Browsing by Author "Kakinda, Adrian Ivan"

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    Barriers and facilitators of mental health help-seeking behaviours among school- going adolescents in Sub-Saharan Africa : a qualitative evidence synthesis
    (Cambridge University Press, Global Mental Health, 2026-06) Kakinda, Adrian Ivan; Croudace, Tim J.; Plouffe, Rachel A; Amone-P’Olak, Kennedy
    Background: The prevalence of mental health problems (MHPs) among school-going adolescents in sub-Saharan Africa (SSA) remains high. However, help-seeking behaviours are disproportionately low in this population. This qualitative evidence synthesis (QES) aimed to identify and integrate existing qualitative findings on the barriers and facilitators of formal and informal MH help-seeking behaviours in this population. The objective was to generate insights from relevant studies and settings to inform the development of effective interventions for culturally grounded public mental health initiatives in schools in SSA. Methods: We conducted a systematic search across five databases (PubMed, CINAHL, Scopus, PsycINFO, ERIC, and Google Scholar) for qualitative studies published until September 2025. Eligible studies were appraised using the Critical Appraisal Skills Program (CASP) checklist. Thematic synthesis was employed to analyse and interpret the findings. Results: Twelve studies met the inclusion criteria. Six key barriers were identified: (1) perceived stigma, (2) gender norms as a barrier to help-seeking, (3) poor mental health knowledge, misconceptions, and awareness gaps, (4) privacy, trust, and confidentiality concerns with MH professionals, (5) lack of accessibility and availability of MH services, and (6) family and parental attitudes, peer influence, and alternative support. Facilitators included (1) mental health education and literacy enhancement, (2) supportive school environment or climate, (3) improved professional services, (4) family, community involvement, and peer support, and (5) improved service accessibility and affordability. Conclusions: This synthesis highlights the significant structural and sociocultural determinants of help-seeking behaviour in school-going adolescents in SSA. The scarcity of qualitative studies in this area underscores a critical gap in the existing literature. Further context-sensitive qualitative research is urgently needed to gain insights into adolescents’ lived experiences with MHPs and to guide responsive school-based mental health interventions
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    Social media usage, self-regulation and intentions to engage in risky sexual behaviors among students of Kyambogo University in Uganda
    (Kyambogo University[unpublished work], 2021-08) Kakinda, Adrian Ivan
    This study set out to establish the relationship between Social Media Usage, Self- Regulation and intentions to engage in Risky Sexual Behaviours among university students, a case study of Kyambogo University in Uganda. This study was conducted using a correlational study design. A sample size of 370 participants was used in the study. The respondents constituted final year students of Kyambogo University. Data were entered in SPSS version 20 and analysed using Pearson Product Moment correlation coefficients and regression analysis. The study found out that there is a weak significant positive relationship between social media usage and self-regulation (r = .203, p = 0.01), negative relationship between self-regulation and intentions to engage in risky sexual behaviours (r = -.173, p = 0.01), there is no significant relationship between social media usage and intentions to engage in risky sexual behaviour (r=-.081, p<0.01). Social media usage and self-regulation are significant predictors of intentions to engage in risky sexual behaviour, (t=0.917, P=.000), (t=3.091, P=.002). However, the better predictor of intentions to engage in risky sexual behaviour is self-regulation (Beta = 0.162, t=3.091, p= 0.002) among university students. Among the recommendations, there is need for sensitisation of the students and youth in universities on hazards of engaging in risky sexual behaviours, adopting selfregulation as a protective factor and also sensitise students on various control measures of social media usage, and risky sexual behaviour intentions. Key words: Social Media Usage, Self-Regulation, Risky Sexual Behaviour