Correlates of ever had sex among perinatally HIV-infected adolescents in Uganda
Identifieur interne : 000E39 ( Pmc/Checkpoint ); précédent : 000E38; suivant : 000E40Correlates of ever had sex among perinatally HIV-infected adolescents in Uganda
Auteurs : Scovia Nalugo Mbalinda [Ouganda] ; Noah Kiwanuka [Ouganda] ; Lars E. Eriksson [Suède, Royaume-Uni] ; Rhoda K. Wanyenze [Ouganda] ; Dan Kabonge Kaye [Ouganda]Source :
- Reproductive Health [ 1742-4755 ] ; 2015.
Abstract
The objective of this study was to explore the correlates of ever had sex among perinatally HIV-infected (PHIV) adolescents.
A cross-sectional survey of sexual behaviour was conducted with 624 PHIV adolescents living three regions (12 districts) of Uganda. Data was collected on socio demographic characteristics (age, sex, occupation, religion and education status), sexual practices and behaviours (Intimate relationships, sexual intercourse, age of sexual debut, condom use, multiple and concurrent sexual partners), consequences of sexual behaviours (pregnancy and STI’s) and life style factors (use of alcohol, psychoactive substances and peer influence). Multivariable logistic-regression was used to ascertain the determinants of sexual activity.
The majority of PHIV were female (59.3 %) and the mean age of the sample was 16.2 (±2.1) years. The mean age of sexual debut was 15.8 years; 16.2 % (101/624) reported symptoms for sexually transmitted infections (STI) and more than a third (213/624) reported ever had sex.Of these 76.5 % (165/213) used condoms inconsistently; and 49.3 % (105/213) had been pregnant or made someone pregnant. Of those in relationships, 56.3 % (223/396) did not disclose and were not aware of their partners’ HIV status. Adolescents aged 15–19 years were more likely to have ever been sexually active (Adjusted odds ratio (AOR) 6.28, 95 % Confidence interval (CI): 2.63-14.99) compared to those aged 10–14 years. Adolescents who were living alone were more likely to have ever been sexually active compared to those living with one or both parents (AOR 4.33, 95 % CI: 1.13-16.62). The odds of being sexually active were lower among adolescents in school compared to those out of school (AOR 0.2, 95 % CI: 0.13-0.30), who had never been treated for STI (compared to those who had never been treated for STI) (AOR 0.19, 95 % 0.11-0.32) and adolescents who never drank alcohol (AOR 0.49, 95 % CI 0.28-0.87).
PHIV adolescents have risky sexual behaviours characterized by being sexually active, inconsistent condom use, and having partners of unknown status. Risk reduction interventions are required to minimize unplanned pregnancies, STI, and HIV transmission by PHIV adolescents.
Url:
DOI: 10.1186/s12978-015-0082-z
PubMed: 26475268
PubMed Central: 4609043
Affiliations:
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<author><name sortKey="Kiwanuka, Noah" sort="Kiwanuka, Noah" uniqKey="Kiwanuka N" first="Noah" last="Kiwanuka">Noah Kiwanuka</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The objective of this study was to explore the correlates of ever had sex among perinatally HIV-infected (PHIV) adolescents.</p>
</sec>
<sec><title>Methods</title>
<p>A cross-sectional survey of sexual behaviour was conducted with 624 PHIV adolescents living three regions (12 districts) of Uganda. Data was collected on socio demographic characteristics (age, sex, occupation, religion and education status), sexual practices and behaviours (Intimate relationships, sexual intercourse, age of sexual debut, condom use, multiple and concurrent sexual partners), consequences of sexual behaviours (pregnancy and STI’s) and life style factors (use of alcohol, psychoactive substances and peer influence). Multivariable logistic-regression was used to ascertain the determinants of sexual activity.</p>
</sec>
<sec><title>Results</title>
<p>The majority of PHIV were female (59.3 %) and the mean age of the sample was 16.2 (±2.1) years. The mean age of sexual debut was 15.8 years; 16.2 % (101/624) reported symptoms for sexually transmitted infections (STI) and more than a third (213/624) reported ever had sex.Of these 76.5 % (165/213) used condoms inconsistently; and 49.3 % (105/213) had been pregnant or made someone pregnant. Of those in relationships, 56.3 % (223/396) did not disclose and were not aware of their partners’ HIV status. Adolescents aged 15–19 years were more likely to have ever been sexually active (Adjusted odds ratio (AOR) 6.28, 95 % Confidence interval (CI): 2.63-14.99) compared to those aged 10–14 years. Adolescents who were living alone were more likely to have ever been sexually active compared to those living with one or both parents (AOR 4.33, 95 % CI: 1.13-16.62). The odds of being sexually active were lower among adolescents in school compared to those out of school (AOR 0.2, 95 % CI: 0.13-0.30), who had never been treated for STI (compared to those who had never been treated for STI) (AOR 0.19, 95 % 0.11-0.32) and adolescents who never drank alcohol (AOR 0.49, 95 % CI 0.28-0.87).</p>
</sec>
<sec><title>Conclusion</title>
<p>PHIV adolescents have risky sexual behaviours characterized by being sexually active, inconsistent condom use, and having partners of unknown status. Risk reduction interventions are required to minimize unplanned pregnancies, STI, and HIV transmission by PHIV adolescents.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Reprod Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Reprod Health</journal-id>
<journal-title-group><journal-title>Reproductive Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1742-4755</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26475268</article-id>
<article-id pub-id-type="pmc">4609043</article-id>
<article-id pub-id-type="publisher-id">82</article-id>
