Sexual Information Research Articles

Characterising the structure of the largest online commercial sex network in the UK: observational study with implications for STI prevention

This study analyses large-scale online data to examine the characteristics of a national commercial sex network of off-street female sex workers and their male clients to identify implications for public health policy and practice. We collected sexual contact information from the largest online community dedicated to reviewing sex workers’ services in the UK. We built the sexual network using reviews reported between January 2014 and December 2017. We then quantified network parameters using social network analysis measures. The network is composed of 6477 vertices with 59% of them concentred in a giant component clustered around London and Milton Keynes. We found minimal disassortative mixing by degree between sex workers and their clients, and that a few clients and sex workers are highly connected whilst the majority only have one or few sexual contacts. Finally, our simulation models suggested that prevention strategies targeting both sex workers and clients with high centrality scores are the most effective in reducing network connectedness and average closeness centrality scores, thus limiting the transmission of STIs.

School context and content in Canadian sex education

Sex education, mandated in most Canadian schools, aims to teach youth about healthy sexual expression and relationships. However, programme delivery may vary widely, and sex education tends to focus on pregnancy and disease prevention and less on interpersonal issues such as relationships and violence. Sex education research tends to follow suit, focusing on dichotomous health outcomes rather than on how contextual factors, such as type of school, programme, tone, and teacher, may affect learning. This study expands this scope to include information about content presented in sex education (specifically related to relationships and sexual violence) as well as about school context, asking: Do amounts of information received in sex education about biology, relationships, and sexual violence, differ by school and programme context? Participants were 1845 undergraduates attending one of two post-secondary schools in Ontario, Canada. They completed an online survey about sexual information they had received. Independent variables included type of secondary school attended, sex education programme, and perceived tone of programme. MANCOVAs indicated that programme type and programme tone were linked with significant differences in amounts of biology, relationship, and violence messages received. Students reported the most content across all three areas was received in comprehensive sex education programmes. Safety-based programmes delivered the most information about biology and relationships, and pleasure-driven programmes delivered the most sexual violence information. School context may affect information amounts received about biology, relationships, and sexual violence, all important topics likely to contribute to the sexual health and safety of adolescents as they develop.

Sexuality after stroke with hemiplegia. II. With special regard to partnership adjustment and to fulfilment

Aspects of sexual function, partnership responsiveness and fulfilment after stroke were, together with sexually performance orientated and stigmatic attitudes, investigated in 51 subjects. Erectile and orgastic spectatoring were frequent after stroke and were in the males significantly associated. Retarded ejaculation occurred for no males before but for 15% after the stroke. Marked decreases in different kinds of caressive behaviour were followed by discontentment and up to and about half the subjects felt that sexual partnership responsiveness had deteriorated. After the stroke the commonly occurring reduction in general sexual satisfaction was significantly associated with symptoms of increased sexual dysfunction, disturbed partnership responsiveness and reduced sexual fulfilment. The high prevalence of sexual maladjustment in stroke victims appears mostly to be psychogenic. Important precipitating factors are performance orientation and sexual stigmatism. Moreover, lack of sexual information and counselling may contribute to deterioration of partnership sexuality.

The Effectiveness of a Brief Sexuality Education Intervention for Parents of Children with Intellectual and Developmental Disabilities

Parents are often responsible for educating their child about sexuality and relationships, yet many parents may not be aware of the sexuality-related topics to teach. Sexuality education is critical for children with autism and intellectual disabilities, who are often vulnerable to sexual abuse and other sexual behavior outcomes. Families teaching sexuality can help their child learn about healthy hygiene, interactions, and relationships. The purpose of this study was to implement a brief sexuality education training for parents and caregivers who have children diagnosed with intellectual and developmental disabilities, including autism. A Wilcoxon-signed rank test revealed a statistically significant change in parents’ (1) attitudes and beliefs, (2) level of communication, and (3) competence to teach sexuality topics following participation in the sexuality education training program. Strategies were provided to assist parents in effectively providing sexuality information to their child with intellectual and developmental disabilities. Educators are urged to increase their awareness of this unmet need and to partner with families to implement strategies that promote the physical, emotional, and social independence of individuals with autism and intellectual disabilities.

Are There Differences in Female Sexuality Related to Educational Level?

