PMID- 32397865 OWN - NLM STAT- MEDLINE DCOM- 20210127 LR - 20211002 IS - 1360-0451 (Electronic) IS - 0954-0121 (Print) IS - 0954-0121 (Linking) VI - 32 IP - 10 DP - 2020 Oct TI - Examining correlates of alcohol related condom-less sex among youth living in the slums of Kampala, Uganda. PG - 1246-1250 LID - 10.1080/09540121.2020.1762066 [doi] AB - This study examined factors associated with alcohol related condom-less sex (ARCS) among youth living in Kampala, Uganda. Analyses are based on 2014 cross-sectional survey data of urban service-seeking youth participating in a Uganda Youth Development Link (UYDEL) drop-in center. The analytic sample consisted of only youth reporting alcohol use (n = 347). Logistic regression analyses were computed to determine the factors associated with ARCS. In the bivariable analysis, ARCS was associated with being female (OR: 1.86; 95% CI: 1.21, 2.85), age of first drinking being between ages 13-16 (OR: 2.63; 95% CI: 1.42,4.86), age of first time drunk being between ages 13-16 (OR: 2.88; 95% CI: 1.47, 5.67), binge drinking (OR: 3.64; 95% CI: 2.21, 5.98), rape (OR: 2.69; 95% CI: 1.64, 4.41), sex work (OR: 5.91; 95% CI: 3.09, 11.29), and being able to refuse sex when intoxicated (OR: 1.69; 95% CI: 1.10, 2.61). In the multivariable analysis, ARCS was associated with binge drinking (AOR: 2.97; 95% CI: 1.71, 5.17) and sex work (AOR: 3.48; 95% CI: 1.62, 7.49). These findings emphasize unmet needs of this population. Strategies seeking to prevent teenage alcohol use, particularly delaying initial alcohol use, may be beneficial for reducing ARCS in this population. FAU - Kumar, Sagar AU - Kumar S AD - School of Public Health, Georgia State University, Atlanta, USA. FAU - Culbreth, Rachel E AU - Culbreth RE AD - School of Public Health, Georgia State University, Atlanta, USA. FAU - Swahn, Monica H AU - Swahn MH AUID- ORCID: 0000-0002-6663-3885 AD - School of Public Health, Georgia State University, Atlanta, USA. FAU - Kasirye, Rogers AU - Kasirye R AD - Uganda Youth Developmental Link, Kampala, Uganda. LA - eng GR - R21 AA022065/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20200513 PL - England TA - AIDS Care JT - AIDS care JID - 8915313 SB - IM MH - Adolescent MH - Alcohol Drinking/epidemiology MH - *Condoms MH - Cross-Sectional Studies MH - Female MH - *HIV Infections MH - Humans MH - Male MH - Poverty Areas MH - Uganda/epidemiology PMC - PMC7529697 MID - NIHMS1593135 COIS- Compliance with Ethical Standards Conflict of interest The authors declare that they have no conflict of interest. Ethical Approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. IRB approvals were obtained from Georgia State University and the Uganda National Council for Science and Technology to conduct this study in Kampala. Additionally, this study is fully compliant with the provisions of the World Medical Association Declaration of Helsinki. Informed Consent Informed consent was obtained from all individual participants included in the study. All youth provided verbal informed consent for this study EDAT- 2020/05/14 06:00 MHDA- 2021/01/28 06:00 PMCR- 2021/10/01 CRDT- 2020/05/14 06:00 PHST- 2020/05/14 06:00 [pubmed] PHST- 2021/01/28 06:00 [medline] PHST- 2020/05/14 06:00 [entrez] PHST- 2021/10/01 00:00 [pmc-release] AID - 10.1080/09540121.2020.1762066 [doi] PST - ppublish SO - AIDS Care. 2020 Oct;32(10):1246-1250. doi: 10.1080/09540121.2020.1762066. Epub 2020 May 13.