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Health Education & Behavior
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Health Risk Behavior of Rural Secondary School Students in Zimbabwe

Clement K. Gwede, PhD, MPH, RN

Department of Interdisciplinary Oncology, College of Medicine, University of South Florida

Robert J. McDermott, PhD, FAAHB

Wayne W. Westhoff, PhD, MSW, MPH

University of South Florida College of Public Health, Department of Community and Family Health, Tampa

Moses Mushore, CertEd

Tsungai Mushore, BEd

Elijah Chitsika, BEd

Charles S. Majange, BEd

Masvingo Province, Zimbabwe

Peter Chauke, BEd

Masvingo Province, Zimbabwe

A socioculturally appropriate health risk behavior instrument, modeled after the U.S. Centers for Disease Control and Prevention’s Youth Risk Behavior Survey (YRBS), was administered to 717 secondary school students in a rural area of Zimbabwe. Comparisons of risk behaviors by gender and school grade were made using univariate procedures and multiple logistic regression. Males were significantly more likely than females to have had sexual intercourse (odds ratio = 5.02, p < .0001) and to report drug use behaviors. Males also were significantly more likely to report early initiation (by age 13 years) of alcohol use, cigarette smoking, and marijuana use. School site violence and drug use behaviors also were prevalent in this sample. An interaction between gender and grade was evident for some behaviors. Additional research may further the understanding of these risk behaviors and facilitate development of effective, culturally relevant risk reduction programs.

Health Education & Behavior, Vol. 28, No. 5, 608-623 (2001)
DOI: 10.1177/109019810102800507
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