Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011

John S Santelli, Xiaoyu Song, Inge Kristine Larsen Holden, Kristin Wunder, Xiaobo Zhong, Ying Wei, Sanyukta Mathur, Tom Lutalo, Fred Nalugoda, Ron H Gray, David M Serwadda

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

PURPOSE: The purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.

METHODS: Using population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n = 31,517 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR; n = 5,126 person-year observations).

RESULTS: Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, nonenrollment in school (IRR = 1.7 for women and 1.8 for men), alcohol use (IRR = 1.3 for women and men), and being a double orphan among men (IRR = 1.2). Sexual experience began to decline around 2000, whereas increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as antiretroviral therapy became available).

CONCLUSIONS: Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.

OriginalsprogEngelsk
TidsskriftThe Journal of adolescent health : official publication of the Society for Adolescent Medicine
Vol/bind57
Udgave nummer5
Sider (fra-til)496-505
ISSN1054-139X
DOI
StatusUdgivet - nov. 2015

Fingeraftryk

Uganda
Orphaned Children
Age Factors
Alcohol Drinking
Age Groups
Logistic Models
Alcohols
insulin receptor-related receptor
Incidence
Population

Citer dette

Santelli, John S ; Song, Xiaoyu ; Larsen Holden, Inge Kristine ; Wunder, Kristin ; Zhong, Xiaobo ; Wei, Ying ; Mathur, Sanyukta ; Lutalo, Tom ; Nalugoda, Fred ; Gray, Ron H ; Serwadda, David M. / Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011. I: The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 2015 ; Bind 57, Nr. 5. s. 496-505.
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title = "Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011",
abstract = "PURPOSE: The purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.METHODS: Using population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n = 31,517 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR; n = 5,126 person-year observations).RESULTS: Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, nonenrollment in school (IRR = 1.7 for women and 1.8 for men), alcohol use (IRR = 1.3 for women and men), and being a double orphan among men (IRR = 1.2). Sexual experience began to decline around 2000, whereas increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as antiretroviral therapy became available).CONCLUSIONS: Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.",
author = "Santelli, {John S} and Xiaoyu Song and {Larsen Holden}, {Inge Kristine} and Kristin Wunder and Xiaobo Zhong and Ying Wei and Sanyukta Mathur and Tom Lutalo and Fred Nalugoda and Gray, {Ron H} and Serwadda, {David M}",
note = "Copyright {\circledC} 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.",
year = "2015",
month = "11",
doi = "10.1016/j.jadohealth.2015.07.018",
language = "English",
volume = "57",
pages = "496--505",
journal = "Journal of Adolescent Health",
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Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011. / Santelli, John S; Song, Xiaoyu; Larsen Holden, Inge Kristine ; Wunder, Kristin; Zhong, Xiaobo; Wei, Ying; Mathur, Sanyukta; Lutalo, Tom; Nalugoda, Fred; Gray, Ron H; Serwadda, David M.

I: The Journal of adolescent health : official publication of the Society for Adolescent Medicine, Bind 57, Nr. 5, 11.2015, s. 496-505.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011

AU - Santelli, John S

AU - Song, Xiaoyu

AU - Larsen Holden, Inge Kristine

AU - Wunder, Kristin

AU - Zhong, Xiaobo

AU - Wei, Ying

AU - Mathur, Sanyukta

AU - Lutalo, Tom

AU - Nalugoda, Fred

AU - Gray, Ron H

AU - Serwadda, David M

N1 - Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

PY - 2015/11

Y1 - 2015/11

N2 - PURPOSE: The purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.METHODS: Using population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n = 31,517 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR; n = 5,126 person-year observations).RESULTS: Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, nonenrollment in school (IRR = 1.7 for women and 1.8 for men), alcohol use (IRR = 1.3 for women and men), and being a double orphan among men (IRR = 1.2). Sexual experience began to decline around 2000, whereas increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as antiretroviral therapy became available).CONCLUSIONS: Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.

AB - PURPOSE: The purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.METHODS: Using population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n = 31,517 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR; n = 5,126 person-year observations).RESULTS: Sexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, nonenrollment in school (IRR = 1.7 for women and 1.8 for men), alcohol use (IRR = 1.3 for women and men), and being a double orphan among men (IRR = 1.2). Sexual experience began to decline around 2000, whereas increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as antiretroviral therapy became available).CONCLUSIONS: Sexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.

U2 - 10.1016/j.jadohealth.2015.07.018

DO - 10.1016/j.jadohealth.2015.07.018

M3 - Journal article

C2 - 26499857

VL - 57

SP - 496

EP - 505

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 5

ER -