Black-Canadian populations are disproportionately affected by HIV/AIDS. In particular, Black-Canadian youth are noted to be at a greater risk of HIV infection due to their sexual risk behaviours. Many international studies indicate that open parent-youth sex communication may counter the potentially negative impact of peers, mass media and inadequate sexual health education programs on youth sexual risk behaviour. However, there is a paucity of Canadian studies on Black-Canadian parent-youth sex communication and ways to enhance this communication. As such, a qualitative based exploratory study was conducted using a community based research approach to determine the state of Black-Canadian parent-youth sex communication in Toronto, Ontario. Data was collected through 17 Key Informant interviews; that is individuals who work in Black Toronto communities and are knowledgeable about the subject matter. The results noted several factors which affect Black-Canadian parent-youth sex communication such as religion and cultural taboos surrounding the discussion of sexual health. The impact of these factors along with potential implications of this study on Black-Canadian populations and recommendations to enhance Black-Canadian parent- youth sex communication are discussed. / UOIT

Like other developing countries in sub-Saharan Africa, South Africa is faced with the following social welfare issues: teenage pregnancies, high HIV rates, sexually transmitted diseases (STDs), and a high number of abortions. South Africa is dealing with the repercussions of risky sexual behaviour of female youth on a daily basis and these include: youth with STDs, teenage pregnancies, HIV infection, cervical cancer, abortion, and youth selling their bodies for money. All of these can lead to serious health risks. There are psychological and behavioural factors associated with the risk of STDs like Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (Gebregiorgis, 2000:15). Gebregiorgis reported that understanding sexual risk behaviours is one of the most important issues in preventing the spread of HIV and AIDS. Doing so will result in the design and implementation of health education programmes with the view of preventing these infections, or at least minimising their occurrence (Damtie, 2013:1). Very limited research has been done on this topic in South Africa and Africa. A need for a similar study was recommended in Ethiopia, where it was stated that no published empirical studies were available on factors relating to sexual risk behaviours in rural districts such as the Enemay District, East Gojjam Zone of Ethiopia (Anemaw, 2009:5). Hence, this study will explore and describe factors that may influence female youths to engage in unsafe sexual behaviours. The focus of the study was on the risky sexual behaviour of female youth in rural and urban areas. The goal of the study was to explore and describe the nature and consequences of risky sexual behaviour of female youth in rural and urban areas. The research question of this study was: do female youth in urban and rural areas have insight regarding the nature and consequences of their risky sexual behaviour? A qualitative approach was followed with a case study research design, as the researcher wanted to compare cases in urban and rural areas. The population was school-going females aged between 18 and 20 years in Gauteng province. There were two targeted groups of population. The first one was in Kameeldrift Village, Hammanskraal in Tshwane Municipality, Gauteng province, classified as a rural area. The second population was in Tembisa, Ekurhuleni Municipality, Gauteng province, classified as an urban area. In this study non-probability, purposive sampling was used to generate a sample. The criteria for sampling participants were as follows: ? Female youth between the ages of 18 and 20 years old. ? Female youth who are sexually active, as they request contraceptives at the clinic. ? Female youth who are from Ivory Park in Tembisa and Kameeldrift Village in Hammanskraal, both in Gauteng. Twelve participants, namely six female youth from a rural area and six from an urban area, who were at the above-mentioned clinics to access family planning within the above-mentioned age groups were chosen for the study. Semi-structured interviews were conducted with participants individually. Interviews were voice recorded with the permission of the participants and were transcribed by the researcher. The data was analysed by the researcher and themes and sub-themes were generated. The research findings were presented by providing a profile of the research participants and