Assessing University Students’ Knowledge and Perceptions of Sexually Transmitted Infections: Sources of Information, Risk Awareness, and Educational Implications

Authors

  • Miss Nontando Makhaye Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban
  • Ms. Nokukhanya Thembane Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban
  • Ms. Ziningi Jaya Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban

DOI:

https://doi.org/10.51168/sjhrafrica.v6i3.1563

Keywords:

Sexually Transmitted Infections, Risk perception, University students, Gender differences, Health awareness

Abstract

Introduction
There are over 376 million new cases of sexually transmitted infections (STIs) annually, with chlamydia, gonorrhoea, syphilis, trichomoniasis, and human papillomavirus being the most common. Investigating STIs among university students is vital due to high-risk behaviour, characteristic of university students, which increases the risk of transmission along with their long-term health risk. This study aimed to examine the knowledge and perceptions about STIs and their prevalence among students at Mangosuthu University of Technology.

Method
A total of 284 students participated in this study. Data collection was conducted using electronic and paper-based surveys depending on participant preference. The survey comprised of questions focused on demographics and practices, evaluating on STI knowledge, and students’ perceived risk of infection with STIs. STI prevalence statistics were obtained from the university clinic.

Results

The majority of participants perceived their STI knowledge as either "Good" (44.37%) or "Excellent" (25%), with a small proportion rating their knowledge as "Scarce" (19.72%). Sources of information included the internet (35.56%), teachers (28.17%), and healthcare professionals (22.18%). In terms of risk awareness, most students perceived themselves at "Moderate" (42.9%) or "A lot" (37%) risk of contracting an STI. Notably, no statistically significant differences in STI knowledge were found across gender or age groups. More female students were treated for STIs than their male counterparts.

Conclusion
The findings emphasize the need for more targeted educational approaches, particularly gender-sensitive interventions, and underscore the importance of combining multiple educational sources, including formal curricula, peer education, and digital platforms, to improve STI knowledge and risk awareness.

Recommendations
Future studies should explore the intersection between self-perceived knowledge, actual awareness, and testing behaviours to better understand how STI education can be optimized for diverse student populations.

Author Biographies

Miss Nontando Makhaye, Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban

is a student in the Bachelor of Health Science in Medical Laboratory Science academic program at Mangosuthu University of Technology. She has specialized in Clinical Pathology. She has a strong work ethic and passion for lifelong learning and is dedicated to doing work that addresses healthcare needs in the community.

Ms. Nokukhanya Thembane, Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban

is a Medical Laboratory Scientist/Technologist, Senior Lecturer and Researcher at Mangosuthu University of Technology and the University of KwaZulu-Natal. She specializes in Clinical Pathology, with a focus on therapeutic drug monitoring and drug discovery. Her work involves teaching and supervising students and conducting research to contribute to advancements in patient care in disenfranchised communities and medical laboratory science.

Ms. Ziningi Jaya, Department of Biomedical Sciences, Faculty of Applied and Health Science, Mangosuthu University of Technology, South Africa, Durban

is a qualified Medical Technology, lecturing and supervising student research in the Department of Biomedical Science at Mangosuthu University of Technology. Her research focuses on investigating diverse healthcare interventions for infectious diseases mainly to respond to diverse healthcare needs of people in surrounding communities.

References

Anurogo, D., La Ramba, H., Putri, N.D. and Putri, U.M.P., 2023. Digital Literacy 5.0 to enhance multicultural education. Multicultural Islamic Education Review, 1(2), pp.109-179. https://doi.org/10.23917/mier.v1i2.3414

Boskey, E.R., Lossie, A., Staffa, S.J. and Grimstad, F.W., 2023. Preventive Practices and Knowledge of Human Papillomavirus in Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome Individuals. Sexually Transmitted Diseases, pp.10-1097.

Cegolon, L., Bortolotto, M., Bellizzi, S., Cegolon, A., Bubbico, L., Pichierri, G., Mastrangelo, G. and Xodo, C., 2022. A survey on knowledge, prevention, and occurrence of sexually transmitted infections among freshmen from four Italian universities. International Journal of Environmental Research and Public Health, 19(2), p.897. https://doi.org/10.3390/ijerph19020897

de Melo, L.D., Sodré, C.P., Spindola, T., Martins, E.R.C., André, N.L.N.O. and da Motta, C.V.V., 2022. Prevention of sexually transmitted infections among young people and the importance of health education. Enfermería Global, 21(1), pp.102-115. https://doi.org/10.6018/eglobal.481541

de Wit, J.B., Adam, P.C., Den Daas, C. and Jonas, K., 2023. Sexually transmitted infection prevention behaviours: health impact, prevalence, correlates, and interventions. Psychology & health, 38(6), pp.675-700. https://doi.org/10.1080/08870446.2022.2090560

