Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study
Identifieur interne : 001A39 ( Ncbi/Checkpoint ); précédent : 001A38; suivant : 001A40Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: a cross-sectional study
Auteurs : Andualem Tadesse Boltena [Suède] ; Farhad Ali Khan [Suède] ; Benedict O. Asamoah [Suède] ; Anette Agardh [Suède, Australie]Source :
- BMC Public Health [ 1471-2458 ] ; 2012.
Abstract
Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling.
This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services.
Two out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (
Barriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups.
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DOI: 10.1186/1471-2458-12-986
PubMed: 23153169
PubMed Central: 3542177
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Asamoah</name><affiliation wicri:level="1"><nlm:aff id="I1">Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Lund, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Lund</wicri:regionArea><wicri:noRegion>Lund</wicri:noRegion></affiliation></author><author><name sortKey="Agardh, Anette" sort="Agardh, Anette" uniqKey="Agardh A" first="Anette" last="Agardh">Anette Agardh</name><affiliation wicri:level="1"><nlm:aff id="I1">Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Lund, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Social Medicine and Global Health, Department of Clinical Sciences Malmo, Lund University, Lund</wicri:regionArea><wicri:noRegion>Lund</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, University of Melbourne, Melbourne, VIC, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Adolescent Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, University of Melbourne, Melbourne, VIC</wicri:regionArea><wicri:noRegion>VIC</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Meeting the medical and sexual health care needs of young people is crucial for sustainable development. In Uganda, youth are faced with a number of challenges related to accessing medical care and sexual health counselling services. This study sought to investigate the barriers faced by Ugandan university students in seeking medical care and sexual health counselling.</p></sec><sec><title>Methods</title><p>This study is part of a cross-sectional survey conducted in 2005 among 980 students at Mbarara University of Science and Technology. Data was collected by means of a self-administered 11-page questionnaire. The barriers encountered by respondents in seeking medical care and sexual health counselling were classified into three categories reflecting the acceptability, accessibility, or availability of services.</p></sec><sec><title>Results</title><p>Two out of five students reported unmet medical care needs, and one out of five reported unmet sexual health counselling needs. Acceptability of services was the main barrier faced by students for seeking medical care (70.4%) as well as for student in need of sexual health counselling (72.2%), regardless of age, gender, self-rated health, and rural/peri-urban or urban residence status. However, barriers differed within the various strata. There was a significant difference (<italic>p</italic>-value 0.01) in barriers faced by students originally from rural versus peri-urban/urban areas in seeking medical care (acceptability: 64.8%/74.5%, accessibility: 22.0% /12.6%, availability 13.2%/12.9%, respectively). Students who reported poor self-rated health encountered barriers in seeking both medical care and sexual health counselling that were significantly different from their other counterparts (<italic>p</italic>-value 0.001 and 0.007 respectively).</p></sec><sec><title>Conclusions</title><p>Barriers faced by students in seeking medical and sexual health care should be reduced by interventions aimed at boosting confidence in health care services, encouraging young people to seek early treatment, and increasing awareness of where they can turn for services. The availability of medical services should be increased and waiting times and cost reduced for vulnerable groups.