presenting a thematic analysis of the themes and sub-themes, including literature and verbatim quotes from the transcriptions to support the findings. The themes included the following: Theme 1 Knowledge of female youth regarding reproductive health; Theme 2 Knowledge of preventative measures and prevention of pregnancy; Theme 3 Sexual risk behaviour and exploration of multiple sexual partners or concurrent partners; Theme 4 Consequences of risky sexual behaviour; and Theme 5 Attitudes experienced as a result of consequences of risky sexual behaviour. The conclusions of this study reflect that that a limited understanding of reproductive health is a contributing factor to the sexual risk behaviour displayed by female youths in both rural and urban areas. It was further concluded that fear of dealing with the consequences of risky sexual behaviour does not prevent female youth from early sexual debut. Another conclusion is that early sexual debut is the biggest factor to risky sexual behaviour, as the majority of participants started engaging in sexual activities very early in life while they were not mature enough to negotiate safer sex practices. Recommendations of this study can be used by professionals working with female youth in the health field in order to understand the dynamics involved, such as the biological, psychological, and social influences that result in the sexual behaviour of female youth. These will address the complex issues related to environmental influences that shape risky sexual behaviour of female youth. / Mini Dissertation (MSW)--University of Pretoria, 2016. / Social Work and Criminology / MSW / Unrestricted

Thesis (MA)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: The most commonly searched for topic on the internet revolve around sexuality. These searches, known as online sexual pursuits, may be influenced by one’s personality traits, such as sexual sensation seeking (Kalichman et al., 1994), which has been associated with various sexual risk behaviours and could increase one’s chances of contracting sexually transmitted diseases and infections. It is therefore vital for researchers to examine the association between sexual sensation seeking and the internet. This study collected data from 336 participants who responded to instruments on an online survey which consisted of a demographic questionnaire, the Sexual Sensation Seeking Scale (Kalichman et al., 1994), the Sexual Compulsivity Scale (Kalichman & Rompa, 1995), the Big Five Inventory (John, Naumann, & Soto, 2008), the Real Me Questionnaire (Amichai-Humburger, Wainapel, & Fox, 2002), Klein’s Sexual Orientation Grid (Klein, 1993), and items associated with sexual risk behaviour (Mashegoane, Moalusi, Ngoepe, & Peltzer, 2002), online deception (Capri & Gorski, 2006; Stieger , Eichinger, & Honeder, 2009), and internet use. Results from multiple regression analyses indicated that extraversion, agreeableness, conscientiousness, neuroticism, sexual compulsivity, sexual risk behaviour, and online self-disclosure were statistically significant (p < .05) predictors of sexual sensation seeking. The study used product-term regression analysis to examine the influence that time spent on the internet has on sexual sensation seeking and its relationship with the statistical predictors thereof. Three distinct third variables were used, namely, hours spent on the internet for work purpose (work hours), hours spent on the internet associated with online sexual pursuits (sexual hours), and hours spent on the internet for personal purposes (personal hours). Through the use of product-term regression analyses I was able to show that work hours as a third variable moderated the relationship between extraversion and sexual sensation seeking; work hours indirectly influenced sexual sensation seeking through sexual compulsivity; and that work hours as a third variable moderated the relationship between online self-disclosure and sexual sensation seeking. Furthermore, sexual hours as a third variable moderated the relationship between sexual compulsivity and sexual sensation seeking. Finally, I have shown that, within the sample, personal hours as a third variable moderated the relationship between sexual compulsivity and sexual sensation seeking; personal hours indirectly influenced sexual sensation seeking through sexual risk behaviour; and personal hours indirectly influenced sexual sensation seeking through online self-disclosure. It thus seems that time spent online influences sexual sensation seeking. It is advised that internet use policies be put in place to establish and maintain a professional culture within the