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"Safe sex advice is good - but so difficult to follow": views and experiences of the youth in a health care centre in Kampala, Uganda
Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Women's and Children's Health.
2002 In: African Health Sciences, Vol. 2, no 3, 107-13 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2002. Vol. 2, no 3, 107-13 p.
Identifiers
URN: urn:nbn:se:uu:diva-93922OAI: oai:DiVA.org:uu-93922DiVA: diva2:167563
Available from: 2006-01-12 Created: 2006-01-12Bibliographically approved
In thesis
1. Sexual Behaviour and Sexually Transmitted Infections Among Urban Ugandan Youth – Perceptions, Attitudes and Management
Open this publication in new window or tab >>Sexual Behaviour and Sexually Transmitted Infections Among Urban Ugandan Youth – Perceptions, Attitudes and Management
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aims of this thesis were to expand the knowledge about sexual and reproductive health among urban Ugandan youths, living in a slum, and to evaluate the national flow-chart for management of the abnormal vaginal discharge (AVD) syndrome in adolescent girls. Data collection included individual interviews, focus-group discussions and clinical investigations with tests for chlamydia trachomatis (CT), neisseria gonorrhoea (NG), trichomonas vaginalis (TV), syphilis, and HIV infection. Poverty, peer pressure and gender power imbalance were obstacles to safe sexual practices: to abstain from sex, be faithful or to use condoms. Prevalence among the 199 female and 107 male adolescents for CT, NG, TV, syphilis and HIV was 4.5%, 9.0%, 8.0%, 4.0% and 15.2% for females and 4.7%, 5.7%, 0%, 2.8% and 5.8% for males. The national AVD flow-chart had a sensitivity of 61%, a specificity of 38.5% and a positive predictive value (PPV) of 11.6%. A flow-chart using risk factors, rather than symptoms, implicated a sensitivity/specificity and PPV of 82.6%/47% and 17.3% respectively. Socially disadvantaged females had a high risk to be HIV infected and HIV infection was associated to other STIs. Females were more likely than males to have any of the infections studied. Voluntary counselling and testing (VCT) for HIV was considered as helpful in preventing the spread of HIV. Obstacles for testing were: lack of time and money, fear of stigmatisation and fear that the knowledge of HIV positive status could shorten someone's life. An alternative flow-chart for management of AVD among adolescent girls should be evaluated. Girl's opportunities for education and income generating work should be a priority. VCT services for young people should be made accessible in terms of cost, time and quality of counselling.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 82 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 98
Keyword
International health, Adolescents, Uganda, Syndromic approach, STI, VCT for HIV, Safe sex behaviour, Internationell hälsa
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-6264 (URN)91-554-6437-8 (ISBN)
Public defence
2006-02-03, Rosénsalen, University Hospital, Entrance 95-96, Uppsala, 09:15
Opponent
Supervisors
Available from: 2006-01-12 Created: 2006-01-12Bibliographically approved

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