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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Putting the C back into the ABCs: A multi-year, multi-region investigation of condom use by Ugandan youths 2003-2010
PLoS ONE, Volume 9, No. 4, Article e93083, Year 2014
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Description
A major strategy for preventing transmission of HIV and other STIs is the consistent use of condoms during sexual intercourse. Condom use among youths is particularly important to reduce the number of new cases and the national prevalence. Condom use has been often promoted by the Uganda National AIDS Commission. Although a number of studies have established an association between condom use at one's sexual debut and future condom use, few studies have explored this association over time, and whether the results are generalizable across multiple locations. This multi time point, multi district study assesses the relationship between sexual debut and condom use and consistent use of condoms thereafter. Uganda has used Lot Quality Assurance Sampling surveys since 2003 to monitor district level HIV programs and improve access to HIV health services. This study includes 4518 sexually active youths interviewed at five time points (2003-2010) in up to 23 districts located across Uganda. Using logistic regression, we measured the association of condom use at first sexual intercourse on recent condom usage, controlling for several factors including: age, sex, education, marital status, age at first intercourse, geographical location, and survey year. The odds of condom use at last intercourse, using a condom at last intercourse with a non-regular partner, and consistently using a condom are, respectively, 9.63 (95%WaldCI = 8.03-11.56), 3.48 (95%WaldCI = 2.27-5.33), and 11.12 (95%WaldCI = 8.95-13.81) times more likely for those individuals using condoms during their sexual debut. These values did not decrease by more than 20% when controlling for potential confounders. The results suggest that HIV prevention programs should encourage condom use among youth during sexual debut. Success with this outcome may have a lasting influence on preventing HIV and other STIs later in life. © 2014 Valadez et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3976401/bin/pone.0093083.s001.docx
Authors & Co-Authors
Valadez, Joseph James
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Jeffery, Caroline
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Davis, Rosemary
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Ouma, Joseph
Uganda, Kampala
Management Sciences for Health
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Lwanga, Stephen K.
Uganda, Kampala
Management Sciences for Health
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Moxon, Sarah
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Uganda, Kampala
Strengthening tb and Aids Response in the Eastern Region - Lot Quality Assurance Sampling Star E-lqas Project
Statistics
Citations: 13
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1371/journal.pone.0093083
e-ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda