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 : 001D02Multiple 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. WawerSource :
- International journal of adolescent medicine and health [ 0334-0139 ] ; 2015.
Abstract
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.
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.
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.
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
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PMC:4481179Le document en format XML
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<author><name sortKey="Pilgrim, Nanlesta A" sort="Pilgrim, Nanlesta A" uniqKey="Pilgrim N" first="Nanlesta A." last="Pilgrim">Nanlesta A. Pilgrim</name>
<affiliation><nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<author><name sortKey="Ahmed, Saifuddin" sort="Ahmed, Saifuddin" uniqKey="Ahmed S" first="Saifuddin" last="Ahmed">Saifuddin Ahmed</name>
<affiliation><nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<author><name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H." last="Gray">Ronald H. Gray</name>
<affiliation><nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<author><name sortKey="Sekasanvu, Joseph" sort="Sekasanvu, Joseph" uniqKey="Sekasanvu J" first="Joseph" last="Sekasanvu">Joseph Sekasanvu</name>
<affiliation><nlm:aff id="A2"> Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</nlm:aff>
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<author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name>
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<author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name>
<affiliation><nlm:aff id="A2"> Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</nlm:aff>
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<author><name sortKey="Serwadda, David" sort="Serwadda, David" uniqKey="Serwadda D" first="David" last="Serwadda">David Serwadda</name>
<affiliation><nlm:aff id="A3"> Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
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<author><name sortKey="Pilgrim, Nanlesta A" sort="Pilgrim, Nanlesta A" uniqKey="Pilgrim N" first="Nanlesta A." last="Pilgrim">Nanlesta A. Pilgrim</name>
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<author><name sortKey="Ahmed, Saifuddin" sort="Ahmed, Saifuddin" uniqKey="Ahmed S" first="Saifuddin" last="Ahmed">Saifuddin Ahmed</name>
<affiliation><nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<author><name sortKey="Gray, Ronald H" sort="Gray, Ronald H" uniqKey="Gray R" first="Ronald H." last="Gray">Ronald H. Gray</name>
<affiliation><nlm:aff id="A1"> Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA</nlm:aff>
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<author><name sortKey="Sekasanvu, Joseph" sort="Sekasanvu, Joseph" uniqKey="Sekasanvu J" first="Joseph" last="Sekasanvu">Joseph Sekasanvu</name>
<affiliation><nlm:aff id="A2"> Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</nlm:aff>
</affiliation>
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<author><name sortKey="Lutalo, Tom" sort="Lutalo, Tom" uniqKey="Lutalo T" first="Tom" last="Lutalo">Tom Lutalo</name>
<affiliation><nlm:aff id="A2"> Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</nlm:aff>
</affiliation>
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<author><name sortKey="Nalugoda, Fred" sort="Nalugoda, Fred" uniqKey="Nalugoda F" first="Fred" last="Nalugoda">Fred Nalugoda</name>
<affiliation><nlm:aff id="A2"> Rakai Health Sciences Program, Uganda Virus Research Institute, Entebbe</nlm:aff>
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</author>
<author><name sortKey="Serwadda, David" sort="Serwadda, David" uniqKey="Serwadda D" first="David" last="Serwadda">David Serwadda</name>
<affiliation><nlm:aff id="A3"> Makerere University School of Public Health, Kampala, Uganda</nlm:aff>
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<author><name sortKey="Wawer, Maria J" sort="Wawer, Maria J" uniqKey="Wawer M" first="Maria J." last="Wawer">Maria J. Wawer</name>
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<series><title level="j">International journal of adolescent medicine and health</title>
<idno type="ISSN">0334-0139</idno>
<imprint><date when="2015">2015</date>
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<front><div type="abstract" xml:lang="en"><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>
</div>
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<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">8506960</journal-id>
<journal-id journal-id-type="pubmed-jr-id">27467</journal-id>
<journal-id journal-id-type="nlm-ta">Int J Adolesc Med Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Adolesc Med Health</journal-id>
<journal-title-group><journal-title>International journal of adolescent medicine and health</journal-title>
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<issn pub-type="ppub">0334-0139</issn>
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<article-meta><article-id pub-id-type="pmid">25415632</article-id>
<article-id pub-id-type="pmc">4481179</article-id>
<article-id pub-id-type="doi">10.1515/ijamh-2014-0032</article-id>
<article-id pub-id-type="manuscript">NIHMS697877</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Multiple Sexual Partnerships among Female Adolescents in Rural Uganda: The effects of family structure and school attendance</article-title>
</title-group>
<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>
</contrib>
<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>
</contrib>
<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>
</contrib>
<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>
</contrib>
</contrib-group>
<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><kwd>sexual partners</kwd>
<kwd>family structure</kwd>
<kwd>school attendance</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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