Sexual knowledge is a collection of information and refers to the knowledge and awareness of the individual about sex and sexuality (including physiological aspects, reproduction, performance, and individual sexual behavior). Absence of sexual information is related with an expansion in powerlessness, which makes a setting for the rise of sexual issue. Training not just has a constructive job in anticipation of adverse results, for example, explicitly transmitted contaminations ,sexual maltreatment and sexual discouragement, yet in addition prompts constructive results at individual levels and relational relationships.evaluate the effect of various instructive levels on female sexuality in an example of Egyptian wedded women.a self-report survey planned by the creators guided by the female sexual capacity index[1] .The point of the investigation and the subtleties of the poll were disclosed to the ladies before taking their educated assent. Members were 300 hitched ladies going to the outpatient center in Benha University emergency clinic, Maternal and Childhood care units in Benha city, during the period from October 2019 to May 2020.They were educated about the idea of the investigation and requested to partake before taking their educated consent.increasing in level of training prompts progressively sexual satisfaction.The present examination discoveries show that Increase in the degree of instruction prompts expanded sexual movement (want, grease, sexual fulfillment) and to increasingly sexual fulfillment. Sexual information and experience increments with expanding level of training. Ladies with elevated level of training can manage any issue identified with sexuality so female sexual dysfunctions are less in profoundly taught women.Educational level and sexual fulfillment were fundamentally related.

Patient sexual orientation and gender identity disclosure.

In the UK, 2.3% of men and 1.6% of women identify as lesbian, gay or bisexual (LGB). Of the UK population, 1% are estimated to identify as transgender (T). Of the LGB population, 46% do not disclose their sexual orientation to health care professionals (HCPs) and 18% of transgender patients avoid health care altogether. Non-disclosure of sexual orientation and/or gender identity contributes to worse health outcomes for LGBT patients. This study aimed to explore medical students' perceptions of the barriers to health care for LGBT patients and the importance of patient disclosure of sexual orientation or gender identity. Focus groups included medical students across five year-groups from a medical school in the South East of England. Discussions followed a pre-approved topic guide with a primary and co-facilitator present. Focus groups were audio-recorded, transcribed verbatim and the data underwent framework analysis. Forty-five undergraduate medical students participated (40% of whom were non-heterosexual). Most participants believed that the incorrect use of pronouns and discrimination would be a cause for non-disclosure of gender identity and sexual orientation to HCPs. Several participants thought it was more important to know a patient's gender identity than sexual orientation. Many participants felt that collecting sexual orientation information on healthcare registration forms is acceptable. More education regarding LGBT health needs and ways to encourage patient disclosure of sexual orientation or gender identity should be included in the undergraduate medical school curricula to increase the competency of future doctors when interacting with LGBT patients.

Impact of Comprehensive HIV/AIDS Prevention Program on Reduction of Risky Sexual Behaviors in an African Rural Community

Aims: This study compares the sexual behaviour of the residents of Bonny kingdom, Rivers State in pre-intervention and post-intervention periods of a comprehensive HIV/AIDS prevention program carried out by the African Health Project in collaboration with independent research consultants and members of the Ibanise HIV/AIDS initiative in the community for three years from 2009-2012.
 Methodology: This is a quantitative survey that used a structured questionnaire among a representative sample of the general population aged 15 – 49 years. Post-intervention survey was conducted three years after the pre-intervention survey. The data obtained include the demographics; age, sex, education, occupation, marital status and sexual related information. Data were analyzed using SPSS version 25.0.
 Results: This study comprised 1021 (53.3%) males and 895 females (46.7%) in the pre-intervention survey and 659 (54.2%) males and 556 (45.7%) in the post-intervention survey, mostly aged 15-34 years and had secondary education. More females have ever had sex in both surveys but there was a significant reduction in the percentage of males who have ever had sex from 70.8% to 42.0% in pre-intervention and post-intervention surveys respectively. The rate of sexual activities was very high before intervention among unmarried males (51.6%), age 15-24 years (69.6%), secondary education (50.7%) and graduates (65.9%). However, there was a drastic reduction in these values after the interventions. During pre-intervention survey, 9.4% of females and 13% of males had ever accepted or given gifts exchange for sex while the post-intervention survey showed a decrease into 8.0% among females and 5.5% among males. This proportion was 13.0% among adolescents 15-24 years in the pre-intervention survey and 4.7% in the post-intervention survey. Also, there was 65.0% decrease in the proportion of singles who had ever received gifts in exchange for sexual intercourse after the intervention. A high proportion of the males had multiple sexual partners during the pre-intervention survey (34.6%) but the value reduced to 3.2% after the intervention. Similarly, the percentage of the adolescent who had multiple sexual partners reduce from 22.2% to 2.5% due to the intervention. The pre-intervention survey showed that about 56.0% of males and 81.0% of females had sex with non-marital partners while the post-intervention survey showed that about 71.0% of males and 76.0% of females did same.
 Conclusion: The study has shown a significant positive impact of health interventions in improving the sexual behaviour of Bonny residents. However, more and regular interventions are needed in this environment to further prevent the spread of HIV and STIs due to the vulnerability of the residents, especially the adolescents to sexually transmitted infection.There is also need for more study to evaluate the impact of sexual and reproductive health programs for adolescence and adult that already exist in Nigeria in comparison with the HIV intervention outcome.

