Substance use and risky sexual behaviours among street connected children and youth in Accra, Ghana
Identifieur interne : 000435 ( Main/Exploration ); précédent : 000434; suivant : 000436Substance use and risky sexual behaviours among street connected children and youth in Accra, Ghana
Auteurs : Kwaku Oppong Asante [Afrique du Sud, Ghana] ; Anna Meyer-Weitz [Afrique du Sud] ; Inge Petersen [Afrique du Sud]Source :
- Substance Abuse Treatment, Prevention, and Policy [ 1747-597X ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Analyse multivariée, Autorapport, Comportement sexuel à risque (), Consommation d'alcool (effets indésirables), Consommation d'alcool (épidémiologie), Consommation de marijuana (effets indésirables), Consommation de marijuana (épidémiologie), Enfant, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (transmission), Jeune adulte, Jeunes sans-abri (), Loi du khi-deux, Modèles logistiques, Mâle, Prise de risque, Répartition par sexe, Répartition par âge, Tabagisme (épidémiologie), Troubles liés à une substance (), Troubles liés à une substance (épidémiologie), Études transversales.
- MESH :
- effets indésirables : Consommation d'alcool, Consommation de marijuana.
- épidémiologie : Consommation d'alcool, Consommation de marijuana, Ghana, Infections à VIH, Tabagisme, Troubles liés à une substance.
- Adolescent, Analyse multivariée, Autorapport, Comportement sexuel à risque, Enfant, Femelle, Humains, Jeune adulte, Jeunes sans-abri, Loi du khi-deux, Modèles logistiques, Mâle, Prise de risque, Répartition par sexe, Répartition par âge, Troubles liés à une substance, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adolescent, Age Distribution, Alcohol Drinking (adverse effects), Alcohol Drinking (epidemiology), Chi-Square Distribution, Child, Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (transmission), Homeless Youth (statistics & numerical data), Humans, Logistic Models, Male, Marijuana Smoking (adverse effects), Marijuana Smoking (epidemiology), Multivariate Analysis, Risk-Taking, Self Report, Sex Distribution, Smoking (epidemiology), Substance-Related Disorders (complications), Substance-Related Disorders (epidemiology), Unsafe Sex (statistics & numerical data), Young Adult.
- MESH :
- geographic , epidemiology : Ghana.
- adverse effects : Alcohol Drinking, Marijuana Smoking.
- complications : Substance-Related Disorders.
- epidemiology : Alcohol Drinking, Marijuana Smoking, Smoking, Substance-Related Disorders.
- statistics & numerical data : Homeless Youth, Unsafe Sex.
- transmission : HIV Infections.
- Adolescent, Age Distribution, Chi-Square Distribution, Child, Cross-Sectional Studies, Female, Humans, Logistic Models, Male, Multivariate Analysis, Risk-Taking, Self Report, Sex Distribution, Young Adult.
Abstract
Research on street children and youth has shown that this population is at high risk for substance use. Though risky sexual behaviours have been investigated and widely reported among street youth in resource constrained-settings, few studies have explored the relationship between substance use and other risk behaviours. This study was therefore conducted to examine the association between substance use and risky sexual behaviours among homeless youth in Ghana.
A cross-sectional survey of a convenient sample of 227 (122 male and 105 female) street connected children and youth was conducted in Ghana in 2012. Using self-report measures, the relationship between substance use and risky sexual behaviours was examined using logistic regression.
Substance use was relatively high as 12% and 16.2% reported daily use of alcohol and marijuana respectively. There were age and sex differences in substance use among the sample. As compared to males, more females had smoked cigarettes, used alcohol and marijuana. While alcohol use decrease with age, marijuana use on the other hand increases with age. Results from multivariate analysis revealed that having ever drunk alcohol and alcohol use in the past one month were independently associated with all the four indices of risky sexual behaviour (ever had sex, non-condom use, multiple sexual partners and survival sex). Both marijuana use and smoking of cigarettes were associated with having ever had sex, multiple sexual partners and survival sex. Other drug use was independently associated with non-condom use.
Substance use seems to serve as a possible risk factor for sexual risk behaviours among homeless youth. Harm reduction interventions are needed to prevent street children and youth from engaging in substance use and risky sexual behaviours. Such programmes should pay special attention to females and younger children who are highly susceptible to the adverse conditions on the street.
