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The prevalence and determining factors of comprehensive knowledge of HIV/AIDS and condom use among adolescents in Sierra LeoneData from DHS 2013
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
2015 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Introduction: Adolescents are among the most vulnerable groups to HIV in a society and information regarding their sexual health including HIV is inadequate. This study aims at assessing comprehensive HIV knowledge and condom use among adolescents in Sierra Leone and their determining factors.

Methods: Adolescents aged 15-19 from DHS Sierra Leone 2013 were studied. Analysis included comparison with DHS 2008 and assessment of potential predictors for both outcomes. Statistical tests include Pearson’s chi-squared test and logistic regression analysis.

Results: Prevalence of comprehensive HIV knowledge was 30.2% in 2013 compared to 26.9% in 2008; higher among secondary/higher education (AOR2 2.34, 95% CI 1.90-2.89) and lower for rural (AOR2 0.83 95% CI 0.69-0.99), married/cohabiting (AOR2 0.65, 95% CI 0.50-0.84), middle wealth (AOR2 0.70, 95% CI 0.56-0.89), no accepting attitude to HIV (AOR2 0.57, 95% CI, 0.45-0.72) and unknown HIV status (AOR2 0.66, 95% CI 0.56-0.78). Prevalence of condom use was 8.6% in 2013 compared to 10.6% in 2008; higher among males (AOR2 2.93, 95% CI 2.14-4.01), Christians (AOR2 1.58, 95% CI 1.14-2.16) and adolescents with multiple sexual partners (AOR2 1.67, 95% CI 1.13-2.41) and lower for primary school adolescents (AOR2 0.43, 95% CI 0.18 -0.95).

Conclusion: Comprehensive HIV knowledge increased and condom use decreased in 2013 compared to 2008 and several determining factors of both outcomes were identified for DHS 2013. This study enables targeting vulnerable groups and provides comparable findings which are informative in planning for broad objective of lowering the burden of HIV/AIDS in the society and adolescents in particular.

Place, publisher, year, edition, pages
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-280741OAI: oai:DiVA.org:uu-280741DiVA: diva2:911857
Educational program
Master Programme in International Health
2015-06-02, 17:11 (English)
Available from: 2016-03-18 Created: 2016-03-14 Last updated: 2016-03-18Bibliographically approved

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