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Musacchio, Ns" uniqKey="Musacchio N">NS Musacchio</name></author><author><name sortKey="Forcier, M" uniqKey="Forcier M">M Forcier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sukarieh, M" uniqKey="Sukarieh M">M Sukarieh</name></author><author><name sortKey="Tannock, S" uniqKey="Tannock S">S Tannock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Senderowitz, J" uniqKey="Senderowitz J">J Senderowitz</name></author><author><name sortKey="Hainsworth, G" uniqKey="Hainsworth G">G Hainsworth</name></author><author><name sortKey="Calthy, S" uniqKey="Calthy S">S Calthy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nelson, Ch" uniqKey="Nelson C">CH Nelson</name></author><author><name sortKey="Park, J" uniqKey="Park J">J Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blum, Rw" uniqKey="Blum R">RW Blum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Narevic, E" uniqKey="Narevic E">E Narevic</name></author><author><name sortKey="Garrity, Tf" uniqKey="Garrity T">TF Garrity</name></author><author><name sortKey="Schoenberg, Ne" uniqKey="Schoenberg N">NE Schoenberg</name></author><author><name sortKey="Hiller, Ml" uniqKey="Hiller M">ML Hiller</name></author><author><name sortKey="Webster, Jm" uniqKey="Webster J">JM Webster</name></author><author><name sortKey="Leukefeld, Cg" uniqKey="Leukefeld C">CG Leukefeld</name></author><author><name sortKey="Staton Tindall, M" uniqKey="Staton Tindall M">M Staton Tindall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Perruccio, Av" uniqKey="Perruccio A">AV Perruccio</name></author><author><name sortKey="Badley, Em" uniqKey="Badley E">EM Badley</name></author><author><name sortKey="Hogg Johnson, S" uniqKey="Hogg Johnson S">S Hogg-Johnson</name></author><author><name sortKey="Davis, Am" uniqKey="Davis A">AM Davis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Diaz, A" uniqKey="Diaz A">A Diaz</name></author><author><name sortKey="Neal, Wp" uniqKey="Neal W">WP Neal</name></author><author><name sortKey="Nucci, At" uniqKey="Nucci A">AT Nucci</name></author><author><name sortKey="Ludmer, P" uniqKey="Ludmer P">P Ludmer</name></author><author><name sortKey="Bitterman, J" uniqKey="Bitterman J">J Bitterman</name></author><author><name sortKey="Edwards, S" uniqKey="Edwards S">S Edwards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kleinert, S" uniqKey="Kleinert S">S Kleinert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Meuwissen, Le" uniqKey="Meuwissen L">LE Meuwissen</name></author><author><name sortKey="Gorter, Ac" uniqKey="Gorter A">AC Gorter</name></author><author><name sortKey="Segura, Z" uniqKey="Segura Z">Z Segura</name></author><author><name sortKey="Kester, Ad" uniqKey="Kester A">AD Kester</name></author><author><name sortKey="Knottnerus, Ja" uniqKey="Knottnerus J">JA Knottnerus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hesketh, T" uniqKey="Hesketh T">T Hesketh</name></author><author><name sortKey="Ding, Qj" uniqKey="Ding Q">QJ Ding</name></author><author><name sortKey="Tomkins, Am" uniqKey="Tomkins A">AM Tomkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ensign, J" uniqKey="Ensign J">J Ensign</name></author><author><name sortKey="Panke, A" uniqKey="Panke A">A Panke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ali, M" uniqKey="Ali M">M Ali</name></author><author><name sortKey="De Muynck, A" uniqKey="De Muynck A">A de Muynck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agampodi, Sb" uniqKey="Agampodi S">SB Agampodi</name></author><author><name sortKey="Agampodi, Tc" uniqKey="Agampodi T">TC Agampodi</name></author><author><name sortKey="Ukd, P" uniqKey="Ukd P">P Ukd</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mollaab, Me" uniqKey="Mollaab M">ME Mollaab</name></author><author><name sortKey="Berhaned, M" uniqKey="Berhaned M">M Berhaned</name></author><author><name sortKey="Lindtj Rna, Y" uniqKey="Lindtj Rna Y">Y Lindtjørna</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Obare, Fb" uniqKey="Obare F">FB Obare</name></author><author><name sortKey="H Kavuma, L" uniqKey="H Kavuma L">L H. 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Asamoah</name><name sortKey="Khan, Farhad Ali" sort="Khan, Farhad Ali" uniqKey="Khan F" first="Farhad Ali" last="Khan">Farhad Ali Khan</name></country><country name="Australie"><noRegion><name sortKey="Agardh, Anette" sort="Agardh, Anette" uniqKey="Agardh A" first="Anette" last="Agardh">Anette Agardh</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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