<article-id pub-id-type="doi">10.1186/s12978-015-0082-z</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Correlates of ever had sex among perinatally HIV-infected adolescents in Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Mbalinda</surname>
<given-names>Scovia Nalugo</given-names>
</name>
<address><phone>+256782212151</phone>
<email>snmbalinda@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kiwanuka</surname>
<given-names>Noah</given-names>
</name>
<address><email>nkiwanuka@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Eriksson</surname>
<given-names>Lars E.</given-names>
</name>
<address><email>Lars.Eriksson@ki.se</email>
</address>
<xref ref-type="aff" rid="Aff3"></xref>
<xref ref-type="aff" rid="Aff4"></xref>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wanyenze</surname>
<given-names>Rhoda K.</given-names>
</name>
<address><email>rwanyenze@musph.ac.ug</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kaye</surname>
<given-names>Dan Kabonge</given-names>
</name>
<address><email>dankkaye@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff6"></xref>
</contrib>
<aff id="Aff1"><label></label>
Department of Nursing, Makerere University, Kampala, Uganda</aff>
<aff id="Aff2"><label></label>
School of Public Health, Makerere University, Kampala, Uganda</aff>
<aff id="Aff3"><label></label>
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden</aff>
<aff id="Aff4"><label></label>
Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden</aff>
<aff id="Aff5"><label></label>
School of Health Sciences, City University London, London, UK</aff>
<aff id="Aff6"><label></label>
Department of Obstetrics and Gynaecology, Makerere University, Kampala, Uganda</aff>
</contrib-group>
<pub-date pub-type="epub"><day>16</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>16</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>12</volume>
<elocation-id>96</elocation-id>
<history><date date-type="received"><day>10</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>5</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Mbalinda et al. 2015</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>The objective of this study was to explore the correlates of ever had sex among perinatally HIV-infected (PHIV) adolescents.</p>
</sec>
<sec><title>Methods</title>
<p>A cross-sectional survey of sexual behaviour was conducted with 624 PHIV adolescents living three regions (12 districts) of Uganda. Data was collected on socio demographic characteristics (age, sex, occupation, religion and education status), sexual practices and behaviours (Intimate relationships, sexual intercourse, age of sexual debut, condom use, multiple and concurrent sexual partners), consequences of sexual behaviours (pregnancy and STI’s) and life style factors (use of alcohol, psychoactive substances and peer influence). Multivariable logistic-regression was used to ascertain the determinants of sexual activity.</p>
</sec>
<sec><title>Results</title>
<p>The majority of PHIV were female (59.3 %) and the mean age of the sample was 16.2 (±2.1) years. The mean age of sexual debut was 15.8 years; 16.2 % (101/624) reported symptoms for sexually transmitted infections (STI) and more than a third (213/624) reported ever had sex.Of these 76.5 % (165/213) used condoms inconsistently; and 49.3 % (105/213) had been pregnant or made someone pregnant. Of those in relationships, 56.3 % (223/396) did not disclose and were not aware of their partners’ HIV status. Adolescents aged 15–19 years were more likely to have ever been sexually active (Adjusted odds ratio (AOR) 6.28, 95 % Confidence interval (CI): 2.63-14.99) compared to those aged 10–14 years. Adolescents who were living alone were more likely to have ever been sexually active compared to those living with one or both parents (AOR 4.33, 95 % CI: 1.13-16.62). The odds of being sexually active were lower among adolescents in school compared to those out of school (AOR 0.2, 95 % CI: 0.13-0.30), who had never been treated for STI (compared to those who had never been treated for STI) (AOR 0.19, 95 % 0.11-0.32) and adolescents who never drank alcohol (AOR 0.49, 95 % CI 0.28-0.87).</p>
</sec>
<sec><title>Conclusion</title>
<p>PHIV adolescents have risky sexual behaviours characterized by being sexually active, inconsistent condom use, and having partners of unknown status. Risk reduction interventions are required to minimize unplanned pregnancies, STI, and HIV transmission by PHIV adolescents.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>HIV</kwd>
<kwd>Perinatally infected</kwd>
<kwd>Adolescents</kwd>
<kwd>Risky sexual behaviour</kwd>
<kwd>Adolescents</kwd>
<kwd>Uganda</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Ouganda</li>
<li>Royaume-Uni</li>
<li>Suède</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Svealand</li>
</region>
<settlement><li>Londres</li>
<li>Stockholm</li>
</settlement>
</list>
<tree><country name="Ouganda"><noRegion><name sortKey="Mbalinda, Scovia Nalugo" sort="Mbalinda, Scovia Nalugo" uniqKey="Mbalinda S" first="Scovia Nalugo" last="Mbalinda">Scovia Nalugo Mbalinda</name>
</noRegion>
<name sortKey="Kaye, Dan Kabonge" sort="Kaye, Dan Kabonge" uniqKey="Kaye D" first="Dan Kabonge" last="Kaye">Dan Kabonge Kaye</name>
<name sortKey="Kiwanuka, Noah" sort="Kiwanuka, Noah" uniqKey="Kiwanuka N" first="Noah" last="Kiwanuka">Noah Kiwanuka</name>
<name sortKey="Wanyenze, Rhoda K" sort="Wanyenze, Rhoda K" uniqKey="Wanyenze R" first="Rhoda K." last="Wanyenze">Rhoda K. Wanyenze</name>
</country>
<country name="Suède"><region name="Svealand"><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name>
</region>
<name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name>
</region>
</country>
</tree>
</affiliations>
</record>
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