Internet Use among Ugandan Adolescents: Implications for HIV Intervention
Identifieur interne : 002C28 ( Pmc/Checkpoint ); précédent : 002C27; suivant : 002C29Internet Use among Ugandan Adolescents: Implications for HIV Intervention
Auteurs : Michele L. Ybarra [États-Unis] ; Julius Kiwanuka [Ouganda] ; Nneka Emenyonu [États-Unis] ; David R. Bangsberg [États-Unis]Source :
- PLoS Medicine [ 1549-1277 ] ; 2006.
Abstract
The Internet is fast gaining recognition as a powerful, low-cost method to deliver health intervention and prevention programs to large numbers of young people across diverse geographic regions. The feasibility and accessibility of Internet-based health interventions in resource-limited settings, where cost-effective interventions are most needed, is unknown. To determine the utility of developing technology-based interventions in resource-limited settings, availability and patterns of usage of the Internet first need to be assessed.
The Uganda Media and You Survey was a cross-sectional survey of Internet use among adolescents (ages 12–18 years) in Mbarara, Uganda, a municipality mainly serving a rural population in sub-Saharan Africa. Participants were randomly selected among eligible students attending one of five participating secondary day and boarding schools in Mbarara, Uganda. Of a total of 538 students selected, 93% (500) participated.
Of the total respondents, 45% (223) reported ever having used the Internet, 78% (175) of whom reported going online in the previous week. As maternal education increased, so too did the odds of adolescent Internet use. Almost two in five respondents (38% [189]) reported already having used a computer or the Internet to search for health information. Over one-third (35% [173]) had used the computer or Internet to find information about HIV/AIDS, and 20% (102) had looked for sexual health information. Among Internet users, searching for HIV/AIDS information on a computer or online was significantly related to using the Internet weekly, emailing, visiting chat rooms, and playing online games. In contrast, going online at school was inversely related to looking for HIV/AIDS information via technology. If Internet access were free, 66% (330) reported that they would search for information about HIV/AIDS prevention online.
Both the desire to use, and the actual use of, the Internet to seek sexual health and HIV/AIDS information is high among secondary school students in Mbarara. The Internet may be a promising strategy to deliver low-cost HIV/AIDS risk reduction interventions in resource-limited settings with expanding Internet access.
Url:
DOI: 10.1371/journal.pmed.0030433
PubMed: 17090211
PubMed Central: 1630714
Affiliations:
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Ybarra</name><affiliation wicri:level="2"><nlm:aff id="aff1">Internet Solutions for Kids, Irvine, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Internet Solutions for Kids, Irvine, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Kiwanuka, Julius" sort="Kiwanuka, Julius" uniqKey="Kiwanuka J" first="Julius" last="Kiwanuka">Julius Kiwanuka</name><affiliation wicri:level="1"><nlm:aff id="aff2">Mbarara University of Science and Technology, Department of Pediatrics, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Mbarara University of Science and Technology, Department of Pediatrics, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name><affiliation wicri:level="2"><nlm:aff id="aff3">Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R" last="Bangsberg">David R. Bangsberg</name><affiliation wicri:level="2"><nlm:aff id="aff3">Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff4">The Positive Health Program, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Positive Health Program, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">17090211</idno><idno type="pmc">1630714</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1630714</idno><idno type="RBID">PMC:1630714</idno><idno type="doi">10.1371/journal.pmed.0030433</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">002864</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002864</idno><idno type="wicri:Area/Pmc/Curation">002863</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002863</idno><idno type="wicri:Area/Pmc/Checkpoint">002C28</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002C28</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Internet Use among Ugandan Adolescents: Implications for HIV Intervention</title><author><name sortKey="Ybarra, Michele L" sort="Ybarra, Michele L" uniqKey="Ybarra M" first="Michele L" last="Ybarra">Michele L. Ybarra</name><affiliation wicri:level="2"><nlm:aff id="aff1">Internet Solutions for Kids, Irvine, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Internet Solutions for Kids, Irvine, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Kiwanuka, Julius" sort="Kiwanuka, Julius" uniqKey="Kiwanuka J" first="Julius" last="Kiwanuka">Julius Kiwanuka</name><affiliation wicri:level="1"><nlm:aff id="aff2">Mbarara University