Prevalence and correlates of condom use at last sexual intercourse among in-school adolescents in urban areas of Uganda.

OBJECTIVES: Correct and consistent condom use remains an important public health intervention against the spread of Human Immunodeficiency Virus and other sexually transmitted infections. There is paucity of information on sexual behaviour of in-school adolescents in Uganda. We, therefore, used secondary data of the Uganda Global School-based Health Survey (UGSHS) conducted in 2003 to determine the prevalence and correlates of condom use at last sexual intercourse in urban areas of Uganda. METHODS: A two-stage cluster sampling technique was used to obtain a representative sample. Altogether 1709 students participated in the survey in urban areas of whom 179 (14.9% of males, and 7.9% of females) had sexual intercourse within 12 months before the survey. RESULTS: Overall 77.3% (79.7% of male, and 72.3% of female) adolescents used a condom at last sexual intercourse. Adolescents who drank alcohol and used drugs were 64% (OR = 1.64, 95% CI 1.54, 1.75) and 68%, (OR = 1.68, 95% CI 1.56, 1.81) more likely to have used a condom, respectively. Meanwhile, adolescents who ever got drunk, and who reported to ever had 2 or more sex partners were 55% (OR = 0.45, 95% CI 0.42, 0.48) and 35% (OR = 0.65, 95% CI 0.62, 0.68) less likely to have used a condom compared to those who had never got drunk, and who ever had 1 sex partner, respectively. Finally, adolescents who reported receiving no parental supervision were 45% (OR = 0.55, 95% CI 0.53, 0.58) less likely to have used a condom compared to those who reported receiving parental supervision. CONCLUSIONS: Parental supervision may be effective in promoting condom use among adolescents. Furthermore, drinking alcohol was associated with condom use probably due to peer pressure and easy access of condoms in drinking places as condoms are not actively promoted in schools. There is need for further research on how in-school adolescents could access condoms.

Soil-transmitted helminthiasis in Uganda: epidemiology and cost of control.

A country-wide description of the distribution of soil-transmitted helminths in Uganda is reported, based on data for 20-185 school-children from 271 schools. The overall prevalence of Ascaris lumbricoides, Trichuris trichiura and hookworm was 6.3%, 5.0% and 43.5%, respectively. The prevalence of A. lumbricoides and T. trichiura was unevenly distributed in the country with prevalence greatest in south-western Uganda whereas hookworm was generally more homogeneously distributed. Based on preliminary cost analysis of an ongoing school-based control programme, the financial delivery cost per school-child treated with albendazole is estimated to be between US dollar 0.04 and 0.08 in different districts.

The role of the environment in the sexual activity of school students in Tororo and Pallisa Districts of Uganda.

Several models of adolescent sexual activity have previously been published and most of them suggest two basic components, biological and sociological. This article highlights important environmental factors in shaping the sexual behaviour of the school-going youth in Uganda. Students in education levels Senior 1 to 6 participated in the study. Information was collected from self-response structured questionnaires, focus-group discussions, and discussions with teachers. Student respondents were randomly selected.

PIP: Findings are reported from a cross-sectional study of the sexual behavior of randomly selected secondary school students in Tororo and Pallisa districts of Eastern Uganda. 322 males and 348 females from 14 secondary schools answered structured questionnaires while 50 additional students participated in focus group discussions. The survey respondents were aged 10-24 years, although approximately 70% were aged 15-19 years. 65% of the male and 32% of the female unmarried students reported having sexual experience. The mean ages at first sexual intercourse were 16.1 years for boys and 16.6 years for girls. Of those sexually active, 49% of the males and 25% of females had multiple sex partners. Parental care, peer influence, economic factors, and AIDS education are the main environmental factors which appear to have major influences in determining the nature of students' sexual activity in Uganda.