workplace, and to ensure that job performance is consistently met. Internet software packages may be used to identify and report unauthorized online activity, and monitor hours spent online in order to identify individuals who may require treatment with regards to problematic internet use, sexual compulsivity, and inappropriate sexual behaviour in the workplace. Furthermore, the results of this study highlight the internet’s influence on the relationship between sexual compulsivity and sexual sensation seeking, and as such, may be of interest to sex therapists and counsellors in the field of hypersexuality. Finally, corporations, university officials, and youth and sexual health organisations may want to create awareness and provide educational resources with regards to the health risks associated with exploring sexuality via the internet. / AFRIKAANSE OPSOMMING: Temas wat rondom seksualiteit gefokus is, is die mees algemeenste onderwerp wat op die internet nagevors word. Hierdie internet soeke, naamlik aanlyn seksuele strewe, word deels beïnvloed deur persoonlikheids-eienskappe, soos seksuele sensasiesoeke. Verder, seksuele sensasiesoeke is geassosieer met ‘n wye reeks riskante seksuele gedrag en kan die kanse tot seksueel oordraagbare siektes en infeksies verhoog. Hieruit volg dus die noodsaaklikheid dat navorsers die assosiasie moet ondersoek tussen seksuele sensasiesoeke en die internet. In ‘n aanlyn-opname is data van 336 respondente versamel deur die gebruik van instrumente soos 'n demografiese vraelys, Seksuele Sensasiesoekende Skaal (Kalichman et al., 1994), Seksuele Kompulsiwiteit Skaal (Kalichman & Rompa, 1995), Groot-Vyf Inventaris (John, Naumann, & Soto, 2008), Ware Ek Vraelys (Amichai-Humburger, Wainapel, & Fox, 2002), Klein se Seksuele Oriëntasie Rooster (Klein, 1993), en items wat verband hou met riskante seksuele gedrag (Mashegoane, Moalusi, Ngoepe, & Peltzer, 2002), aanlynmisleiding (Capri & Gorski, 2006; Stieger , Eichinger, & Honeder, 2009), en internetgebruik. Resultate van 'n meervoudige regressie-analise het aangedui dat ekstraversie, pligsgetrouheid, welgevalligheid, neurotisisme, seksuele kompulsiwiteit, riskante seksuele gedrag, en aanlyn self bekendmaking statisties beduidende (p < .05) voorspellers van seksuele sensasiesoeke is. Hierdie studie het produk-term regressie-analise (toets vir interaksie met behulp van meervoudige regressie) gebruik om die derde veranderlik van tyd wat op die internet gespandeer word te analiseer met betrekking tot die verhouding tussen seksuele sensasiesoeke en die statistiese voorspellers van seksuele sensasiesoek. Die derde veranderlike bestaan uit drie verskillende kategorieë naamlik, ure wat aanlyn gespandeer is vir werksdoeleindes (werksure), ure wat op die internet gespandeer is wat verband hou met aanlyn seksuele strewe (seksuele ure), en ure wat aanlyn vir persoonlike doeleindes gespandeer is (persoonlike ure). Resultate dui daarop neer dat werksure die verhouding tussen ekstraversie en seksuele sensasiesoeke gemodereer het, werksure het seksuele sensasiesoeke indirek gebeïnvloed deur seksuele kompulsiwiteit, en dat werksure die verhouding tussen aanlyn selfbekendmaking en seksuele sensasiesoeke gemodereer het. Verder het seksuele ure die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke gemodereer. Persoonlike ure het die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke gemodereer, persoonlike ure het seksuele sensasiesoeke indirek gebeïnvloed deur riskante seksuele gedrag, en persoonlike ure het seksuele sensasiesoeke indirek beïnvloed deur aanlyn selfbekendmaking. Dit blyk derhalwe dat die tyd wat op die internet gespandeer word het 'n invloed op seksuele sensasiesoeke. Daar word voorgestel dat beperkende beleidsriglyne binne internetgeledere ingestel word ten einde ‘n professionele kultuur binne die werkplek te verseker. Internet-programme kan gebruik word om ongemagtigde internet-aktiwiteit te identifiseer en aan te meld, aanlyntyd te kontroleer en persone te identifiseer vir moontlike behandeling vir internetverwante probleme, seksuele kompulsiwiteit en ontoepaslike seksuele gedrag binne die werkplek. Voorts fokus hierdie studie op die invloed van die internet met betrekking tot die verhouding tussen seksuele kompulsiwiteit en seksuele sensasiesoeke, en kan van beduidende belang wees vir seksterapeute en beraders wat spesialiseer in die veld van hiperseksualiteit. Ten slotte skep hierdie studie ‘n platform vir organisasies, universiteite, jeug- en seksuele gesondheidsorganisasies om bewustheid en programme te bevorder wat die gesondheids-risiko’s aanspreek wat verband hou met seksuele strewe op die internet.