of Science and Technology, Department of Pediatrics, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Mbarara University of Science and Technology, Department of Pediatrics, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name><affiliation wicri:level="2"><nlm:aff id="aff3">Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R" last="Bangsberg">David R. Bangsberg</name><affiliation wicri:level="2"><nlm:aff id="aff3">Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff4">The Positive Health Program, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>The Positive Health Program, San Francisco General Hospital, University of California San Francisco, San Francisco, California</wicri:regionArea><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">PLoS Medicine</title><idno type="ISSN">1549-1277</idno><idno type="eISSN">1549-1676</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background</title><p>The Internet is fast gaining recognition as a powerful, low-cost method to deliver health intervention and prevention programs to large numbers of young people across diverse geographic regions. The feasibility and accessibility of Internet-based health interventions in resource-limited settings, where cost-effective interventions are most needed, is unknown. To determine the utility of developing technology-based interventions in resource-limited settings, availability and patterns of usage of the Internet first need to be assessed.</p></sec><sec id="st2"><title>Methods and Findings</title><p>The Uganda Media and You Survey was a cross-sectional survey of Internet use among adolescents (ages 12–18 years) in Mbarara, Uganda, a municipality mainly serving a rural population in sub-Saharan Africa. Participants were randomly selected among eligible students attending one of five participating secondary day and boarding schools in Mbarara, Uganda. Of a total of 538 students selected, 93% (500) participated.</p><p>Of the total respondents, 45% (223) reported ever having used the Internet, 78% (175) of whom reported going online in the previous week. As maternal education increased, so too did the odds of adolescent Internet use. Almost two in five respondents (38% [189]) reported already having used a computer or the Internet to search for health information. Over one-third (35% [173]) had used the computer or Internet to find information about HIV/AIDS, and 20% (102) had looked for sexual health information. Among Internet users, searching for HIV/AIDS information on a computer or online was significantly related to using the Internet weekly, emailing, visiting chat rooms, and playing online games. In contrast, going online at school was inversely related to looking for HIV/AIDS information via technology. If Internet access were free, 66% (330) reported that they would search for information about HIV/AIDS prevention online.</p></sec><sec id="st3"><title>Conclusions</title><p>Both the desire to use, and the actual use of, the Internet to seek sexual health and HIV/AIDS information is high among secondary school students in Mbarara. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS Med</journal-id><journal-id journal-id-type="iso-abbrev">PLoS Med</journal-id><journal-id journal-id-type="publisher-id">pmed</journal-id><journal-id journal-id-type="publisher-id">plme</journal-id><journal-id journal-id-type="pmc">plosmed</journal-id><journal-title-group><journal-title>PLoS Medicine</journal-title></journal-title-group><issn pub-type="ppub">1549-1277</issn><issn pub-type="epub">1549-1676</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17090211</article-id><article-id pub-id-type="pmc">1630714</article-id><article-id pub-id-type="doi">10.1371/journal.pmed.0030433</article-id><article-id pub-id-type="publisher-id">06-PLME-RA-0083R2</article-id><article-id pub-id-type="sici">plme-03-11-01</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline"><subject>HIV/AIDS</subject><subject>Medical Education</subject><subject>Pediatrics</subject><subject>Sexual Health</subject></subj-group><subj-group subj-group-type="System Taxonomy"><subject>Infectious Diseases</subject><subject>HIV Infection/AIDS</subject><subject>Medicine in Developing Countries</subject><subject>Communication in Health Care</subject><subject>Medical Education</subject></subj-group></article-categories><title-group><article-title>Internet Use among Ugandan Adolescents: Implications for HIV Intervention</article-title><alt-title alt-title-type="running-head">Internet Use among Ugandan Adolescents</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Ybarra</surname><given-names>Michele L</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Kiwanuka</surname><given-names>Julius</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Emenyonu</surname><given-names>Nneka</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Bangsberg</surname><given-names>David R</given-names></name><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Internet Solutions for Kids, Irvine, California, United States of