Dookhith, A.B., Razack, A. and Isaacs, A.A., 2024. Investigating causes of the high prevalence of sexually transmitted infections in Du Noon. South African Family Practice, 66(1), pp.1-8. https://doi.org/10.4102/safp.v66i1.5794

Elendu, C., Amaechi, D.C., Elendu, I.D., Elendu, T.C., Amaechi, E.C., Usoro, E.U., Chima-Ogbuiyi, N.L., Agbor, D.B.A., Onwuegbule, C.J., Afolayan, E.F. and Balogun, B.B., 2024. Global perspectives on the burden of sexually transmitted diseases: A narrative review. Medicine, 103(20), p.e38199. DOI: 10.1097/MD.0000000000038199

Den Heijer, C.D., Hoebe, C.J., Driessen, J.H., Wolffs, P., Van Den Broek, I.V., Hoenderboom, B.M., Williams, R., De Vries, F. and Dukers-Muijrers, N.H., 2019. Chlamydia trachomatis and the risk of pelvic inflammatory disease, ectopic pregnancy, and female infertility: a retrospective cohort study among primary care patients. Clinical Infectious Diseases, 69(9), pp.1517-1525. https://doi.org/10.1093/cid/ciz429

Fennie, T. and Laas, A., 2014. HIV/AIDS-related knowledge, attitudes and risky sexual behaviour among a sample of South African university students. Gender and Behaviour, 12(1), pp.6035-6044.

Ginindza, T.G., Stefan, C.D., Tsoka-Gwegweni, J.M., Dlamini, X., Jolly, P.E., Weiderpass, E., Broutet, N. and Sartorius, B., 2017. Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland. Infectious agents and cancer, 12, pp.1-12. DOI 10.1186/s13027-017-0140-y

Henkel, R., 2020. Infection in infertility. Male Infertility: Contemporary Clinical Approaches, Andrology, ART and Antioxidants, pp.409-424.

Hillier, S.L., Bernstein, K.T. and Aral, S., 2021. A review of the challenges and complexities in the diagnosis, etiology, epidemiology, and pathogenesis of pelvic inflammatory disease. The Journal of infectious diseases, 224(Supplement_2), pp.S23-S28. https://doi.org/10.1093/infdis/jiab116

Hutton-Nyameaye, A.A., Asiamah, M., Asafo-Adjei, K., Benneh, C.K., Kwakye, A.O., Mensah, K.B., Duedu, K.O. and Buabeng, K.O., 2024. Knowledge and prevalence of common sexually transmitted infections among patients seeking care at selected health facilities in Southern Ghana. PLOS Global Public Health, 4(7), p.e0003422. https://doi.org/10.1371/journal.pgph.0003422

Jabour, A.M., Rehman, W., Idrees, S., Thanganadar, H., Hira, K. and Alarifi, M.A., 2021. The adoption of mobile health applications among university students in health colleges. Journal of Multidisciplinary Healthcare, pp.1267-1273. https://doi.org/10.2147/JMDH.S310539

Jaya, Z.N., Mapanga, W., Van Niekerk, B., Dlangalala, T., Kgarosi, K., Dzobo, M., Mulqueeny, D. and Mashamba-Thompson, T.P., 2022. Mapping evidence of self-sampling to diagnose sexually transmitted infections in women: a scoping review. Diagnostics, 12(8), p.1803. https://doi.org/10.3390/diagnostics12081803

Kamenidou, I., Stavrianea, A., Mamalis, S. and Mylona, I., 2020. Knowledge assessment of covid-19 symptoms: Gender differences and communication routes for the generation z cohort. International journal of environmental research and public health, 17(19), p.6964. https://doi.org/10.3390/ijerph17196964

Kushwaha, B. and Gupta, G., 2017. Sexually transmitted infections and male infertility: old enigma, New insights. Male infertility: Understanding, causes and treatment, pp.183-212.

Martin, S.P., 2017. Young people's sexual health literacy: seeking, understanding, and evaluating online sexual health information (Doctoral dissertation, University of Glasgow).

