Using Hierarchical Regression to Examine the Predictors of Sexual Risk-Taking Attitudes among Adolescents Living with Human Immunodeficiency Virus in Uganda.
Using Hierarchical Regression to Examine the Predictors of Sexual Risk-Taking Attitudes among Adolescents Living with Human Immunodeficiency Virus in Uganda.
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DOI：
10.1016/j.jadohealth.2023.02.034
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发表时间：
2023-08
影响因子：
7.6
通讯作者：
Ssewamala, Fred M.
中科院分区：
文献类型：
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作者：
Kizito, Samuel;Namuwonge, Flavia;Nabayinda, Josephine;Nabunya, Proscovia;Nattabi, Jennifer;Bahar, Ozge Sensoy;Kiyingi, Joshua;Magorokosho, Natasja;Ssewamala, Fred M.
我们探讨了影响性冒险态度的因素，定义为信仰和价值观的性活动之间的青少年与人类免疫缺陷病毒（ALHIV）在乌干达。该研究使用了乌干达702名ALHIV患者的五年群集随机对照试验（2012-2018）的基线数据。参与者年龄在10-16岁之间，艾滋病毒阳性，接受抗逆转录病毒治疗，生活在一个家庭中。我们拟合了分层回归模型，以评估性冒险态度的人口统计学、经济学、心理学和社会学预测因素。使用R2，最终模型解释了总方差的11.4%。在经济因素下，正式就业的照顾者（β =-0.08，95%置信区间[CI]：-0.10-0.06，p < .001）和为报酬而工作的ALHIV（β = 1.78，95% CI：0.28-3.29，p = .022）与性冒险态度相关。在心理因素中，更多的抑郁症状（β = 0.22，95%CI：0.11-0.32，p <0.001）与对性冒险的更多认可态度相关。家庭和社会因素，包括与照顾者就艾滋病毒进行沟通（β = 1.32，95% CI：0.56-2.08，p = .001），性别（β = 1.09，95% CI：0.20-1.97，p = 0.017）和经历同伴压力（β = 3.37，95% CI：1.85-4.89，p <0.001）也与对性冒险的认可态度有关。最终模型解释了总方差的11.54%。经济，心理和社会因素影响ALHIV的性冒险态度。有必要进行更多的研究，以了解为什么与照顾者讨论性可以改善青少年对性冒险的积极态度。这些发现对预防低收入环境中青少年的艾滋病毒性传播具有重要意义。
We explored the factors influencing sexual risk-taking attitudes—defined as beliefs and values regarding sexual activity—among adolescents living with human immunodeficiency virus (ALHIV) in Uganda. The study used baseline data from a five-year cluster-randomized control trial (2012–2018) among 702 ALHIV in Uganda. Participants were aged 10–16 years, HIV-positive, taking antiretroviral therapy, and living within a family. We fitted hierarchical regression models to assess the demographic, economic, psychological, and social predictors of sexual risk-taking attitudes. Using R2, the final model explained 11.4% of the total variance. Under economic factors, caregiver being formally employed (β = −0.08, 95% confidence interval [CI]: −0.10–0.06, p < .001), and the ALHIV working for pay (β = 1.78, 95% CI: 0.28–3.29, p = .022), were associated with sexual risk-taking attitudes. Among the psychological factors, more depressive symptoms (β = 0.22, 95% CI: 0.11–0.32, p < .001) were associated with more approving attitudes toward sexual risk-taking. Family and social factors including communicating with the caregiver about HIV (β = 1.32, 95% CI: 0.56–2.08, p = .001), sex (β = 1.09, 95% CI: 0.20–1.97, p = .017), and experiencing peer pressure (β = 3.37, 95% CI: 1.85–4.89, p < .001) were also associated with more approving attitudes toward sexual risk-taking. The final model explained 11.54% of the total variance. Economic, psychological, and social factors influence sexual risk-taking attitudes among ALHIV. There is a need for more research to understand why discussing sex with caregivers improves adolescents’ positive attitudes toward sexual risk-taking. These findings have significant ramifications in preventing sexual transmission of HIV among adolescents in low-income settings.
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影响因子：
7.6
作者：
Ismayilova, Leyla;Ssewamala, Fred M.;Karimli, Leyla
通讯作者：
Karimli, Leyla
影响因子：
34.3
作者：
Pettifor, Audrey;MacPhail, Catherine;Kahn, Kathleen
通讯作者：
Kahn, Kathleen
DOI：
10.1016/j.jadohealth.2020.07.022
发表时间：
2021-04
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Cavazos-Rehg P;Byansi W;Xu C;Nabunya P;Sensoy Bahar O;Borodovsky J;Kasson E;Anako N;Mellins C;Damulira C;Neilands T;Ssewamala FM
通讯作者：
Ssewamala FM
DOI：
10.1080/09540120701867099
发表时间：
2008-01-01
影响因子：
1.7
作者：
Bakeera-Kitaka, Sabrina;Nabukeera-Barungi, Nicolette;Colebunders, Robert
通讯作者：
Colebunders, Robert
影响因子：
3.4
作者：
Bastien S;Kajula LJ;Muhwezi WW
通讯作者：
Muhwezi WW