Background: Teen pregnancy is associated with an array of negative social and health related outcomes for the mother as well as the baby. The risk of becoming a parent before the age of 20 is clearly elevated for former child welfare clients. Aim: The aim of this study is therefore to investigate the elevated birth rates among female adolescent child welfare clients by examining the relationship between contraceptive behaviour and pregnancies. Method: The study was based on a set of compiled register data. The study population were all females between the ages 14 and 19 during the years 2006-2008 (n. 487 115). The study group of main interest were child welfare clients who were compared to peers in the majority population as well as international and national adoptees. Analysis was conducted with multivariate logistic regression and the observed association was controlled for maternal, socio-demographic and behavioural factors. Results: The two sub-populations of child welfare clients both had much higher rates of retrieved hormonal contraceptives compared to the majority population, the international and the national adoptees up to age 17. In the ages 18 and 19 the rates were instead lower than the majority population. The child welfare clients had a stronger association to births than all groups of comparison, which was consistent with earlier research. All findings persisted after controlling for socio-demographic, maternal and behavioural factors. Conclusion: The child welfare clients showed a specific pattern of contraceptive behaviour over the age groups which was not consistent with the groups of comparison or with the expected relationship to birth rates. This suggests that teenage births cannot unanimously be predicted by the rates of retrieved hormonal contraceptives. The results imply that other factors than those investigated in this study are more influential regarding the contraceptive behaviour of this adolescent population.

Bakgrund: Riskfyllda sexuella beteenden ökar möjligheten för HIV att spridas och dagens insatser att förebygga smittspridning är oftast inte tillräckliga. Alternativa metoder för att förebygga smittspridningen av HIV behöver undersökas. Motiverande Samtal (MI) har länge använts för att motivera personer i behov av beteendeförändring men få studier belyser MI:s effekt på riskfyllt sexuellt beteende som ökar möjligheten för HIV att spridas. En av sjuksköterskans viktigaste arbetsuppgifter är att främja hälsa och förebygga ohälsa. Denna litteraturstudie undersöker om MI är ett användbart verktyg för sjuksköterskan. Syfte: Att sammanställa tidigare resultat av MI som metod för att förebygga smittspridning av HIV för personer med riskfyllt sexuellt beteende, jämfört med kontrollgrupp utan MI. Metod: En beskrivande litteraturstudie där tio kvantitativa studier granskades och sammanställdes för att svara på syftet. Huvudresultat: 57,1% av utfallsmåtten visade signifikant skillnad i MI som metod för att förebygga riskfyllt sexuellt beteende och förebygga smittspridning av HIV. Framträdande resultat i studierna var att ingen av dem påvisade sämre resultat i utfallsmåtten efter intervention med MI jämfört med kontrollgrupp. Slutsats: MI kan vara en möjlig klinisk metod för att förebygga smittspridning av HIV för personer med riskfyllt sexuellt beteende. Denna studie visar en varierande effekt av MI, dock tyder resultatet på att MI kan ha större inverkan på personers sexuella beteende än sedvanlig rådgivning och utbildning. / Background: Risky sexual behaviours increase the possibility of HIV transmission and the preventive work which is being done today is often inadequate. Alternative methods to those of today needs to be considered to find a way to prevent the transmission of HIV. Motivational Interviewing (MI) has since long been used to motivate people who needs a change of behaviour, but few studies explore the effects that MI could have on risky sexual behaviour that in turn increase the risk for the transmission of HIV. One of the registered nurses most important tasks is to promote health and prevent illness. Aim: To summarize previous results of MI as a method to prevent the transmission of HIV among people with risky sexual behaviour, compared with a control group without MI. Method: A descriptive literary review where ten quantitative studies have been reviewed and summarized to answer the aim. Main findings: 57,1% of the outcome measures showed significant difference in MI as a method for preventing risky sexual behaviour and HIV transmission. Prominent results in the studies were that none of the studies showed worse results in the outcome measures after intervention with MI compared with the control group. Conclusions: MI could be a possible clinical method to prevent HIV transmission among people with risky sexual behaviour. This study shows varying effects of MI, although the results point to that MI could have a greater impact on people’s sexual behaviour than standard counselling and education.

