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Using data collected from 3645 sexually active grade 6 and 7 students from 160 schools and applying hierarchical linear models, this study estimates the impact of individual, school and community level variables on condom use among sexually experienced young people in Nyanza, Kenya. Based on the findings, the document recommends that AIDS prevention interventions take account not only of individual-level factors, but also school and community influences on the sexual behaviours of youth.
The document is part of WHO project to identify and define evidence-based strategies for influencing adolescent help-seeking and identify research questions and activities to promote improved help-seeking behaviour by adolescents. The document presents the findings from an international review on the topic; results of programme consultation with 35 adolescent health programmes; results of six key informant interviews; and recommendations for action, including brief outline for developing a set of guidelines for the rapid assessment of social supports to promote the help-seeking of adolescents.