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Multiple Sexual Partnerships among Female Adolescents in Rural Uganda: The effects of family structure and school attendance

Identifieur interne : 001D01 ( Pmc/Corpus ); précédent : 001D00; suivant : 001D02

Multiple Sexual Partnerships among Female Adolescents in Rural Uganda: The effects of family structure and school attendance

Auteurs : Nanlesta A. Pilgrim ; Saifuddin Ahmed ; Ronald H. Gray ; Joseph Sekasanvu ; Tom Lutalo ; Fred Nalugoda ; David Serwadda ; Maria J. Wawer

Source :

RBID : PMC:4481179

Abstract

Background

A better understanding is needed of the contextual factors that influence HIV risk behaviors among female adolescents in sub-Saharan Africa. The objectives of this study were to assess the influence of family structure on lifetime sexual partners and on the number of sexual partners in the last year among female adolescents in rural Rakai, Uganda; and to determine if the influence of family structure on these outcomes differed by adolescents’ school attendance status.

Methods

The sample consisted of 2,337 unmarried adolescent girls, aged 15-19, enrolled in the Rakai Community Cohort Study. The last survey interview within the time period 2001-2008 available for each girl was used. Analyses were stratified by age (15-17 year olds and 18-19 year olds) and school status. Multinomial logistic regression was used.

Results

Living in a household with a biological father was protective against both outcomes. Family structure was not associated with the outcomes among in-school adolescents but was significantly associated with outcomes among out-of-school adolescents.

Conclusions

Findings suggest that understanding the familial context in which female adolescents develop, as well as its interaction with school attendance, is important for HIV prevention efforts. Both research and programmatic initiatives must consider the interplay between the family and school domains when considering ways to reduce HIV acquisition among adolescent women.


Url:
DOI: 10.1515/ijamh-2014-0032
PubMed: 25415632
PubMed Central: 4481179

Links to Exploration step

PMC:4481179

Le document en format XML

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<nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H." last="Gray">Ronald H. Gray</name>
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<title>Background</title>
<p id="P1">A better understanding is needed of the contextual factors that influence HIV risk behaviors among female adolescents in sub-Saharan Africa. The objectives of this study were to assess the influence of family structure on lifetime sexual partners and on the number of sexual partners in the last year among female adolescents in rural Rakai, Uganda; and to determine if the influence of family structure on these outcomes differed by adolescents’ school attendance status.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">The sample consisted of 2,337 unmarried adolescent girls, aged 15-19, enrolled in the Rakai Community Cohort Study. The last survey interview within the time period 2001-2008 available for each girl was used. Analyses were stratified by age (15-17 year olds and 18-19 year olds) and school status. Multinomial logistic regression was used.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Living in a household with a biological father was protective against both outcomes. Family structure was not associated with the outcomes among in-school adolescents but was significantly associated with outcomes among out-of-school adolescents.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Findings suggest that understanding the familial context in which female adolescents develop, as well as its interaction with school attendance, is important for HIV prevention efforts. Both research and programmatic initiatives must consider the interplay between the family and school domains when considering ways to reduce HIV acquisition among adolescent women.</p>
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<journal-id journal-id-type="iso-abbrev">Int J Adolesc Med Health</journal-id>
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<journal-title>International journal of adolescent medicine and health</journal-title>
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<article-title>Multiple Sexual Partnerships among Female Adolescents in Rural Uganda: The effects of family structure and school attendance</article-title>
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<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pilgrim</surname>
<given-names>Nanlesta A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ahmed</surname>
<given-names>Saifuddin</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gray</surname>
<given-names>Ronald H.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sekasanvu</surname>
<given-names>Joseph</given-names>
</name>
<degrees>BSc</degrees>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lutalo</surname>
<given-names>Tom</given-names>
</name>
<degrees>MSc</degrees>
<xref ref-type="aff" rid="A2">b</xref>
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<contrib contrib-type="author">
<name>
<surname>Nalugoda</surname>
<given-names>Fred</given-names>
</name>
<degrees>MHS</degrees>
<xref ref-type="aff" rid="A2">b</xref>
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<contrib contrib-type="author">
<name>
<surname>Serwadda</surname>
<given-names>David</given-names>
</name>
<degrees>MBChB</degrees>
<xref ref-type="aff" rid="A3">c</xref>
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<contrib contrib-type="author">
<name>
<surname>Wawer</surname>
<given-names>Maria J.</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">a</xref>
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<aff id="A1">
<label>a</label>
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</aff>
<aff id="A2">
<label>b</label>
Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</aff>
<aff id="A3">
<label>c</label>
Makerere University School of Public Health, Kampala, Uganda</aff>
<author-notes>
<corresp id="CR1">
<bold>Corresponding Author</bold>
Nanlesta A. Pilgrim, 627 N. Washington St., 2nd floor rm J, Baltimore, MD 21205,
<email>npilgrim@jhsph.edu</email>
, Phone: (443) 287-5736, Fax: (410) 614-7386</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>9</day>
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<day>1</day>
<month>8</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>8</month>
<year>2016</year>
</pub-date>
<volume>27</volume>
<issue>3</issue>
<fpage>319</fpage>
<lpage>328</lpage>
<pmc-comment>elocation-id from pubmed: 10.1515/ijamh-2014-0032</pmc-comment>
<abstract>
<sec id="S1">
<title>Background</title>
<p id="P1">A better understanding is needed of the contextual factors that influence HIV risk behaviors among female adolescents in sub-Saharan Africa. The objectives of this study were to assess the influence of family structure on lifetime sexual partners and on the number of sexual partners in the last year among female adolescents in rural Rakai, Uganda; and to determine if the influence of family structure on these outcomes differed by adolescents’ school attendance status.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">The sample consisted of 2,337 unmarried adolescent girls, aged 15-19, enrolled in the Rakai Community Cohort Study. The last survey interview within the time period 2001-2008 available for each girl was used. Analyses were stratified by age (15-17 year olds and 18-19 year olds) and school status. Multinomial logistic regression was used.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Living in a household with a biological father was protective against both outcomes. Family structure was not associated with the outcomes among in-school adolescents but was significantly associated with outcomes among out-of-school adolescents.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">Findings suggest that understanding the familial context in which female adolescents develop, as well as its interaction with school attendance, is important for HIV prevention efforts. Both research and programmatic initiatives must consider the interplay between the family and school domains when considering ways to reduce HIV acquisition among adolescent women.</p>
</sec>
</abstract>
<kwd-group>
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<kwd>family structure</kwd>
<kwd>school attendance</kwd>
</kwd-group>
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