Url:
DOI: 10.1186/1747-597X-9-45
PubMed: 25428774
PubMed Central: 4258041
Affiliations:
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Le document en format XML
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<term>Age Distribution</term>
<term>Alcohol Drinking (adverse effects)</term>
<term>Alcohol Drinking (epidemiology)</term>
<term>Chi-Square Distribution</term>
<term>Child</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Ghana (epidemiology)</term>
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<term>Marijuana Smoking (adverse effects)</term>
<term>Marijuana Smoking (epidemiology)</term>
<term>Multivariate Analysis</term>
<term>Risk-Taking</term>
<term>Self Report</term>
<term>Sex Distribution</term>
<term>Smoking (epidemiology)</term>
<term>Substance-Related Disorders (complications)</term>
<term>Substance-Related Disorders (epidemiology)</term>
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<term>Consommation d'alcool (effets indésirables)</term>
<term>Consommation d'alcool (épidémiologie)</term>
<term>Consommation de marijuana (effets indésirables)</term>
<term>Consommation de marijuana (épidémiologie)</term>
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<term>Prise de risque</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
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<term>Troubles liés à une substance (épidémiologie)</term>
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<term>Substance-Related Disorders</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Consommation d'alcool</term>
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<term>Infections à VIH</term>
<term>Tabagisme</term>
<term>Troubles liés à une substance</term>
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<term>Age Distribution</term>
<term>Chi-Square Distribution</term>
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<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
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<term>Analyse multivariée</term>
<term>Autorapport</term>
<term>Comportement sexuel à risque</term>
<term>Enfant</term>
<term>Femelle</term>
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<term>Jeune adulte</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Research on street children and youth has shown that this population is at high risk for substance use. Though risky sexual behaviours have been investigated and widely reported among street youth in resource constrained-settings, few studies have explored the relationship between substance use and other risk behaviours. This study was therefore conducted to examine the association between substance use and risky sexual behaviours among homeless youth in Ghana.</p>
</sec>
<sec><title>Method</title>
<p>A cross-sectional survey of a convenient sample of 227 (122 male and 105 female) street connected children and youth was conducted in Ghana in 2012. Using self-report measures, the relationship between substance use and risky sexual behaviours was examined using logistic regression.</p>
</sec>
<sec><title>Results</title>
<p>Substance use was relatively high as 12% and 16.2% reported daily use of alcohol and marijuana respectively. There were age and sex differences in substance use among the sample. As compared to males, more females had smoked cigarettes, used alcohol and marijuana. While alcohol use decrease with age, marijuana use on the other hand increases with age. Results from multivariate analysis revealed that having ever drunk alcohol and alcohol use in the past one month were independently associated with all the four indices of risky sexual behaviour (ever had sex, non-condom use, multiple sexual partners and survival sex). Both marijuana use and smoking of cigarettes were associated with having ever had sex, multiple sexual partners and survival sex. Other drug use was independently associated with non-condom use.</p>
</sec>
<sec><title>Conclusion</title>
<p>Substance use seems to serve as a possible risk factor for sexual risk behaviours among homeless youth. Harm reduction interventions are needed to prevent street children and youth from engaging in substance use and risky sexual behaviours. Such programmes should pay special attention to females and younger children who are highly susceptible to the adverse conditions on the street.</p>
</sec>
</div>
</front>
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</div1>
</back>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Ghana</li>
</country>
<region><li>Région du Grand Accra</li>
</region>
<settlement><li>Accra</li>
</settlement>
</list>
<tree><country name="Afrique du Sud"><noRegion><name sortKey="Oppong Asante, Kwaku" sort="Oppong Asante, Kwaku" uniqKey="Oppong Asante K" first="Kwaku" last="Oppong Asante">Kwaku Oppong Asante</name>
</noRegion>
<name sortKey="Meyer Weitz, Anna" sort="Meyer Weitz, Anna" uniqKey="Meyer Weitz A" first="Anna" last="Meyer-Weitz">Anna Meyer-Weitz</name>
<name sortKey="Petersen, Inge" sort="Petersen, Inge" uniqKey="Petersen I" first="Inge" last="Petersen">Inge Petersen</name>
</country>
<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Oppong Asante, Kwaku" sort="Oppong Asante, Kwaku" uniqKey="Oppong Asante K" first="Kwaku" last="Oppong Asante">Kwaku Oppong Asante</name>
</region>
</country>
</tree>
</affiliations>
</record>
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