- Research Article
- 10.1080/15546128.2026.2671731
The Politics of Knowledge: An Analysis of Sexual Health Literacy Disparities in Nepali Higher Education
- May 14, 2026
- American Journal of Sexuality Education
- Sharmila Pokharel + 1 more +1
This study assesses the levels and socio-demographic predictors of Sexual Health Literacy (SHL) among master’s level students at Tribhuvan University University, Nepal, focusing on the three domains of functional, interactive, and critical literacy. A concurrent mixed-methods design was employed, utilizing a structured online questionnaire administered to 480 students. Descriptive statistics and bivariate analyses (chi-square tests) were conducted using SPSS. Qualitative insights from six in-depth interviews were integrated to triangulate and contextualize the quantitative findings. The results indicate a moderate to high level of SHL across all domains (composite means: 3.76–3.78). However, significant disparities were found, with higher literacy scores significantly associated with being male, from a Brahmin/Kshetri ethnicity, employed, or having a higher paternal education. Qualitative data revealed a critical gap between theoretical knowledge and practical application, highlighting uncertainty about contraception, fear of judgment, and the inhibiting role of cultural stigma. The study concludes that SHL is shaped more by socio-economic context and lived experience than by formal education alone. This calls for a shift in policy and curriculum design toward comprehensive, experiential, and culturally responsive sexuality education programs in higher education to effectively bridge the gap between awareness and action.
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