Klamydia ökar bland ungdomar och unga vuxna i Sverige. Eftersom infektionen ofta är asymptomatisk och kan leda till infertilitet är det viktigt att de som utsatts för smitta testar sig. Även ett ökat utövande av säkrare sex är viktigt för att stoppa utvecklingen. En litteraturstudie har gjorts för att kartlägga preventionsinsatser som görs inom området sexuell hälsa och ta reda på hur ungdomar och unga vuxna ser på sexualitet, sexuellt riskbeteende och säkrare sex. Nio vetenskapliga artiklar användes för att få en bild av ungdomskultur och sexualitet. Frågan om säkrare sex präglas enligt litteraturen av subjektiva riskbedömningar, traditionella könsnormer, uppbyggd tillit, ojämlik kommunikation och förhandling kring kondomanvändning samt skam och rädsla. När preventionsstrategier och handlingsplaner som används i Sverige ställs mot detta syns det att modernisering och konkretisering av befintliga metoder behövs för att möta dagens generation ungdomar. / "Chlamydia – where did you get that?" About the increase of Chlamydia among adolescents and young adults and prevention strategies. Chlamydia is increasing among adolescents and young adults in Sweden. It is important that they who have been exposed to the infection are tested for STI because the disease can be asymptomatic and lead to infertility. An increased practise of safer sex is also important to stop the current development. A literature study has been conducted to survey health promoting efforts made in the sexual health area and to find out how adolescents and young adults perceive sexuality, sexual risk behaviour, and safer sex. Nine scientific articles were used to create an image of youth culture and sexuality. The question of safer sex is, according to the reviewed literature, characterized by subjective risk assessments, traditional gender roles, constructed trust, unequal communication and negotiation about condom use and also shame and fear. When the health promoting strategies and plans of action in Sweden are put against this, it is clear that modernization and concretization of existing methods are needed to meet today’s adolescent generation.

Magister Scientiae - MSc / This thesis looks at the effect that the introduction of various techniques (weighting, bootstrapping and variable selection) has on the accuracy of the modelling process when using logistic regression. The data used in the modelling process is based on the sexual activity of entering first-year students at the University of the Western Cape, therefore, by constructing logistic regression models based on this data, certain predictor variables or factors associated with the sexual activity of these students are identified. The sample weighting technique utilized in this thesis assigned a weight to a student based on gender and racial representations within a sample when compared to the population of the entering first-year. The use of a sample weighting technique is shown to produce a more effective modelling process than a modelling process without weighting. The bootstrapping procedure is shown to produce logistic regression models that are more accurate. Utilizing more than 200 bootstrap samples did not necessarily produce logistic regression models that were more accurate than using a total of 200 bootstrap samples. It is, however, concluded that a weighted bootstrap modelling procedure will result in more accurate models compared to a procedure without this intervention. The forward, backward, stepwise, Newton-Raphson and Fisher variable selection methods are used. The Newton-Raphson and Fisher methods are found not to be effective when used in a logistic modelling process, whereas the forward, backward and stepwise methods are all shown to produce very similar results. Six predictor variables or factors are identified with respect to the sexual activity of the specified students: the age of the student; whether they consume alcohol or not; their racial grouping; whether an HIV test has been taken; the importance of religion in influencing their sexual behaviour; and whether they smoke or not.i i Conclusions are reached with respect to improvements that could be made to the HIV prevention programme at UWC with reference to the sexual activity of entering first-years.

