Abstract:
A lack of research exists around the most common forms of sexual risk behaviors among
adolescents, including their underlying factors, in Sub-Saharan Africa. Using an
Ecological Model of Adolescent Behavior, we explore the perceptions of 85 young
people and 10 stakeholders on sexual risk behavior of adolescents in Kilifi County on the
coast of Kenya. Our findings show that transactional sex, early sexual debut, coerced sex,
and multiple sexual partnerships are prevalent. An urgent need exists to develop
measures to counter sexual risk behaviors. The results contribute to understanding the
range of risks and protective factors in differing contexts, tackling underlying issues at
individual, family, local institutional, wider socio-economic, and political levels.