Sexual health of very young adolescents in South Western Uganda: a cross-sectional assessment of sexual knowledge and behavior.
Sexual health of very young adolescents in South Western Uganda: a cross-sectional assessment of sexual knowledge and behavior.
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DOI：
10.1186/s12978-018-0595-3
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发表时间：
2018-08-29
影响因子：
3.4
通讯作者：
Michielsen K
中科院分区：
文献类型：
--
作者：
Kemigisha E;Bruce K;Nyakato VN;Ruzaaza GN;Ninsiima AB;Mlahagwa W;Leye E;Coene G;Michielsen K
在大多数撒哈拉以南非洲国家，人们对青少年的性健康和生殖健康知之甚少。虽然已经做出了一些努力来了解和改善大龄青少年的性性健康和生殖健康，但非常年幼的青少年（VYAs）往往被忽视，对他们的性知识和性行为知之甚少。本研究的目的是描述乌干达未成年人的性生殖健康知识、信息寻求和性行为。2016年6、7月对33所小学进行横断面调查。训练有素的采访者对10-14岁的青少年进行调查，内容涉及性生殖健康知识、信息寻求、性行为和相关协变量。连续变量被总结为均值（SD）或中位数（IQR），而分类变量被总结为比例（百分比）。共纳入1096名青少年，其中81.8%来自农村地区，中位年龄为12岁。关于性传播感染的知识；95%的人知道艾滋病毒，37%的人知道除艾滋病毒以外的其他性传播感染。尽管47%的人知道至少一种感染艾滋病毒的途径，但只有8%的人知道至少四种途径。关于避孕知识，56%的人提到至少一种现代避孕方法（避孕套、避孕药、宫内节育器、植入物或注射）。大多数（85%）未成年人报告在媒体上获取性健康与生殖健康信息，35%的人报告访问含有性内容的媒体，分别有10%和22%的人咨询了他们的父亲或母亲，31%的人咨询了学校的信息来源。至少7.6%的未成年人有过性行为，其中90%没有采取任何保护措施。在本研究中，vya对SRH的综合认知较低。媒体仍然是这一年龄组性健康与健康的重要信息来源，尽管它可能被滥用，因为一些青少年报告说可能会接触到不适当的性内容。很大一部分性活跃的未成年人报告有危险的性行为。这项研究强调了在乌干达的未成年人从事性行为之前，在适当的年龄为他们提供准确和更全面的性健康和生殖健康教育方法的必要性。
In most Sub-Saharan African countries, little is known about young adolescents’ sexual and reproductive health (SRH). Though some efforts have been made to understand and improve SRH of older adolescents, very young adolescents (VYAs) are often overlooked, and little is known about their sexual knowledge and behaviors. The goal of this study was to describe SRH knowledge, information-seeking, and sexual behavior of VYAs in Uganda. A cross-sectional survey was administered in 33 primary schools in June and July of 2016. Trained interviewers administered surveys to adolescents ages 10–14 regarding SRH knowledge, information-seeking, sexual behavior, and relevant covariates. Continuous variables were summarized as means (SD) or medians (IQR) whereas categorical variables were summarized as proportions (percentages). A total of 1096 adolescents were included in this analysis, 81.8% of which were from rural areas, with a median age of 12. Regarding sexually transmitted infections (STIs) knowledge; 95% knew HIV while 37% knew other STIs apart from HIV. Although 47% knew at least one way in which HIV is acquired only 8% knew at least four ways. Regarding contraceptive knowledge, 56% mentioned at least one modern method of preventing pregnancy (condoms, pills, intrauterine devices, implants, or injections). The majority (85%) of VYAs reported accessing SRH information in the media with 35% reporting accessing media with sexual content while 10% vs 22% consulted their father or mother respectively and 31% a school source. At least 7.6% of VYAs had ever had sexual intercourse, 90% of which were not using any protection. Comprehensive SRH knowledge was low among VYAs in this study. Media remains an important source of information for SRH for this age group though it may be misused as some adolescents reported accessing sexual content that may be inappropriate. A large proportion of sexually active VYAs reported sexual risky behaviors. This study highlights the need for an accurate and more comprehensive SRH education approach for VYAs in Uganda at an opportune age before the majority engage in sexual behavior.
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DOI：
10.11604/pamj.2014.19.253.5313
发表时间：
2014
期刊：
The Pan African medical journal
影响因子：
--
作者：
Boosey R;Prestwich G;Deave T
通讯作者：
Deave T
影响因子：
2.6
作者：
Mehra D;Agardh A;Petterson KO;Östergren PO
通讯作者：
Östergren PO
影响因子：
5.5
作者：
Bull, Sheana S.;Levine, Deborah K.;Black, Sandra R.;Schmiege, Sarah J.;Santelli, John
通讯作者：
Santelli, John
影响因子：
3.3
作者：
Igras SM;Macieira M;Murphy E;Lundgren R
通讯作者：
Lundgren R
DOI：
10.1016/j.socscimed.2015.09.039
发表时间：
2015-12
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Fearon E;Wiggins RD;Pettifor AE;Hargreaves JR
通讯作者：
Hargreaves JR