Abstract The purpose of this study is to describe and to compare the university students’ attitudes (knowledge, feelings and behaviour) towards HIV/AIDS (Human Immune Deficiency Virus/ Acquired Immune Deficiency Syndrome) in Finland and in Kenya and to find explanatory factors associated with the sexual risk behaviour. For educators, managers and experts in health care and education the results will provide an opportunity to deepen their knowledge and awareness of students’ sexual behaviour. These results may also be used for planning an educational programme for youngsters and young adults in order to promote healthy sexual behaviour. This study is focused on the viewpoint of preventive health care and sexual health promotion. The study is a comparative research with quantitative and qualitative methods. The study group consists of 525 first year students (411 Finnish and 114 Kenyan students) of Oulu University of Applied Sciences, Oulu University and the University of Helsinki in Finland and of MOI University in Kenya. The response rate was 87.5%. The results concerning the attitudes towards HIV/AIDS of the students showed that the Finnish and Kenyan students had a good level of knowledge concerning HIV and AIDS. Most of the information had been obtained from TV, campaigns, newspapers, and information packages. The role of the health care professionals was very small in both countries. The most negative attitudes were found towards homosexuality (25.8% of the respondents) and intravenous drugs users (59.5%). The result showed that the level of knowledge did not have an effect on the level of their beliefs and prejudices of the students. It was common for the respondents to be single during their first study year. No influence was found between the students’ knowledge and the number of their sex partners or the frequency of the sexual activity. Almost the same number of students who reported using prevention always or almost always identified both HIV correctly (43.4%) and incorrectly (45.7%). The situation concerning AIDS was similar. The age and the importance of religion of the students had influence on the use of prevention. / Tiivistelmä Tutkimuksen tarkoituksena on kuvata ja verrata kenialaisten ja suomalaisten korkeakouluopiskelijoiden asenteita (tietoja, tunteita ja käyttäytymistä) HIV/AIDSia (Immuunikatovirus/ Hankittu immuunipuutos-oireyhtymä) kohtaan ja löytää seksuaalista riskikäyttäytymistä selittäviä tekijöitä. Terveydenhuollon ja terveysalan hallinnon ja koulutuksen asiantuntijoille tutkimustulokset antavat mahdollisuuden tutustua ja syventää HIV/AIDSia koskevaa tietouttaan ja tietoisuuttaan. Tuloksia voidaan hyödyntää ennaltaehkäisevän terveydenhuollon suunnittelussa ja koulutuksessa edistämään nuorten ja nuorten aikuisten terveellistä seksikäyttäytymistä. Tutkimuksen lähtökohta on ennaltaehkäisevä toiminta ja erityisesti seksuaaliterveyden edistäminen. Tutkimus on vertaileva tutkimus. Aineisto kerättiin strukturoituja ja avoimia kysymyksiä sisältävällä kyselylomakkeella. Tutkimukseen vastasi yhteensä 525 ensimmäisen lukuvuoden korkeakouluopiskelijaa, 411 suomalaista ja 114 kenialaista opiskelijaa. Vastausprosentti oli 87,5 %. Tulokset osoittivat sekä kenialaisilla että suomalaisilla korkeakouluopiskelijoilla olevan hyvät tiedot HIV/AIDSista. Tärkeimpiä opiskelijoiden nimeämiä tietolähteitä olivat TV, kampanjat, sanomalehdet ja informaatiopaketit. Perheen ja terveydenhuoltohenkilöstön rooli tiedon lähteenä oli vähäinen molemmissa maissa. Negatiivisimmat asenteet kohdistuivat homoseksuaalisuutta ja laskimon sisäisiä huumeiden käyttäjiä kohtaan. Kenialaisten opiskelijoiden ennakkoasenteet HIV/AIDSia kohtaan olivat muita opiskelijoita voimakkaammat ja negatiivisemmat. Tulokset osoittivat, että tiedon laadulla ei ollut merkitystä opiskelijoiden ennakkoasenteisiin. Tulokset osoittivat myös, että ensimmäisen vuoden korkeakouluopiskelijoilla ei ole paljon seksisuhteita. Opiskelijoiden HIV/AIDS-tiedoilla ei ollut yhteyttä seksipartnereiden määrään tai seksuaaliseen aktiivisuuteen. Oikealla tai väärällä HIV/AIDS-tiedolla ei ollut vaikutusta ehkäisyn käyttöön. Lähes sama määrä opiskelijoita, jotka kertoivat käyttävänsä ehkäisyä aina tai lähes aina, määritteli HIVin oikein ja väärin. Tilanne oli samanlainen koskien AIDSia. Oikealla tai väärällä HIV/AIDSia koskevalla tiedolla ei ollut myöskään vaikutusta ennakkoasenteiden voimakkuuteen. Tutkimustulosten perusteella HIV/AIDSin ennaltaehkäisyssä ei pelkkä HIV/AIDS tietotason kohottaminen riitä, vaan on syytä käyttää uusia ja monipuolisia lähestymistapoja.

