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Crossland, Nadine; Hadden, Wilbur C.; Vargas, William E.; Valadez, Joseph J.; Jeffery, Caroline (2015)
Publisher: Elsevier BV
Journal: Journal of Adolescent Health
Languages: English
Types: Article
Subjects: Pediatrics, Perinatology, and Child Health, wa_105, wc_142, wc_140, wp_20, wa_30, wa_395, wp_630, Public Health, Environmental and Occupational Health, Psychiatry and Mental health
Purpose\ud \ud Suboptimal sexual and reproductive health (SRH) increases morbidity, mortality, and gender inequity and slows development. In Uganda, youths represent 20% of the population, and the burden of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), is substantial.\ud \ud Methods\ud \ud We analyzed survey data collected using the lot quality assurance sampling (LQAS) technique from two time periods, 2003–2004 and 2012. We assessed knowledge, behaviors, and access to SRH services of youths aged 15–24 years. Using logistic regression, we examined factors associated with these indicators.\ud \ud Results\ud \ud All indicators have improved between the early and later time period. Youths knowing where to get HIV tests increased from <40% to 80% (both sexes); the number of youths reporting ever having an HIV test increased from 8% to 48% (males) and 10% to 64% (females). Knowledge of other STIs improved but remains low; only half of respondents know signs and symptoms of STIs, and less than half know what action to take when infected. In the late period, 85% of female youths, compared with 93% of males reported knowing where to obtain condoms. The proportion of youths reporting sexual debut before age 15 years decreased, less so for males than that for females. Increased age and level of education are associated with positive change for most indicators.\ud \ud Conclusions\ud \ud Over the last decade, progress has been made toward improving the SRH of young people in Uganda. Further efforts are required to ensure universal access and sufficient health education to facilitate the continued improvement of safe sexual behaviors among youth aged 15–24 years.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • [1] Lewis DA. HIV/sexually transmitted infection epidemiology, management and control in the IUSTI Africa region: Focus on Sub-Saharan Africa. Sex Transm Infect 2011;87(Suppl 2):ii10e3.
    • [2] Hervish A, Clifton D. Status report on adolescents and young people in SubSaharan Africa: Opportunities and challenges. Johannesburg, South Africa: UNFPA, PRB; 2012.
    • [3] Glasier A, Gulmezoglu AM, Schmid GP, et al. Sexual and reproductive health: A matter of life and death. Lancet 2006;368:1595e607.
    • [4] Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: Patterns, prevention, and potential. Lancet 2007;369:1220e31.
    • [5] Tylee A, Haller DM, Graham T, et al. Youth-friendly primary-care services: How are we doing and what more needs to be done? Lancet 2007;369: 1565e73.
    • [6] Marston C, King E. Factors that shape young people's sexual behaviour: A systematic review. Lancet 2006;368:1581e6.
    • [7] Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull 2009;92:7e32.
    • [8] Uganda Bureau of Statistics, I. C. F. International Inc. Uganda demographic and health survey 2011; 2012. Kampala, Uganda: UBoS and Calverton, Maryland: ICF International Inc.
    • [9] Uganda Ministry of Health. Uganda AIDS indicator survey 2011. Kampala, Uganda: Ministry of Health, Uganda; 2012.
    • [10] Uganda Ministry of Health. The national policy guidelines and service standards for reproductive health services. Kampala, Uganda: The Reproductive Health Division, Community Health Department, Ministry of Health Uganda; 2001.
    • [11] Uganda Ministry of Gender Labour and Social Development. National youth policy: A vision for youth in the 21st century. Kampala, Uganda: Government of the Republic of Uganda; 2001.
    • [12] Uganda Ministry of Health. National adolescent health policy for Uganda. Kampala, Uganda: Reproductive Health Division, Ministry of Health Uganda; 2004.
    • [13] POLICY Project. Youth reproductive health policy: County brief, Uganda. Washington, DC: POLICY Project, Futures Group; 2005.
    • [14] International Youth Foundation. Navigating challenges. Charting Hope. A cross-sector situational analysis on youth in UgandadPart 1. Baltimore, Maryland: International Youth Foundation (IYF); 2011.
    • [15] Robertson SE, Valadez JJ. Global review of health care surveys using lot quality assurance sampling (LQAS), 1984e2004. Social Sci Med 2006;63: 1648e60.
    • [16] Valadez JJ. Assessing child survival programs in developing countries: Testing lot quality assurance sampling. Cambridge: Harvard University Press; 1991.
    • [17] Valadez JJ. Lot quality acceptance sampling for monitoring primary health care coverage. Washington, D.C.: Pan American Health Organization (WHO); 1986. HSS-SNIS-29.