America</aff><aff id="aff2"><label>2</label>Mbarara University of Science and Technology, Department of Pediatrics, Mbarara, Uganda</aff><aff id="aff3"><label>3</label>Epidemiology and Prevention Interventions Center, Division of Infectious Diseases, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</aff><aff id="aff4"><label>4</label>The Positive Health Program, San Francisco General Hospital, University of California San Francisco, San Francisco, California, United States of America</aff><contrib-group><contrib contrib-type="editor"><name><surname>Kalichman</surname><given-names>Seth</given-names></name><role>Academic Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1">University of Connecticut, United States of America</aff><author-notes><corresp id="cor1">* To whom correspondence should be addressed. E-mail: <email>Michele@ISolutions4Kids.org</email></corresp></author-notes><pub-date pub-type="ppub"><month>11</month><year>2006</year></pub-date><pub-date pub-type="epub"><day>7</day><month>11</month><year>2006</year></pub-date><volume>3</volume><issue>11</issue><elocation-id>e433</elocation-id><history><date date-type="received"><day>30</day><month>1</month><year>2006</year></date><date date-type="accepted"><day>9</day><month>8</month><year>2006</year></date></history><permissions><copyright-statement> © 2006 Ybarra et al.</copyright-statement><copyright-year>2006</copyright-year><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.</license-p></license></permissions><abstract><sec id="st1"><title>Background</title><p>The Internet is fast gaining recognition as a powerful, low-cost method to deliver health intervention and prevention programs to large numbers of young people across diverse geographic regions. The feasibility and accessibility of Internet-based health interventions in resource-limited settings, where cost-effective interventions are most needed, is unknown. To determine the utility of developing technology-based interventions in resource-limited settings, availability and patterns of usage of the Internet first need to be assessed.</p></sec><sec id="st2"><title>Methods and Findings</title><p>The Uganda Media and You Survey was a cross-sectional survey of Internet use among adolescents (ages 12–18 years) in Mbarara, Uganda, a municipality mainly serving a rural population in sub-Saharan Africa. Participants were randomly selected among eligible students attending one of five participating secondary day and boarding schools in Mbarara, Uganda. Of a total of 538 students selected, 93% (500) participated.</p><p>Of the total respondents, 45% (223) reported ever having used the Internet, 78% (175) of whom reported going online in the previous week. As maternal education increased, so too did the odds of adolescent Internet use. Almost two in five respondents (38% [189]) reported already having used a computer or the Internet to search for health information. Over one-third (35% [173]) had used the computer or Internet to find information about HIV/AIDS, and 20% (102) had looked for sexual health information. Among Internet users, searching for HIV/AIDS information on a computer or online was significantly related to using the Internet weekly, emailing, visiting chat rooms, and playing online games. In contrast, going online at school was inversely related to looking for HIV/AIDS information via technology. If Internet access were free, 66% (330) reported that they would search for information about HIV/AIDS prevention online.</p></sec><sec id="st3"><title>Conclusions</title><p>Both the desire to use, and the actual use of, the Internet to seek sexual health and HIV/AIDS information is high among secondary school students in Mbarara. The Internet may be a promising strategy to deliver low-cost HIV/AIDS risk reduction interventions in resource-limited settings with expanding Internet access.</p></sec></abstract><abstract abstract-type="toc"><p>A survey among 500 adolescent pupils in rural Uganda suggests widespread interest in online information about sexual health and HIV/AIDS. Over one-third of Internet users had already searched for relevant information online, and many of the others said they would like to educate themselves about HIV/AIDS online.</p></abstract><abstract abstract-type="editor"><title>Editors' Summary</title><sec id="sb1a"><title>Background.</title><p>HIV/AIDS is a major health burden in sub-Saharan Africa, including Uganda. Despite a recent reduction of the number of HIV-infected individuals, HIV transmission remains a problem among Ugandan adolescents. Recent surveys suggest that about half of sexually active adolescents do not consistently use condoms, and that young people are less knowledgeable about HIV than they were 15 years ago.</p></sec><sec id="sb1b"><title>Why Was This Study Done?