scholarly journals Trends and Predictors of Sexually Transmitted Infections Among Sexually Active Ugandan Female Youths: Evidence from Three Demographic and Health Surveys, 2006-2016

2020 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and determinants of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine predictors of actors associated with reporting an STI were assessed using.Results: The pooled STI prevalence was 26.0%. About 22.0% of youths reported an STI in 2006. This increased to 36.3% in 2011, before declining to 23.1% in 2016. Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Prevalence of STIs was significantly higher among female youths with multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6). Similarly, women who were sexually active in the last 4 weeks prior to the interview (aOR 1.3, 95% CI 1.1-1.6), and women affiliated to Islam (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) were more likely to report an STI. Living in Northern Uganda was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. There is a need to adopt a holistic approach to the diagnosis and management of STIs among youths, as well as the integration of STI services in daily health care systems to increase their access to sexual and reproductive health services.

2021 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15-24 years) in Uganda.Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported suffering from genital sores, and or genital discharge or any other varginal complaints acquired after sexual intercourse within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design.Results: The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0%, 36.3%, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+14.3%, p < 0.001) in STI prevalence before a significant reduction (-12.0%, p<0.001). Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1-1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K. Mugambe ◽  
...  

Abstract Background Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15–24 years) in Uganda. Methods We estimated the percentage of women 15–24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported suffering from genital sores, and or genital discharge or any other varginal complaints acquired after sexual intercourse within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design. Results The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0, 36.3, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+ 14.3%, p < 0.001) in STI prevalence before a significant reduction (− 12.0%, p< 0.001) in 2016. Youths aged 20–24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4–1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1–1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1–1.6) or other religions (aOR 1.8, 95% CI 1.1–2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3–0.7). Conclusion The prevalence of STIs was high among female youths, 15–24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.


2020 ◽  
Author(s):  
Veronicah Masanja ◽  
Solomon Tsebeni Wafula ◽  
Tonny Ssekamatte ◽  
John Bosco Isunju ◽  
Richard K Mugambe ◽  
...  

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design.Results: The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0%, 36.3%, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+14.3%, p < 0.001) in STI prevalence before a significant reduction (-12.0%, p<0.001). Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1-1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.


e-CliniC ◽  
2017 ◽  
Vol 5 (2) ◽  
Author(s):  
Marini C. Pandjaitan ◽  
Nurdjannah J. Niode ◽  
Pieter L. Suling

Abstract: Sexually transmitted infections are diseases that are commonly transmitted through sexual contact. Sexually transmitted infections are a major problem in communities that represent a huge economic burden for health care systems. The incidence of sexually transmitted infections in adolescents is still relatively high. This is due to the knowledge and attitude towards sexually transmitted infections of adolescents which are still not good. This study was aimed to determine the level of knowledge and attitude towards sexually transmitted infections among adolescents at SMA Frater Don Bosco (senior high school) Manado. This was a descriptive study with a cross sectional design study conducted on 100 adolescents. The results showed that 50% of respondents had good knowledge and 71% of respondents had good attitude towards sexually transmitted infections. Conclusion: The majority of respondents had good category of knowledge and attitude towards sexually transmitted infections.Keywords: sexually transmitted infection, adolescent, attitude, knowledge Abstrak: Infeksi menular seksual (IMS) adalah penyakit yang umumnya ditularkan melalui kontak seksual. Infeksi menular seksual merupakan masalah besar dalam masyarakat yang menimbulkan beban ekonomi besar terhadap sistem pelayanan kesehatan. Angka kejadian IMS pada remaja masih tergolong tinggi. Hal ini disebabkan oleh pengetahuan dan sikap remaja yang masih belum baik terhadap IMS. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan dan sikap terhadap IMS pada remaja di SMA Frater Don Bosco Manado. Jenis penelitian ialah deskriptif dengan desain potong lintang yang dilakukan pada 100 remaja SMA. Hasil penelitian menunjukkan bahwa sebagian besar responden yaitu sebesar 50% memiliki pengetahuan dengan kategori baik dan sebesar 71% memiliki sikap dengan kategori baik terhadap IMS. Simpulan: Mayoritas responden memiliki tingkat pengetahuan maupun sikap tergolong baik terhadap infeksi menular seksual.Kata kunci: infeksi menular seksual, remaja, sikap, pengetahuan