    • [18] Turner AG, Magnani RJ, Shuaib M. A not quite as quick but much cleaner alternative to the Expanded Programme on Immunization (EPI) Cluster Survey design. Int J Epidemiol 1996;25:198e203.
    • [19] Mukaire J, Kaweesa D, Ssekamatte-Ssebuliba JB, Valadez JJ. Assessment of HIV/AIDS related knowledge, practices and coverage in 19 districts supported by the Uganda AIDS control project. Kampala: Uganda AIDS Control Project; 2004.
    • [20] Valadez J, Weiss W, Leburg C, Davis R. Assessing community health programs: A Trainer's guide. Using LQAS for baseline surveys and regular monitoring. 2nd edition. St Albans: Teaching-aids At Low Cost; 2007.
    • [21] R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2014. Available at: http://www.r-project.org/. Accessed April 16, 2014.
    • [22] Neema S, Musisi N, Kibombo R. Adolescent sexual and reproductive health in Uganda: A synthesis of research evidence. New York: The Alan Guttmacher Institute; 2004.
    • [23] Råssjö E, Kiwanuka R. Views on social and cultural influence on sexuality and sexual health in groups of Ugandan adolescents. Sex Reprod Healthc 2010;1:157e62.
    • [24] Graffy J, Goodhart C, Sennett K, et al. Young people's perspectives on the adoption of preventive measures for HIV/AIDS, malaria and family planning in South-West Uganda: Focus group study. BMC Public Health 2012;12:1022.
    • [25] United Nations Population Fund. Ugandan youth push for increased access to reproductive health services; 2014. Accessed December 31, 2014.
    • [26] Valadez JJ, Jeffery C, Davis R, et al. Putting the C back into the ABCs: A multi-year, multi-region investigation of condom use by Ugandan youths 2003-2010. PLoS ONE 2014;9:e93083.
    • [27] Taiwo MO, Osezua C. Acceptance and uptake of HIV counseling and testing by youth corp members in Osun State, Nigeria. Int J Asian Social Sci 2013;3: 1381e8.
    • [28] Museve J, George GE, Labongo CL. An analysis of uptake in HIV voluntary counselling and testing services: Case of Mount Kenya University students, Kenya. Public Policy Adm Res 2013;3:16.
    • [29] Schlecht J, Rowley E, Babirye J. Early relationships and marriage in conflict and post-conflict settings: Vulnerability of youth in Uganda. Reprod Health Matters 2013;21:234e42.
    • [30] Darj E, Mirembe FM, Råssjö EB. STI-prevalence and differences in social background and sexual behavior among urban and rural young women in Uganda. Sex Reprod Healthc 2010;1:111e5.
    • [31] Katz IT, Ybarra ML, Wyatt MA, et al. Socio-cultural and economic antecedents of adolescent sexual decision-making and HIV-risk in rural Uganda. AIDS Care 2013;25:258e64.
    • [32] Mmari KN, Kaggwa E, Wagman J, et al. Risk and protective correlates of young women's first sexual experiences in Rakai, Uganda. Int Perspect Sex Reprod Health 2013;39:153e62.
    • [33] Biraro S, Shafer LA, Kleinschmidt I, et al. Is sexual risk taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993-2006. Sex Transm Infect 2009;85:i3e11.
    • [34] Stroeken K, Remes P, Koker P, et al. HIV among out-of-school youth in Eastern and Southern Africa: A review. AIDS Care 2012;24:186e94.
    • [35] Boltena AT, Khan FA, Asamoah BO, Agardh A. Barriers faced by Ugandan university students in seeking medical care and sexual health counselling: A cross-sectional study. BMC Public Health 2012;12:8.
    • [36] Biddlecom AE, Munthali A, Singh S, Woog V. Adolescents' views of and preferences for sexual and reproductive health services in Burkina Faso, Ghana, Malawi and Uganda. Afr J Reprod Health 2007;11:99e110.
    • [37] Santelli JS, Edelstein ZR, Mathur S, et al. Behavioral, biological, and demographic risk and protective factors for new HIV infections among youth in Rakai, Uganda. J Acquir Immune Defic Syndr 2013;63:393e400.
    • [38] Okware S, Opio A, Musinguzi J, Waibale P. Fighting HIV/AIDS: Is success possible? Bull World Health Organ 2001;79:1113.
    • [39] Bamuturaki M. Uganda edges closer to AIDS treatment for all. Bull World Health Organ 2008;86:3.
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    The results below are discovered through our pilot algorithms. Let us know how we are doing!

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