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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence of Sexual Experience and Initiation of Sexual Intercourse among Adolescents, Rakai District, Uganda, 1994–2011</title><author><name sortKey="Santelli, John S" sort="Santelli, John S" uniqKey="Santelli J" first="John S." last="Santelli">John S. Santelli</name></author><author><name sortKey="Song, Xiaoyu" sort="Song, Xiaoyu" uniqKey="Song X" first="Xiaoyu" last="Song">Xiaoyu Song</name></author><author><name sortKey="Holden, Inge K" sort="Holden, Inge K" uniqKey="Holden I" first="Inge K." last="Holden">Inge K. Holden</name></author><author><name sortKey="Wunder, Kristin" sort="Wunder, Kristin" uniqKey="Wunder K" first="Kristin" last="Wunder">Kristin Wunder</name></author><author><name sortKey="Zhong, Xiaobo" sort="Zhong, Xiaobo" uniqKey="Zhong X" first="Xiaobo" last="Zhong">Xiaobo Zhong</name></author><author><name sortKey="Wei, Ying" sort="Wei, Ying" uniqKey="Wei Y" first="Ying" last="Wei">Ying Wei</name></author><author><name sortKey="Mathur, Sanyukta" sort="Mathur, Sanyukta" uniqKey="Mathur S" first="Sanyukta" last="Mathur">Sanyukta Mathur</name></author><author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name></author><author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name></author><author><name sortKey="Gray, Ron H" sort="Gray, Ron H" uniqKey="Gray R" first="Ron H." last="Gray">Ron H. Gray</name></author><author><name sortKey="Serwadda, David M" sort="Serwadda, David M" uniqKey="Serwadda D" first="David M." last="Serwadda">David M. Serwadda</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26499857</idno><idno type="pmc">4671201</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4671201</idno><idno type="RBID">PMC:4671201</idno><idno type="doi">10.1016/j.jadohealth.2015.07.018</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001E67</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001E67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence of Sexual Experience and Initiation of Sexual Intercourse among Adolescents, Rakai District, Uganda, 1994–2011</title><author><name sortKey="Santelli, John S" sort="Santelli, John S" uniqKey="Santelli J" first="John S." last="Santelli">John S. Santelli</name></author><author><name sortKey="Song, Xiaoyu" sort="Song, Xiaoyu" uniqKey="Song X" first="Xiaoyu" last="Song">Xiaoyu Song</name></author><author><name sortKey="Holden, Inge K" sort="Holden, Inge K" uniqKey="Holden I" first="Inge K." last="Holden">Inge K. Holden</name></author><author><name sortKey="Wunder, Kristin" sort="Wunder, Kristin" uniqKey="Wunder K" first="Kristin" last="Wunder">Kristin Wunder</name></author><author><name sortKey="Zhong, Xiaobo" sort="Zhong, Xiaobo" uniqKey="Zhong X" first="Xiaobo" last="Zhong">Xiaobo Zhong</name></author><author><name sortKey="Wei, Ying" sort="Wei, Ying" uniqKey="Wei Y" first="Ying" last="Wei">Ying Wei</name></author><author><name sortKey="Mathur, Sanyukta" sort="Mathur, Sanyukta" uniqKey="Mathur S" first="Sanyukta" last="Mathur">Sanyukta Mathur</name></author><author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name></author><author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name></author><author><name sortKey="Gray, Ron H" sort="Gray, Ron H" uniqKey="Gray R" first="Ron H." last="Gray">Ron H. Gray</name></author><author><name sortKey="Serwadda, David M" sort="Serwadda, David M" uniqKey="Serwadda D" first="David M." last="Serwadda">David M. Serwadda</name></author></analytic><series><title level="j">The Journal of adolescent health : official publication of the Society for Adolescent Medicine</title><idno type="ISSN">1054-139X</idno><idno type="eISSN">1879-1972</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title><p id="P1">To identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using population-based, longitudinal data from 15–19 year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n=21,742 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR, n=5126 person-year observations).</p></sec><sec id="S3"><title>Results</title><p id="P3">Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, non-enrollment in school (IRR=1.7 for women and 1.8 for men), alcohol use (IRR=1.3 for women and men), and being a double orphan among men (IRR=1.2). Sexual experience began to decline around 2000, while increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as ART became available).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9102136</journal-id><journal-id journal-id-type="pubmed-jr-id">1030</journal-id><journal-id journal-id-type="nlm-ta">J Adolesc Health</journal-id><journal-id journal-id-type="iso-abbrev">J Adolesc Health</journal-id><journal-title-group><journal-title>The Journal of adolescent health : official publication of the Society for Adolescent Medicine</journal-title></journal-title-group><issn pub-type="ppub">1054-139X</issn><issn pub-type="epub">1879-1972</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26499857</article-id><article-id pub-id-type="pmc">4671201</article-id><article-id pub-id-type="doi">10.1016/j.jadohealth.2015.07.018</article-id><article-id pub-id-type="manuscript">NIHMS723477</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Prevalence of Sexual Experience and Initiation of Sexual Intercourse among Adolescents, Rakai District, Uganda, 1994–2011</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Santelli</surname><given-names>John S.