This thesis aims to explore a topic of attachment and its influence on adolescents' risk behaviour. First, the theoretical part provides an overview of important milestones of the developmental period of middle adolescence. Afterwards, it introduces the concept of attachment and finally, it deals with risk behaviour with great emphasis on researches addressing the substance abuse, antisocial behaviour and sexual risk behaviour in the Czech Republic. The practical part focuses on correlation between attachment styles (secure, preoccupied, dismissive avoidant and fearful avoidant) and risk behaviour using a questionnaire survey. In addition, it deals with the prevalence of above-mentioned types of risk behaviour and their relationship. Survey dealing with the prevalence of risk behaviour showed that respondents of this research were more likely to engage in risk behaviour in comparison to participants of other studies. It was also confirmed that there was a close association between different types of risk behaviour, so it could be beneficial to perceive them as a unitary syndrome. As far as the main aim of this thesis is concerned, adolescents with the preoccupied attachment style were proved to be at highest risk of development of risk behaviour. These individuals were more likely to use drugs,...

PhD (Public Health) / Department of Public Health / The well-being of adolescents’ population is a major concern to policy makers, educators and researchers all over the world. Research has shown that adolescents engage in deviant and risky sexual behaviour, and such behaviour may have consequences for their present or future health. Likewise, it has been shown that adolescents are also known to conform to societal norms if they are given proper guidance. In the light of this, the present study proposed to explore and explain the influence of family dynamics in the occurrence of adolescents deviant and sexual risk behaviour. This study involved a sequential explorative, descriptive and analytic mixed method design, combining both qualitative and quantitative research approaches. The study was divided into three (3) phases. Phase 1 was purely qualitative in nature, where a total of 10 parents and 13 adolescents were engaged in an in-depth interview. Phase 2 was quantitative in nature, using a cross-sectional analytic design involving 388 adolescents, while Phase 3 was the development of a public health intervention to mitigate the influence of family dynamics on adolescent deviant and sexual risk behaviour. The qualitative data were analysed using thematic content analysis, while the quantitative data were analysed using the Statistical Package for Social Sciences (SPSS) version 22. The Chi-square test, Fisher’s exact test, multinomial and binary logistic regression were used to compare differences between the dependent and independent variables. The level of statistical difference was set at p<0.05. Couple conflicts was a common finding in the study. In addition, many families suffered severe financial constraints and some parents were disconnected from their children physically, emotionally and financially (particularly the fathers). Adolescents claim that the age difference between them and their parents remains a barrier to communication, in addition, some participants claimed that they received little or no sex education from their parents. The present study found a high level of recent physical violence (30%), alcohol (52.9%) and drug use (10%) among participants. The level of sexual activity in this study was high, with 60.1% of the participants being sexually active and 23.1% having been pregnant. In addition, only 35.6% using condoms regularly. There was gender difference among participants on the following variables: cigarette smoking, teenage pregnancy and having multiple sexual partners. Furthermore, participants differed significantly across age group on the following variables: cigarette smoking, sexual activity, having friends who are sexually active, reported pregnancy and currently having iii a relationship. However, ‘relationship with mother’ was the family dynamic variable that recorded a wider effect on deviant and sexual risk behaviour. Furthermore, age, duration of stay in the community, living with siblings, relationship with mother, having enough money at home, being supported emotionally at home and parental love for each other, were predictors of deviant and sexual risk behaviour in the present study. There was also low level of risk perception and low level of skill for self-protection among the participants. As part of the objectives of the present study, the study findings were used to develop an evidence-based public health programme targeted at vulnerable adolescents and adolescents at high risk for deviant and sexual risk behaviour. It is hoped that this programme will be able to empower parents and caregivers to apply better parenting practices to forestall undue exposure of adolescents to factors that contribute to deviant and sexual risk behaviour. The present study demonstrated that although adolescents have the propensity for deviant behaviours, many may transit to adulthood without much adverse sequelae even in the face of harsh family social and economic adversities. However, a proportion of the adolescent population in this community remains vulnerable due to the effects of family de-structuring, poverty and unemployment. / NRF