Associations between disordered eating behaviour and sexual behaviour amongst emerging adults attending a tertiary education institution in Coastal Kenya

• Published in: PloS one 2024-06, Vol.19 (6), p.e0301436
• Main Authors: Chea, Stevenson K, Kazienga, Adama, Oyugi, Eunice A, Menza, Isaac, Nasambu, Carophine, Ibrahim, Fauz, Abdullahi, Osman A, Hassan, Amin S, Abubakar, Amina, Michielsen, Kristien, Abbeddou, Souheila
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Anal sex; Analysis; Biology and Life Sciences; Cross-Sectional Studies; Eating; Eating behavior; Eating disorders; Education parks; Emotions; Factor analysis; Feeding and Eating Disorders - epidemiology; Feeding and Eating Disorders - psychology; Feeding Behavior - psychology; Female; Group sex; Humans; Kenya - epidemiology; Male; Medicine and Health Sciences; School facilities; Sex; Sexual behavior; Sexual Behavior - psychology; Sexual Partners - psychology; Sexually transmitted diseases; Social Sciences; Statistical analysis; STD; Surveys and Questionnaires; Young Adult; Young adults
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0301436

Sexual behavior (SB) is a well-documented pathway to HIV acquisition in emerging adults and remains common amongst African emerging adults. Previous research in high-income countries indicates a correlation between disordered eating behavior (DEB) and engaging in sexual behaviors. We aimed to describe the relationship between DEB and SB amongst emerging adults attending a tertiary educational institution at the Kenyan Coast. We applied a cross-sectional design nested in a young adults' cohort study. Eligibility included sexually active emerging adults aged 18-24 years. Three DEBs (emotional, restrained and external eating) were assessed using the Dutch Eating Behavior Questionnaire and analysed using exploratory factor analysis. Seven SB 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 SB using latent class analysis. Logistic regression was used to assess the association between DEB and SB. Of 273 eligible participants (female, n = 110 [40.3%]), the mean 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 SB 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 SB. There was no significant association between DEB and SB in this study sample. In low- and middle-income countries like Kenya, interventions targeted at DEB among emerging adults towards controlling SB are unnecessary.