PMID- 26277678
OWN - NLM
STAT- MEDLINE
DCOM- 20160706
LR  - 20150925
IS  - 1879-1972 (Electronic)
IS  - 1054-139X (Linking)
VI  - 57
IP  - 4
DP  - 2015 Oct
TI  - Sexual and Reproductive Health Among Ugandan Youth: 2003-04 to 2012.
PG  - 393-8
LID - S1054-139X(15)00260-8 [pii]
LID - 10.1016/j.jadohealth.2015.06.015 [doi]
AB  - PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
CI  - Copyright (c) 2015. Published by Elsevier Inc.
FAU - Crossland, Nadine
AU  - Crossland N
AD  - Department of International Public Health, Liverpool School of Tropical Medicine, 
      Liverpool, United Kingdom.
FAU - Hadden, Wilbur C
AU  - Hadden WC
AD  - Department of Sociology, University of Maryland, College Park, Maryland.
FAU - Vargas, William E
AU  - Vargas WE
AD  - Department of International Public Health, Liverpool School of Tropical Medicine, 
      Liverpool, United Kingdom.
FAU - Valadez, Joseph J
AU  - Valadez JJ
AD  - Department of International Public Health, Liverpool School of Tropical Medicine, 
      Liverpool, United Kingdom.
FAU - Jeffery, Caroline
AU  - Jeffery C
AD  - Department of International Public Health, Liverpool School of Tropical Medicine, 
      Liverpool, United Kingdom. Electronic address: Caroline.Jeffery@lstmed.ac.uk.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20150812
PL  - United States
TA  - J Adolesc Health
JT  - The Journal of adolescent health : official publication of the Society for 
      Adolescent Medicine
JID - 9102136
SB  - IM
MH  - Adolescent
MH  - *Attitude to Health
MH  - Family Planning Services/*statistics & numerical data
MH  - Female
MH  - Follow-Up Studies
MH  - HIV Infections/epidemiology/*prevention & control
MH  - Health Services Accessibility/*statistics & numerical data
MH  - Health Services Needs and Demand/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Patient Acceptance of Health Care/*statistics & numerical data
MH  - Reproductive Health/*statistics & numerical data
MH  - Uganda
MH  - Young Adult
OTO - NOTNLM
OT  - Adolescent health
OT  - LQAS
OT  - Logistic regression
OT  - Lot quality assurance sampling
OT  - Sexual and reproductive health
OT  - Uganda
EDAT- 2015/08/19 06:00
MHDA- 2016/07/07 06:00
CRDT- 2015/08/17 06:00
PHST- 2015/01/09 00:00 [received]
PHST- 2015/06/15 00:00 [revised]
PHST- 2015/06/23 00:00 [accepted]
PHST- 2015/08/17 06:00 [entrez]
PHST- 2015/08/19 06:00 [pubmed]
PHST- 2016/07/07 06:00 [medline]
AID - S1054-139X(15)00260-8 [pii]
AID - 10.1016/j.jadohealth.2015.06.015 [doi]
PST - ppublish
SO  - J Adolesc Health. 2015 Oct;57(4):393-8. doi: 10.1016/j.jadohealth.2015.06.015. 
      Epub 2015 Aug 12.