Effectiveness of School Based Health Clinics on Utilization of Sexual and Reproductive Health Services Among School Girls Aged 15-19 Years in Uganda: Cluster Randomized Trial

Background: Sexual and reproductive needs among adolescents remain largely unmet in Uganda, this coupled with poor access and utilization of adolescent sexual and reproductive health services among secondary school girls increases vulnerability to high risk sexual practices and adolescent pregnancy. This study aimed at evaluating the effect of providing school based sexual and reproductive health services on utilization of the services among school girls aged 15-19 years attending secondary schools in Uganda. Methods: The study used Cluster Randomized Controlled Trial (CRCT) design. Twenty secondary schools (clusters) were selected using cluster sampling and allocated 1:1 into control or intervention group stratified by geographical location. 1,182 (average cluster size of 60) girls aged 15-19 years were selected using simple random sampling. The intervention group received tailored Sexual and Reproductive Health (SRH) services information, in-school SRH services delivery and referral for a period of ten months. The control group received no intervention from the research team but had access to the usual public health care. Data was collected at baseline and end of study; descriptive statistics and inferential analysis was done as well as structural equation modeling using SPSS. Results: There was a significant variation in the proportion of school girls who reported receiving more than three services between the control group and intervention group (χ2 = 4.503, p = < 0.001). The findings indicate that the utilization of SRH services was higher (65.4%) among the girls who had access to School Based SRH services (intervention group) compared 34.6% among the girls who had access to services within the public/government health facilities (control group). Conclusion: Provision of School Based SRH services is an effective intervention for improving utilization of sexual and reproductive health services among school going adolescents. This is key in addressing the SRH needs of adolescents and promoting safe sexual practices.

Exploring the Usage of a Violence Prevention and Response App Among Community College Students.

Sexual assault is a significant problem on college campuses. To date, much of the research on prevention and response has been conducted with students enrolled at traditional 4-year institutions. Limited research exists on 2-year institutions (also known as community colleges), which enroll a more diverse population (e.g., economic, gender, racial, and ethnic minorities) who are more vulnerable to victimization. Yet, 2-year institutions have few resources dedicated to the prevention of and response to sexual violence. Advances in technology, including mobile apps, have provided additional avenues to easily disseminate prevention and response information to college students. Mobile apps may be especially beneficial for community colleges given their diverse population and limited resources. Therefore, the present study examined a sample of community college students who reported downloading a violence prevention and response mobile app, uSafeUS, and their reasons for downloading. Participants were recruited from seven community colleges in a northeastern state and completed an online campus climate survey. Results indicate that participants who downloaded uSafeUS were more likely to perceive they were safe from campus sexual violence and receive information regarding campus sexual violence from their college than participants who did not download the app. Participants also reported downloading uSafeUS to keep themselves safe, to help a friend, and because they liked the sexual violence prevention and resource features. Female participants were more likely than male participants to download uSafeUS to keep themselves safe and because they liked the sexual violence resource information. Implications for research and practice are discussed.

The Development and Piloting of a Digital Checklist to Increase Access and Usage of Campus Online Sexual Violence Resources.

