Abstract
BackgroundPrevalence rates of human immunodeficiency virus (HIV) infection among the youth are disproportionately high compared to that of other age groups in Kenya. Poor mental health has been linked to risky HIV behaviour, yet few local studies have explored these aspects. This study sought to determine associations between HIV risky sexual behaviour and depression among undergraduate students at the University of Nairobi.MethodA random sample of 923 (525 males and 365 females) undergraduate students was interviewed using a questionnaire to record sociodemographic variables and risky sexual behaviour including having multiple sexual partners, inconsistent condom use and engaging in sex after drinking. Depressive symptoms were measured using the Centre for Epidemiological Studies Short Depression Scale (CES-D 10).ResultsThe students’ mean age was 23 years (s.d.4.0). Overall, 41.33% of the students scored above the cut-off point of 10 on the CES-D 10 scale, with 35.71% having moderate symptoms and 5.62% having severe depressive symptoms. The percentage of those who had ever been diagnosed with sexually transmitted infections (STIs) was 9.71% (males 8.65%; females 11.01%); and for HIV 3.04% (males 2.02%; females 4.05%). Nearly 30% reported having had multiple partners in the previous 12 months, 27.4% of the students did not use condoms with sexual partners and 21% had engaged in sex after drinking within the previous 3 months. In multivariable-bivariate logistic regression, being older, having depressive symptoms, alcohol use/binge drinking, tobacco use, sex after drinking, previous diagnosis of STI, physical abuse, sexual coercion and history of sexual abuse as a child were significantly associated with having multiple partners. Further, younger age, being female, tobacco use and previous diagnosis of STI were significantly associated with inconsistent condom use.ConclusionThe prevalence of HIV rate infection is low compared to the national average but risky sexual behaviour is common among the students and is positively linked to depressive symptoms among other factors. Programmes aimed at HIV prevention should be integrated with mental health interventions.
Highlights
Prevalence rates of human immunodeficiency virus (HIV) infection among the youth are disproportionately high compared to that of other age groups in Kenya
41.33% of the students scored above the cut-off point of 10 on the CES-D 10 scale, with 35.71% having moderate symptoms and 5.62% having severe depressive symptoms
The percentage of those who had ever been diagnosed with sexually transmitted infections (STIs) was 9.71%; and for HIV 3.04%
Summary
Prevalence rates of human immunodeficiency virus (HIV) infection among the youth are disproportionately high compared to that of other age groups in Kenya. This study sought to determine associations between HIV risky sexual behaviour and depression among undergraduate students at the University of Nairobi. Despite reductions in human immunodeficiency virus (HIV) inflection prevalence rates and increased coverage of those who need ARV drugs in sub-Saharan Africa, the numbers of those infected are still quite high in Kenya and recent studies show a need to reduce the prevalence rate further among the youth [1]. For. Othieno et al Annals of General Psychiatry (2015) 14:16 example, inconsistent condom use and unprotected sex with multiple partners, both of which are risk factors for HIV, have been reported among university students [4,5,6,7]. Since the university population is a vulnerable group with respect to HIV, it is important to determine factors related to the risky behaviours [5,10,11] and to monitor the trends [8]
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