Faculty of Health Science

Permanent URI for this communityhttp://hdl.handle.net/20.500.12280/164

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Browsing Faculty of Health Science by Subject "Adolescents"

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    Early sexual debut and associated factors among adolescents in Kasawo Sub-county, Mukono district, Uganda
    (Taylor & Francis, 2023-03-07) Omona, Kizito; Ssuka, Jonathan Kizito
    Early sexual debut is defined as having had first sexual intercourse at or before age 14 years of age. By 19 years, nearly 70% of both males and females are reported to have ever had sexual intercourse. Notably, sexual debut occurring at an earlier age than 19 years, especially less than 15 years, is found to be associated with engagement in risky sexual behaviours in adolescence. The objective of this study was to determine the factors associated with early sexual debut among adolescents in Kasawo Sub-county, Mukono district. Analytical cross-sectional study design, both qualitative and quantitative methods, was used. Focus group discussion guide and semi-structured questionnaire were administered to a sample of 385 adolescents. Statistical Package for Social Scientists (SPSS) version 25 was used for analysis. The prevalence of early sexual debut was 22.6% among female and 22.1% among male, respectively. Age was associated with early sexual debut (X2 (1) = 5.992, p = 0.018), with more of the adolescents (37.4%) older than 14 year found to have had sexual intercourse at or before 14 years. Gender was associated with early sexual debut among adolescents (X2(1) = 22.898, p = 0.000). Schooling status of adolescents was associated with early sexual debut (p = 0.000). Respondents who drink alcohol were three times more likely to have early sexual debut (COR = 3.28, at 95% CI (1.530–7.031)) and there was a strong association between drinking alcohol and early sexual debut (p = 0.000). Having ever had peer influence (p = 0.03) was associated with early sexual debut. So, conclusively, the proportion of girls who delay sex is slightly higher as compared with that of boys. Subjects: Epidemiology; Environment & Health; Health & Society; Health Conditions; Public Health Policy and Practice; Sexual and Reproductive Health; Medicine; Obstetrics, Gynecology & Women’s; Health
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    Peer influences to risky sexual behaviours among out-of-school adolescents in Kamuli Municipality
    (Bioline International, 2021) Kato, Eria Ivan; Omona, Kizito
    Adolescents engage in different deviant behaviours including gambling, alcohol and substance abuse, violence acts and sexual behaviours. These sexual behaviours have lasting reproductive health challenges, increased risks of acquiring sexually transmitted infections (including HIV), teenage pregnancies and death among adolescents which contribute to the burdens of public health care. To identify risky sexual behaviours among out-of-school adolescents and peer influences to out-of-school adolescent engagement in risky sexual behaviours in Kamuli Municipality. The study was conducted in Kamuli Municipality (Southern and Northern Division) among out-of-school adolescents. The study adopted phenomenological study design and purposive sampling adopted as sampling procedures for the study. Sample size included five (5) Focus group discussions, twenty (20) In-depth interviews and three (3) Key informant interviews upon which saturation was attained. Study respondents comprised of out-of-school adolescents between 10 and 19 years of age living within Kamuli Municipality; not in school and did not complete primary or secondary education levels. The study comprised of sixty-seven (67) respondents (fortyfour (44) respondents that participated in the focus group discussions; twenty (20) respondents that participated in in-depth interviews and three (3) key informant interviews). Study findings identified involvement in sexual relations with boyfriends and girlfriends; sexual affairs with older persons (referred to as sugar mummies and sugar daddy); involvement in multiple sexual relations; transactional sex and early sexual debut as risky sexual behaviours among out-of-school adolescents. In terms of socio-economic factors for out-of-school adolescent engagement in risky sexual behaviours, respondents mentioned poverty at home and lack of basic necessities as key factors increasing vulnerability to engage in risky sexual behaviours. Peer influence to engage in risky sexual behaviours ranged from misleading influence from friends, desire to please friends, peer pressure and bad company; which all in different ways mounted pressure to engage in different risky behaviours. Study findings confirmed the existence of risky sexual behaviours among out-of-school adolescents (including early sexual debut, multiple sexual partners and sex with older sexual partners). Out-of-school adolescent engagement in risky sexual behaviours is strongly influenced by their close associate peers and friends; coupled with the prevailing circumstances at the time of exposure.
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    Qualitative study of roles of religious leaders in promoting adolescent sexual reproductive health and rights in Iganga Municipality, Uganda
    (Science Publishing Corporation, 2021) Nayebare, Baturaine Barbara
    Young people in adolescent stage are very vulnerable. Sexual and reproductive health choices they make as they transition from childhood to adulthood determine a lot about their well-being. The objective of the study was to assess the role of religious leaders in promoting adolescent sexual and reproductive health rights in Iganga Municipality. Qualitative phenomenological design was used. Sample of 30 participants (25religious leaders and 5adolescents) were interviewed. Data was collected using in-depth interviews, transcribed, coded and analyzed using thematic content analysis. Information shared by religious leaders to adolescents helped them to live responsible lives. Results also indicated that; religious leaders perceived promotion of ASRHR to imply elevation of sexual immorality. Religious leaders had both protective and preventive influences on promotion of ASRHR. Religious leaders greatly contribute to promotion of ASRHR by enhancing information sharing. Dialogues, therefore, enhances their awareness about ASRHR and gives them confidence to address the matter with adolescents.