As colleges seek to respond to campus sexual assault, administrators are making policies, programs, and resources related to sexual violence available to students and members of the school community online. Keeping this content current and accessible can be challenging in the context of rapidly changing information and competing priorities across campuses. In response to this challenge, we developed a free, online protocol for campus leaders to quickly assess gaps in their online sexual violence resources. The "Digital Checklist" delineates action steps that campus administrators can take to determine whether information related to campus sexual assault is easily located, current, relevant, and accessible. We found that while schools made an effort to increase the availability of information online, the checklist helped identify gaps that, if remedied, would allow more students to access that information. The overall goal for the checklist is to provide schools with actionable, real-time, and trackable data regarding the utility and accessibility of online sexual violence information and resources and to complement other campus sexual assault prevention and intervention efforts.

Supporting sexual adjustment from the perspective of men living with spinal cord injury.

Descriptive phenomenological approach. This study explored the lived experience of sexuality for men after spinal cord injury (SCI) and described the current state of tools and resources available to assist with sexual adjustment from the perspective of men living with SCI. Men living in the community in Ontario, Canada. Six men (age 24-49 years) with complete or incomplete SCI (C4-T12; <1-29 years post injury) participated in one individual, in-depth, standardized, open-ended interview (68-101 min). Analysis was conducted using Giorgi's method, and involved within case analysis followed by cross-case analysis. All participants reported that resources available to support sexual adjustment after SCI were inadequate, and the majority of men felt their healthcare providers lacked knowledge regarding, and comfort discussing sexuality after SCI. Men reported sexuality was not a priority of the rehabilitation centers and felt that healthcare providers did not understand the importance of addressing sexuality. Existing resources were described as too clinical and not necessarily relevant given changes in sensation and mobility post injury. Participants provided recommendations for the effective delivery of relevant sexual education information. To improve quality of life for men after SCI, suitable resources must be available to support sexual rehabilitation post injury. Future research should focus on developing strategies to facilitate discussions about sexuality between individuals with SCI and healthcare providers, and on developing resources that are effective and relevant for these men.

Men With Intellectual Disabilities Who Have Offended Sexually.

We review extant and new research focusing on assessment and treatment of men with intellectual disabilities (ID) who have offended sexually. New research findings are applied and integrated with classic assessment and treatment approaches, providing an overview of evidence-based practices. New research has explored healthy sexuality among people with intellectual disabilities, including making evidence-based sexual information cognitively accessible for people with ID. Research has begun to include men with ID in studies of actuarial risk assessment and dynamic treatment needs and identify forms of sexual deviation. New research has identified the need for access to treatment materials better tailored to clients' cognitive level, as well as understanding normal sexuality among people with ID. The recent research further develops our understanding of men with ID who offended sexually and demonstrates similarities between men with and without ID who have offended sexually. The new research findings provide evidence-based support and guidance for clinicians working with this set of clients and suggest optimism for more positive outcomes as studies from across the globe are focusing on working with men with ID who have offended sexually.

Effects of Socialization on Adolescent Sexual Behaviors in Lao PDR

Adolescent risky sexual behaviors are closely associated with adverse health outcomes, and losing future educational and economic opportunities. Communication about sex-related topics with various people influences adolescent sexual behavior through sexual socialization. This study aimed to examine the effects of the sex-related information on sexual behavior by considering three important aspects which are multiple sources, messages, and frequency of communication. Data on this study were from the cross-sectional survey on integrated health of 493 adolescents aged 15–19 from four secondary schools in the Capital of Lao PDR. We used Firth’s penalized likelihood estimation to test hypotheses. The results showed that several messages and sources of sexual information have significant effects on adolescent sexual engagement. Among the six different contents of sex, receiving messages about contraception from media and doctor decreased the probability of having sex. Sibling’s information about pregnancy was significantly associated with having sex. Sexual messages from mother increased the likelihood of having sexual activity. Regardless of sexual contents, partner’s information was closely related to sexual engagement. However, none of the sexual messages from teacher had an impact on adolescents’ sexual behavior. This study provides practical implications to parents, teachers, and policymakers in Lao PDR as well as novel insights to research on sexual behaviors of adolescent.

