Abstract
This study investigated the prevalence and correlates of sexual risk behaviour among high school students in two rural settings in the Eastern Cape, South Africa, using a cross-sectional survey design. One thousand six hundred and thirteen randomly-selected adolescents (58% female) in Grade 11 completed a self-report questionnaire that asked about demographic characteristics and participation in a range of health risk behaviours. The results indicated a high prevalence of sexual risk behaviours, and suggested that rural adolescents are initiating intercourse at a younger age than their urban counterparts and are less likely to use condoms. Socioeconomic status, grade repetition and having lived in a city were inconsistently related to sexual risk behaviour. The findings suggest a particular need for intervention efforts aimed at young people in rural settings.
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