</title><p>The Internet has a number of characteristics that make it an attractive tool in health education and HIV prevention, especially for adolescents—including interactivity, privacy, the overlap between education and play, and the ability to individualize information based on an initial assessment of background conditions, interest, and knowledge. It is also thought that despite these advantages, the Internet's potential in resource-poor settings with higher HIV infection rates and limited access to other health care resources has not been explored much. This study was done to gain some initial insights on the desired and actual use of the Internet to seek sexual health and HIV/AIDS information among adolescents in Uganda.</p></sec><sec id="sb1c"><title>What Did the Researchers Do and Find?</title><p>They did a survey of 500 adolescent pupils randomly selected from five participating boarding schools in Mbarara, a small town in a rural part of Uganda. They asked three questions: To what extent are the adolescents exposed to computers and the Internet? Are they interested in accessing health information online? Who uses the Internet and how? Almost half of the participants said they had used the Internet at least once, and the majority said they had been online during the previous week. Most Internet users (82%) reported going online at school; 57% said they use Internet cafes, 17% access the Internet at home; and 11% at someone else's house. More than a third of all participants reported having used the Internet or computer to look up health information, and many had been looking for information on sexual health and HIV/AIDS. About two-thirds of the participants said that if Internet use were free, they would search for information on sexual health and HIV/AIDS prevention. The researchers analyzed the responses further to identify the most influential factors in whether one of the Internet users would go online to educate themselves about HIV/AIDS. They found that those participants who used the Internet more often and those who engaged in online activities like chat rooms, games, and e-mail, were more likely to search for HIV/AIDS information. On the other hand, those who went online only at school were less likely to do so.</p></sec><sec id="sb1d"><title>What Do These Findings Mean?</title><p>Approximately the same proportion—roughly one-third—of adolescents in a rural setting in Uganda reported having used the Internet to look up health-related information as of young people in the United States. Together with the result that an additional third said that they would go online to educate themselves about HIV/AIDS if Internet use was free, this study suggests that initiatives in Africa to improve online access for adolescents as well as to develop content tailored for young people in specific settings would make a difference.</p></sec><sec id="sb1e"><title>Additional Information.</title><p>Please access these Web sites via the online version of this summary at <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.1371/journal.pmed.0030433">http://dx.doi.org/10.1371/journal.pmed.0030433</ext-link></p><list list-type="bullet"><list-item><p>Links page for adolescents and youth from <ext-link ext-link-type="uri" xlink:href="http://hivinsite.ucsf.edu/InSite?page=li-06-01">HIV InSite</ext-link> at UCSF</p></list-item><list-item><p><ext-link ext-link-type="uri" xlink:href="http://www.africaalive.org/youthaids.htm">Africa Initiative</ext-link></p></list-item><list-item><p>HIV/AIDS education module from the <ext-link ext-link-type="uri" xlink:href="http://www.pbs.org/newshour/extra/teachers/lessonplans/health/aids/">US Public Broadcasting System</ext-link></p></list-item><list-item><p>Lesson plan for <ext-link ext-link-type="uri" xlink:href="http://www.eduref.org/cgi-bin/printlessons.cgi/Virtual/Lessons/Health/Human_Sexuality/SEX0001.html">“Using the Internet to Access Sexual Health Information” </ext-link> from the Information Institute of Syracuse</p></list-item></list></sec></abstract><counts><page-count count="9"></page-count></counts><custom-meta-group><custom-meta><meta-name>citation</meta-name><meta-value>Ybarra ML, Kiwanuka J, Emenyonu N, Bangsberg DR (2006) Internet use among Ugandan adolescents: Implications for HIV intervention. PLoS Med 3(11): e433. doi:<ext-link ext-link-type="doi" xlink:href="10.1371/journal.pmed.0030433">10.1371/journal.pmed.0030433</ext-link></meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Ouganda</li><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Ybarra, Michele L" sort="Ybarra, Michele L" uniqKey="Ybarra M" first="Michele L" last="Ybarra">Michele L. Ybarra</name></region><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R" last="Bangsberg">David R. Bangsberg</name><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R" last="Bangsberg">David R. Bangsberg</name><name sortKey="Emenyonu, Nneka" sort="Emenyonu, Nneka" uniqKey="Emenyonu N" first="Nneka" last="Emenyonu">Nneka Emenyonu</name></country><country name="Ouganda"><noRegion><name sortKey="Kiwanuka, Julius" sort="Kiwanuka, Julius" uniqKey="Kiwanuka J" first="Julius" last="Kiwanuka">Julius Kiwanuka</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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