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SRTB data for Disordered eating behaviour is not associated with sexual risk taking behaviour amongst emerging adults attending a tertiary education institution in Coastal Kenya: a latent class analysis approach

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posted on 2024-01-26, 08:53 authored by Stevenson CheaStevenson Chea, Adama Kazienga, Eunice A. Oyugi, Isaac Menza, Carophine Nasambu, Fauz Ibrahim, Osman A. Abdullahi, Amin S. Hassan, Amina Abubakar, Kristien Michielesen, Souheila Abbeddou

Background

Sexual risk-taking behavior is a well-documented pathway to HIV acquisition in emerging adults and remains common amongst African emerging adults. We aimed to describe the relationship between disordered eating behavior and sexual risk-taking behavior amongst emerging adults attending a tertiary educational institution at the Kenyan Coast.

Methods

We applied a cross-sectional design nested in a young adults’ cohort study. Eligibility included sexually active emerging adults aged 18-24 years. Three disordered eating behaviors (emotional, restrained and external eating) were assessed using the Dutch Eating Behavior Questionnaire and analyzed using exploratory factor analysis. Seven sexual risk-taking behavior indicators were assessed: non-condom use, casual sex, multiple sex partners, transactional sex, group sex, age-disparate relationship and anal sex, and grouped into low vs. high sexual risk-taking behavior using latent class analysis. Logistic regression was used to assess the association between disordered eating behavior and sexual risk-taking behavior.

Results

Of 273 eligible participants (female, n =110 [40.3%]), the mean [SD] of emotional, restrained and external eating was 1.9 [0.6], 2.0 [0.6] and 3.0 [0.5] respectively. Overall, 57 (20.9%) were grouped into the latent high sexual risk-taking behavior class. Emotional (Adjusted odds ratio {AOR [95% confidence interval, CI]: 1.0 [0.9 – 1.0], p = 0.398), restrained (AOR, 1.0 [CI: 0.9 – 1.1], p = 0.301) and External (AOR, 1.0 [CI: 0.8 – 1.2], p = 0.523) eating were not independently associated with latent high sexual risk-taking behavior.

Conclusion

There was no significant association between disordered eating behavior and sexual risk-taking behavior. More studies in different African settings are needed to assess this association in order to lay a strong evidence base for public health interventions on sexual risk-taking behavior and to prevent disordered eating behavior in this and similar settings.

Funding

Abubakar;Pwani;Adolescent Executive Functioning Association with Scholastic Outcomes, Risk Taking Behavior and Medical Adherence in the Context of HIV

Medical Research Council

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Sub-Saharan African Network for TB/HIV research Excellence (SANTHE)

Wellcome Trust

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