。在进行所有数据收集之前，均获得了知情同意。(3) 结果：确定的主要主题包括危险的性行为导致多个亲密伴侣、避孕套使用质量的感知、避孕药具的感知益处、与伴侣协商安全性行为、发展更大的自主权、酒精和药物滥用、对 MUT 提供的健康教育的感知益处以及缺乏开放的沟通。(4) 结论：研究结果表明，大学生需要多方面的干预措施，旨在解决危险性行为带来的挑战，包括避孕套和避孕药具使用的知识和益处，以预防性传播感染和意外怀孕，以及提供心理社会干预措施，以支持这些学生的自主权。