2020 ◽  
Vol 1 (2) ◽  
pp. 132-138
Author(s):  
B Utoo ◽  
P Eka ◽  
P Utoo ◽  
E Unazi ◽  
M Maanongun

High sexual activity with low contraceptive use among young women could give rise to complications such as unwanted pregnancies and sexually transmitted infections. This study was aimed at determining sexual activities and contraceptive usage among female undergraduate students. It was a cross-sectional study using pretested self -administered questionnaires to collect data on socio-demographic variables, sexual activities and contraceptive use. Out of the four hundred and thirty one (431) students studied, three hundred and four (70.5%) were sexually active. The average age of sexual debut was 19.5 years. One hundred and twenty-seven (41.8%) had more than one sexual partner. Money was the reason for sex in more than one- third (37.4%). Contraceptive awareness and usage among the respondents was (96.1%) and (85.0%) respectively. The male condom was the commonest (52.4%) contraceptive used. Majority (65.9%) of the respondents believed contraceptive use could prevent pregnancy and sexually transmitted infections. There was a significant relationship between awareness of contraception and level of study (P =0.003). The study showed a high level of sexual activity, contraceptive knowledge and usage. There was a significant relationship between contraceptive awareness and academic level; as well as usage and protection against STD.  Girl child education, provision and promotion of utilization of reproductive health services should be sustained to safeguard the sexual health of young women.  


2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Martin K. Mutua ◽  
Yohannes D. Wado ◽  
Monica Malata ◽  
Caroline W. Kabiru ◽  
Elsie Akwara ◽  
...  

Abstract Background The use of modern contraception has increased in much of sub-Saharan Africa (SSA). However, the extent to which changes have occurred across the wealth spectrum among adolescents is not well known. We examine poor-rich gaps in demand for family planning satisfied by modern methods (DFPSm) among sexually active adolescent girls and young women (AGYW) using data from national household surveys. Methods We used recent Demographic and Health Surveys and Multiple Indicator Cluster Surveys to describe levels of wealth-related inequalities in DFPSm among sexually active AGYW using an asset index as an indicator of wealth. Further, we used data from countries with more than one survey conducted from 2000 to assess DFPSm trends. We fitted linear models to estimate annual average rate of change (AARC) by country. We fitted random effects regression models to estimate regional AARC in DFPSm. All analysis were stratified by marital status. Results Overall, there was significant wealth-related disparities in DFPSm in West Africa only (17.8 percentage points (pp)) among married AGYW. The disparities were significant in 5 out of 10 countries in Eastern, 2 out of 6 in Central, and 7 out of 12 in West among married AGYW and in 2 out of 6 in Central and 2 out of 9 in West Africa among unmarried AGYW. Overall, DFPSm among married AGYW increased over time in both poorest (AARC = 1.6%, p < 0.001) and richest (AARC = 1.4%, p < 0.001) households and among unmarried AGYW from poorest households (AARC = 0.8%, p = 0.045). DPFSm increased over time among married and unmarried AGYW from poorest households in Eastern (AARC = 2.4%, p < 0.001) and Southern sub-regions (AARC = 2.1%, p = 0.030) respectively. Rwanda and Liberia had the largest increases in DPFSm among married AGYW from poorest (AARC = 5.2%, p < 0.001) and richest (AARC = 5.3%, p < 0.001) households respectively. There were decreasing DFPSm trends among both married (AARC = − 1.7%, p < 0.001) and unmarried (AARC = − 4.7%, p < 0.001) AGYW from poorest households in Mozambique. Conclusion Despite rapid improvements in DFPSm among married AGYW from the poorest households in many SSA countries there have been only modest reductions in wealth-related inequalities. Significant inequalities remain, especially among married AGYW. DFPSm stalled in most sub-regions among unmarried AGYW.


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