The aim of this study was to examine sexual behavior, contraceptive use, self-rated health, lifestyle factors and the prevalence of HPV vaccination among last year high school students. The study was a quantitative cross-sectional study which was a substudy of the longitudinal study " Pornography, Youth and Health". Results showed that the majority of students had had sexual intercourse (75 %, n=524) and both performed (67 %, n=479) and received oralsex (70 %, n=498). Forty percent (n=282) of the students had had one night stand, a quarter (n=159) anal sex and 29 (n=202) percent sex with a friend. The contraceptive use increased from the first to the last intercourse while the use of condoms decreased. Five percent (n=38) of the students reported a sexually transmitted disease, more women than men. Significant difference in sexual experience was shown between students in vocational versus theoretical study programs, between students with low and high self-rated health as well as between students with low versus high risk behavior regarding lifestyle factors. Two thirds of the female students were vaccinated against HPV. No significant difference regarding condom use was shown between the female students who were vaccinated against HPV compared with non-vaccinated. The knowledge of existing differences between gender, between students at different high school programs and attention to risk factors can improve sex education and contraceptive counseling in which the midwife has an important role. / Syftet med föreliggande studie var att undersöka sexualvanor, preventivmedelsanvändning, egen upplevd hälsa, livsstilsfaktorer och förekomsten av HPV-vaccination bland elever som gick sista året på gymnasiet. Studien var en kvantitativ tvärsnittsstudie som var en del av den longitudinella studien "Pornografi, ungdomar och hälsa". Resultat visade att majoriteten av eleverna hade haft samlag (75 %, n=524) samt både givit (67 %, n=479) och fått oralsex (70 %, n=498). Fyrtio procent (n=282) av eleverna hade haft one night stand, en fjärdedel (n=159) analsex och 29 procent (n=202) sex med en kompis. Preventivmedelsanvändningen ökade från första samlaget till det senaste medan kondomanvändningen minskade. Fem procent (n=38) av eleverna hade haft en könssjukdom, fler kvinnor än män. Signifikanta skillnader avseende sexuella erfarenheter fanns mellan elever på yrkesförberedande- respektive studieförberedande gymnasieprogram, mellan elever med låg- och hög självskattad hälsa samt mellan elever med lågt- och högt riskbeteende beträffande livsstilsfaktorer. Två tredjedelar av de kvinnliga eleverna var vaccinerade mot HPV. Ingen signifikant skillnad med avseende på kondomanvändning fanns mellan de kvinnliga eleverna som var vaccinerade respektive ej vaccinerade mot HPV. Kunskap om dessa skillnader mellan kön och mellan elever på olika studieprogram samt att riskfaktorer uppmärksammas kan förbättra sexualundervisning och preventivmedelsrådgivning i vilka barnmorskan har en viktig roll.

PhD (Sociology) / Department of Sociology / The purpose of this study was to critically determine the impact of communal child-rearing approach on the prevalence of teenage pregnancy in Vhembe District, in order to develop facilitation tools from which the parents can be empowered on the constructive parenting approaches, specifically for a girl-child and teenage girls against the prevalence of teenage pregnancy. This study further empowers the teenage girls in particular growing-up in Vhembe District with the chance of healthy development and future favourable womanhood. A combination of quantitative and qualitative approaches was used to conduct the study, with a quantitative description and exploratory study design. A total of 400 participants, mainly teenage girls, participated in a quantitative approach. Then 16 pregnant teenage girls, 19 teenage mothers, 6 key informants and 23 parents of pregnant teenage girls and mothers participated in a qualitative approach. The participants for the quantitative approach were sampled using the stratified random sampling technique because of the age-specific (13-19 years). Close-ended questionnaires were administered to them. The participants for in-depth interviews were sampled using the purposive and snowball non-random sampling technique. They were high school principals, teachers, and community leaders, pregnant teenage girls and teenage mothers, and their parents. Data collected through close-ended questionnaires were analyzed using the Statistical Package for Social Sciences (SPSS) programme. Frequencies tables were created to categorize variables and cross-sectional frequencies tables were further created to show associations between the variables. The data collected through structured interviews, matrices were created using content thematic analysis. The responses were grouped thematically and, with the emergence of subthemes, broad categories were generated to differentiate and explain the thoughts expressed by the participants. The study findings suggest that the prevalence of teenage pregnancy is purely a social behavioral problem develop through critical parenting practices and approaches. The study concluded that the total blame for the prevalence of teenage pregnancy is in the way parents raise the teenage girls, whether influenced by their socio-economic status, cultural values, availability or absence of the other parent, etc. the primary lack of sensitive parenting recognition of the prevalence of teenage pregnancy, critically placed the teenage girls in Vhembe District in the prevalence of teenage pregnancy. / NRF