Examining HIV and STIs Related Knowledge Among Male Adolescents in Saudi Arabia

Background: Sexually Transmitted Infection (STI) is a major global cause of acute illness, long-term disability and death, with serious medical and psychological consequences. Knowledge and awareness about the transmission of sexual disease play an important role in the prevention of the disease. Very little is known about HIV and STI in adolescents and associated factors in Saudi Arabia. Objective: The aim of this study was to examine the association between self-rated STI knowledge and HIV and STI knowledge test scores, as well as to investigate the association between adolescents’ HIV and STI knowledge and their demographic background and sexually related behaviors. Methods: A multi-stage cross-sectional study was conducted using a self-administered questionnaire, recruiting 453 male adolescents (15 and 20 years) from private and public male high schools in Riyadh, the capital city of Saudi Arabia. Results: More than half (53.4%) of the adolescents reported their STI knowledge as excellent or good (42%). However, based on the total score scale of HIV and STI knowledge, 64.3% had a poor level of knowledge. The sexual information sources commonly cited were friends (70%) and internet (40.0%); and the least cited sources were fathers (16%) and mothers (15%). The logistic regression analysis revealed that adolescents’ father and mother education (&gt;12 years) were positively associated with adolescent’s HIV and STI knowledge level (OR= 1.6, 95% CI: 1.1-2.4, p= 0.040) and (OR= 1.8, 95% CI: 1.2-2.8, p= 0.010). No significant association was found between adolescents’ HIV and STI knowledge and their sexual behaviors and attitudes. Conclusion: Findings suggest that a high proportion of male adolescents have poor HIV and STI related knowledge. Poor knowledge and reliance on potentially unreliable informational sources coupled with an over-estimate perception of STI expertise suggests that improvements in STI and HIV education should be addressed. Additional research is needed to help identify factors (beyond knowledge) associated with sexual behavior and attitudes that may increase the risk for STIs and HIV among adolescents.

Brief Intervention to Prevent Sexually Transmitted Infections and Unintended Pregnancies: Protocol of a Mixed Methods Feasibility Study.

BackgroundSexual well-being is fundamental to physical and emotional health, and the ability to achieve it depends on access to comprehensive sexuality information and high-quality sexual health care from evidence-informed, nonjudgmental providers. Adequate and timely delivery of these components to individuals who are at high risk for sexually transmitted infections (STIs), including HIV, and unintended pregnancies promotes sexual health and mitigates consequences arising from risky sexual behavior. Brief interventions that allow health care providers to improve the information available to clients and motivate and help them to develop risk-reduction skills are seen as efficient ways to improve knowledge, change client behavior, and reduce provider stigma regarding sexual health.ObjectiveThe aim of the study is to evaluate five aspects of feasibility (acceptability, willingness, safety, satisfaction, and process) of a brief sexuality-related communication (BSC) intervention based on motivational interviewing and behavior change techniques in primary health care settings in low- and middle-income countries (LMICs).MethodsThis protocol outlines a multisite, multiphase study of feasibility of a BSC intervention in primary health care settings in LMICs that will be examined across four phases of the study. Phases I through III involve the collection of formative, qualitative data to examine provider and client perceptions of the feasibility of the intervention, adaptation of the intervention guide, and training providers on how to implement the final version of the BSC intervention. During phase IV, the feasibility of the intervention will be tested in a nonrandomized pre-post test trial where providers and clients will be followed for 6 months and participate in multiphase data collection.ResultsPhase I is currently underway in Moldova, and phases I and II were completed in Peru in late 2019. Results are expected for the feasibility study in 2021.ConclusionsThis feasibility study will determine whether the implementation of brief intervention programs aimed at improving sexual health outcomes is possible in the constraints of LMIC health systems and will add to our understanding of factors shaping clinical practice among primary care providers.International Registered Report Identifier (IRRID)DERR1-10.2196/15569

Social Support in Patients With Sexual Dysfunction After Non-Nerve-Sparing Radical Prostatectomy: A Qualitative Study.

This study aimed to explore men’s experiences of social support after non-nerve-sparing radical prostatectomy. A qualitative study based on Gadamer’s hermeneutic phenomenology was designed. In-depth interviews were conducted with 16 men who had undergone a non-nerve-sparing radical prostatectomy. Data analysis was performed using ATLAS.ti software. From this analysis, two main themes emerged: “The partner as a source of support and conflict after a prostatectomy,” which includes empathetic reconnection with the partner and changes in sexual and cohabitation patterns and “The importance of social and professional circles,” which addresses the shortcomings of the healthcare system in terms of sexual information and counseling as well as the role of friends within social support. The study suggests the need to establish interventions that address interpersonal communication and attention to social and informational support and include both the patient and those closest to them.

QUALITY OF HEALTH CARE AND VIRAL SUPPRESSION AMONG HUMAN IMMUNODEFICIENCY VIRUS PATIENTS.