Mcharo, R.D., Kisinda, A., Njovu, L., Mcharo, M., Mbwilo, F., Mihale, G., Komba, B., Andrew, E., Mayaud, P., Kroidl, A. and Ivanova, O., 2022. Prevalence of and risk factors associated with HIV, Herpes Simplex Virus-type 2, Chlamydia trachomatis and Neisseria gonorrhoeae infections among 18–24 year old students attending Higher Learning Institutions in Mbeya-Tanzania. Plos one, 17(5), p.e0266596. https://doi.org/10.1371/journal.pone.0266596

Mierrina, M., Chairiyah, U. and Adi, N.R.M., 2024. THE ROLE OF SEXUAL PSYCHOEDUCATION IN FOSTERING SEXUAL AWARENESS AND SELF-DEFENSE SKILLS IN MADRASAH TSANAWIYAH STUDENTS. Al-Tazkiah Jurnal Bimbingan dan Konseling Islam, 13(1), pp.29-42. https://doi.org/10.20414/altazkiah.v13i1.9686

McKinnon, L.R. and Karim, Q.A., 2016. Factors driving the HIV epidemic in southern Africa. Current HIV/AIDS Reports, 13, pp.158-169. https://doi.org/10.1007/s11904-016-0314-z

Nzoputam, C., Adam, V.Y. and Nzoputam, O., 2022. Knowledge, prevalence and factors associated with sexually transmitted diseases among female students of a Federal University in Southern Nigeria. Venereology, 1(1), pp.81-97. https://doi.org/10.3390/venereology1010006

Paudyal, P., Llewellyn, C., Lau, J., Mahmud, M. and Smith, H., 2015. Obtaining self-samples to diagnose curable sexually transmitted infections: a systematic review of patients’ experiences. PloS one, 10(4), p.e0124310. https://doi.org/10.1371/journal.pone.0124310

Reid, J., 2023. Pelvic inflammatory disease and other upper genital infections. In Handbook of Gynecology (pp. 335-345). Cham: Springer International Publishing.

Richner, D.C., 2021. Relationships Between Sexual Health Knowledge, Self-Efficacy, and Trauma on Sexual Risk-Taking Among Women (Doctoral dissertation, Idaho State University).

Su, J.Y., Belton, S. and Ryder, N., 2016. Why are men less tested for sexually transmitted infections in remote Australian Indigenous communities? A mixed-methods study. Culture, health & sexuality, 18(10), pp.1150-1164. https://doi.org/10.1080/13691058.2016.1175028

Thompson, E.L., Griner, S.B., Galvin, A.M., Lowery, A.D. and Lewis, M.A., 2021. Correlates of STI testing among US young adults: Opportunities for prevention. Prevention Science, 22, pp.216-226.

Unemo, M., 2021. Accurate, rapid, point-of-care tests for sexually transmitted infections. The Lancet Infectious Diseases, 21(5), pp.584-586.

Walker, M., McLean, M. and Mukwando, P., 2022. Low-income students, human development and higher education in South Africa: Opportunities, obstacles and outcomes (p. 224). African minds.

47622/9781928502395

Wand, H., Reddy, T., Dassaye, R., Moodley, J., Naidoo, S. and Ramjee, G., 2020. Estimating prevalence and incidence of sexually transmitted infections among South African women: implications of combined impacts of risk factors. International journal of STD & AIDS, 31(11), pp.1093-1101. https://doi.org/10.1177/0956462420915388

Zheng, Y., Yu, Q., Lin, Y., Zhou, Y., Lan, L., Yang, S. and Wu, J., 2022. Global burden and trends of sexually transmitted infections from 1990 to 2019: an observational trend study. The Lancet Infectious Diseases, 22(4), pp.541-551.

Zizza, A., Guido, M., Recchia, V., Grima, P., Banchelli, F. and Tinelli, A., 2021. Knowledge, information needs and risk perception about HIV and sexually transmitted diseases after an education intervention on Italian high school and university students. International journal of environmental research and public health, 18(4), p.2069. https://doi.org/10.3390/ijerph18042069

Zuma, K., Simbayi, L., Zungu, N., Moyo, S., Marinda, E., Jooste, S., North, A., Nadol, P., Aynalem, G., Igumbor, E. and Dietrich, C., 2022. The HIV epidemic in South Africa: key findings from 2017 national population-based survey. International Journal of Environmental Research and Public Health, 19(13), p.8125. https://doi.org/10.3390/ijerph19138125

Downloads

Published

2025-03-17

How to Cite

Makhaye, N., Thembane, N., & Jaya, Z. (2025). Assessing University Students’ Knowledge and Perceptions of Sexually Transmitted Infections: Sources of Information, Risk Awareness, and Educational Implications. Student’s Journal of Health Research Africa, 6(3), 10. https://doi.org/10.51168/sjhrafrica.v6i3.1563

Issue

Section

Section of Community and Public Health Research

Most read articles by the same author(s)