Introduction Evidence is lacking about condom use among out-of-school young people (OS-YP) on anti-retroviral therapy (ART). This study aimed to understand the factors associated with consistent condom use among OS-YP aged 15–24 years old on ART in Central Uganda. Methods This was a quantitative descriptive cross-sectional study conducted among 357 OS-YP on ART from seven districts of Central Uganda. Interviewer-administered questionnaire was used to collect data on consistent condom use in the past 12 months from OS-YP, aged 15–24 years, who did not intend to have children in that period. Consistent condom use by participants was considered to be the routine (always) use of condoms during sexual intercourse in the past 12 months. Frequencies and percentages were used for univariate analysis, while Pearson’s Chi-square was used to determine bivariate association and logistic regression analysis for multivariable association with consistent condom use, at 95% confidence level. Results Of the 357 sexually active OS-YP on ART, 73% were females. The age range of study participants was between 15 and 24 years old (with a mean ± standard deviation of 20±3 years) where 55% were aged 20 to 24 years, while their sexual partners were aged ≥25 years, and 49% of respondents did not use condoms. Primary school education level, being employed, rural residence, and receiving ART from health facilities with a perceived adequate number of health workers were strongly associated with consistent condom use with the adjusted odds ratio (AOR) of 0.2 (95% CI 0.07–0.69) level of education; 2.12 (95% CI 1.06–4.26) employment status; 2.46 (95% CI 1.19–5.10) residence and 6.08 (95% CI 1.05–35.22) perceived level of staffing at the health facility, respectively. Conclusion Efforts to increase consistent condom use should focus on recruiting more providers in health facilities to intensify condom use sensitization among sexually active young people on ART in the context of HIV epidemic control.
Back ground The dietary intake of fruits and vegetables by adolescents is influenced by self-efficacy, attitude and knowledge.This study was designed to understand the role of school gardens in influencing the frequency, attitudes, knowledge and self-efficacy of late in-school adolescents on their dietary intake of fruits and vegetables.Methods The study followed a cross-sectional study design employing quantitative research methods. The target population comprised of late adolescents 18-25 years attending the two-selected secondary school; one with gardening activities and another not. Self-administered structured questionnaire was used to collect data. Quantitative data was analyzed by t-test , Mann Whitney U test, Pearson Rank Correlation and odds ratio.Results Generally, there were low fruit (8 & 9) and vegetable (6 & 7) servings per week among the unexposed and the exposed groups respectively as compared to the USDA recommendation (14 and 11) servings per week for fruits and vegetables respectively. However, students exposed to gardening had slightly higher scores of fruits and vegetable frequency as compared to those not exposed (OR=1.0370). Students believed they consumed more fruits than vegetables with the exposed group consuming more fruits (p<0.0001) and vegetables (p<0.0001) than the control group. The students knew more nutritional value for fruit intake than for vegetable intake with the exposed group having higher knowledge scores than the control (OR=1.32). The students in the exposed group were more confident in consuming fruits and vegetables rather than a snack (p=0.008), ice cream (p=0.004), three times a day (p<0.0001) compared to the control group.Conclusion Overall, there was low fruit and vegetable intake by the study subjects. However, fruits were consumed more than the vegetables with the exposed group posting slightly higher weekly intake of fruits and vegetables than the control group. The students knew the nutritional value of fruits and vegetables attaching more importance on the fruits than vegetables with exposed group having better knowledge than the control. Although students in both groups were confident in consuming fruits and vegetables, the exposed group was more confident than the unexposed.
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