In Mexico, the quality of health care for human immunodeficiency virus (HIV) patients is unknown. The study objectives were to develop quality of care (QoC) indicators for outpatient care of HIV patients, evaluate the quality of the processes of care (QPC) and outcomes, and analyze the association between the QPC and viral suppression among HIV patients. The study used a mixed-methods approach: (1) Development of QoC indicators through RAND/UCLA method; (2) cross-sectional study of QoC evaluation; and (3) multiple Poisson regressions to measure the association between the QPC and viral suppression. The study included 439 HIV patients, ≥ 19 years of age, with at least one outpatient consultation during 2017 at a public hospital in the State of Mexico. We developed 21 QoC indicators to evaluate HIV care. Based on these indicators, the QoC gaps that emerged were related to clinical history (24% of patient records included sexual history information), routine adherence assessment (no records demonstrated regular recording of antiretroviral treatment adherence), and screening and referral (50% were screened for depression, and 42% for tuberculosis; 1.2% of patients with abnormal body mass index were referred to a dietitian). On average, HIV patients received 63% of recommended QPC; 77.7% achieved viral suppression. Receiving over 75% of recommended QPC was associated with a higher probability of viral suppression (adjusted prevalence ratio 1.13, 95% confidence interval 1.03-1.24). Evaluation of the QoC for HIV patients is essential to identify and address gaps in health-care quality to increase the probability of viral suppression.

168. Sexual and Reproductive Health Promotion Information for Sexual and Gender Minority Youth: A Systematic, Web-Based Content Analysis

Given that sexual and gender minority (SGM) youth face disproportionate risk for negative sexual and reproductive health (SRH) outcomes, it is critical these populations receive health education that is both inclusive of and specific to their needs. We sought to characterize the strengths and weaknesses of SGM-related health promotion messages by systematically analyzing websites that address SRH for young people. Specifically, we considered: (1) who is included? (2) what topics are discussed? and (3) how are the messages framed?

A Feedforward Circuit Regulates Action Selection of Pre-mating Courtship Behavior in Female Drosophila.

In the early phase of courtship, female fruit flies exhibit an acute rejection response to avoid unfavorable mating. This pre-mating rejection response is evolutionarily paralleled across species, but the molecular and neuronal basis of that behavior is unclear. Here, we show that a putative incoherent feedforward circuit comprising ellipsoid body neurons, cholinergic R4d, and its repressor GABAergic R2/R4m neurons regulates the pre-mating rejection response in the virgin female Drosophila melanogaster. Both R4d and R2/R4m are positively regulated, via specific dopamine receptors, by a subset ofneurons in the dopaminergic PPM3 cluster. Genetic deprivation of GABAergic signal via GABAA receptor RNA interference in this circuit induces a massive rejection response, whereas activation of GABAergic R2/R4m or suppression of cholinergic R4d increases receptivity. Moreover, glutamatergic signaling via N-methyl-d-aspartate receptors induces NO-mediated retrograde regulation potentially from R4d to R2/R4m, likely providing flexible control of the behavioral switching from rejection to acceptance. Our study elucidates the molecular and neural mechanisms regulating the behavioral selection process of the pre-mating female.

Determinants of adolescent sexual and reproductive health service quality in Ghana

Aim: The aim of this study was to assess the determinants of SRH service quality among adolescents. Methods This study was a cross-sectional survey of four adolescent health facilities in the Tema Metropolis, Ghana. Structured questionnaire was administered to 420 adolescent clients. Data were analyzed with the aid of Statistical Package for Social Science (SPSS) software, version 23.0. Results were presented using univariate, bivariate and multivariate analyses. Results Majority (69.0%) of the respondents were females and students (62.0%), with a mean age of 16 years. It was found that of the five (5) quality of care dimensions, four dimensions were significantly associated with overall perception of quality. These include provider attitudes (β= .234, p< .05); facility characteristics (β= .128, p< .05); appropriateness of services (β= .108, p< .05); and health literacy (β= .208, p< .05). However, equity and non-discrimination had no significant association with overall perception of quality of care. Conclusion Adolescents perceived quality of SRH services to be good. Adolescents’ perceptions were influenced by positive provider attitudes, availability of age-appropriate sexual and reproductive health services, friendly hospital environment and availability of sexual and reproductive health information. This study sends a strong message to stakeholders who have an interest in adolescent health, well-being and development.