</given-names></name><degrees>M.D., M.P.H.</degrees><aff id="A1">Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue B-2, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Song</surname><given-names>Xiaoyu</given-names></name><degrees>M.P.H.</degrees><email>xs2148@columbia.edu</email><aff id="A2">Department of Biostatistics, Mailman School of Public Health, Columbia University, 722 West 168<sup>th</sup> Street, 6<sup>th</sup> Floor, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Holden</surname><given-names>Inge K.</given-names></name><degrees>M.D., M.P.H.</degrees><email>ilh2112@columbia.edu</email><aff id="A3">Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168<sup>th</sup> Street, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Wunder</surname><given-names>Kristin</given-names></name><degrees>M.P.H.</degrees><email>Kristin.wunder@gmail.com</email><aff id="A4">Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue B-2, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Zhong</surname><given-names>Xiaobo</given-names></name><degrees>M.S.</degrees><email>xz2221@columbia.edu</email><aff id="A5">Department of Biostatistics, Mailman School of Public Health, Columbia University 722 West 168<sup>th</sup> Street, 6<sup>th</sup> Floor, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Wei</surname><given-names>Ying</given-names></name><degrees>M.S., Ph.D.</degrees><email>yw2148@columbia.edu</email><aff id="A6">Department of Biostatistics, Mailman School of Public Health, Columbia University, 722 West 168<sup>th</sup> Street, 6<sup>th</sup> Floor, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Mathur</surname><given-names>Sanyukta</given-names></name><degrees>M.H.S., Dr.P.H.</degrees><email>sm2892@cumc.columbia.edu</email><aff id="A7">Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue B-2, New York, NY 10032</aff></contrib><contrib contrib-type="author"><name><surname>Lutalo</surname><given-names>Tom</given-names></name><degrees>M.Sc.</degrees><email>tlutalo@rhsp.org</email><aff id="A8">Rakai Health Sciences Program, Uganda Virus Research Institute, Nakiwogo Road, P.O. Box 49, Entebbe, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Nalugoda</surname><given-names>Fred</given-names></name><degrees>M.H.S., Ph.D.</degrees><email>fnalugoda@rhsp.org</email><aff id="A9">Rakai Health Sciences Program, Uganda Virus Research Institute, Nakiwogo Road, P.O. Box 49, Entebbe, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Gray</surname><given-names>Ron H.</given-names></name><degrees>M.B.B.S., M.Sc., M.F.C.M.</degrees><email>RGray@jhsph.edu</email><aff id="A10">Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 615 N Wolfe St #5041, Baltimore, MD 21205</aff></contrib><contrib contrib-type="author"><name><surname>Serwadda</surname><given-names>David M.</given-names></name><degrees>MB.Ch.B, M.Sc., M.Med., M.P.H.</degrees><email>dserwada@infocom.co.ug</email><aff id="A11">Rakai Health Sciences Program, Uganda Virus Research Institute, Nakiwogo Road, P.O. Box 49, Entebbe, Uganda</aff></contrib></contrib-group><author-notes><corresp id="FN1"><bold>Corresponding author:</bold> John Santelli, <email>Js2637@columbia.edu</email> TEL: +1-212-304-5200, FAX: +1-212-305-7024</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>31</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>11</month><year>2016</year></pub-date><volume>57</volume><issue>5</issue><fpage>496</fpage><lpage>505</lpage><pmc-comment>elocation-id from pubmed: 10.1016/j.jadohealth.2015.07.018</pmc-comment>
<abstract><sec id="S1"><title>Purpose</title><p id="P1">To identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Using population-based, longitudinal data from 15–19 year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n=21,742 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR, n=5126 person-year observations).</p></sec><sec id="S3"><title>Results</title><p id="P3">Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, non-enrollment in school (IRR=1.7 for women and 1.8 for men), alcohol use (IRR=1.3 for women and men), and being a double orphan among men (IRR=1.2). Sexual experience began to decline around 2000, while increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as ART became available).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.</p></sec></abstract><kwd-group><kwd>Sexual behavior</kwd><kwd>Initiation of Sexual Intercourse</kwd><kwd>Risk factors</kwd><kwd>Adolescent</kwd><kwd>Social determinants</kwd><kwd>School enrollment</kwd><kwd>Orphanhood</kwd><kwd>Uganda</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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