Condom use at first and latest sexual events among young people: evidence from a rural and peri-urban setting in Uganda

Abstract

Background: Condom use remains low among young people despite high prevalence of HIV, STIs, and unplanned pregnancy in Uganda. Objectives: This paper presents patterns of condom use at first and latest sexual events and associated factors. Methods: The data were obtained from 445 sexually active unmarried people aged 15-24 from one peri-urban and another rural district. Stratified multi-stage cluster sampling technique was applied. Logistic regression was used to identify factors associated with condom use at each of the two sexual events, while multinomial logistic regression was used to establish factors correlated with condom use at both first and last sex. Results: Factors associated with condom use at each event were residence in the peri-urban district and higher education attainment. Factors correlated with condom use at both first and last sex were residence in peri-urban district (p<0.001) and being in school (p<0.01). Alcohol consumption and age at first sex were only significant at one event. Conclusion: Some factors that influence condom use at first sex are different from those that affect condom use at latest sexual event. Prevention programmes against STIs, HIV and unplanned pregnancies among young people focus more on rural areas and those with minimal or no education.

Vulnerabilities at First Sex and Their Association With Lifetime Gender-Based Violence and HIV Prevalence Among Adolescent Girls and Young Women Engaged in Sex Work, Transactional Sex, and Casual Sex in Kenya

“…The timing of these HIV-associated vulnerabilities and a woman's first sexual experience may influence her HIV risk. 4 Early age at first sex (often defined as <15 years of age 5 ) is associated with increased risk of bacterial sexually transmitted infections partly due to cervical ectopy in adolescence, 6 , 7 higher levels of inflammatory cytokines in the female genital tract, 8 , 9 less condom use at first sex and subsequent sex acts, 10 , 11 and prevalent HIV infection. 4 , 12 AGYW who reach menarche and puberty early are more likely to engage in earlier (and often condomless) sexual activity than those who experience later menarche.…”

Sexual and reproductive health and rights of “last mile” adolescents: a scoping review

“…Sample populations included refugees from Sudan, the Democratic Republic of Congo, Somalia, Burundi, Iraq and Bhutan. n/a n/a Toska et al, 2020 63 Quantitative, Cross-sectional 10–24 Females South Africa Mixed Random and purposive Tumwesigye et al, 2013 64 Quantitative, Cross-sectional 15–24 Males and females Uganda Mixed Multi-stage cluster Wado et al, 2020 65 Scoping review 10–19 Males and females Sub-Saharan Africa n/a n/a Wong et al, 2017 66 Qualitative, Cross-sectional 11–19 Males and females China Rural Purposive Ziraba et al, 2018 67 Quantitative, Cross-sectional 12–23 Females Kenya Urban Random a At the time of this study, participants’ age varied from 18 to 35 years; however, their adolescent experiences were explored. b Age-disaggregated data for adolescents available.…”

Factors Associated with the Adoption of Sexual Abstinence and Contraception Among Moshood Abiola Polytechnic Students in Abeokuta, Nigeria

“…Similarly in another part of the world, the findings of a study on young adults' sexuality in Peru showed that 38 % of male youths adhered to condom usage the first time that they had intercourse [24]. In Uganda, the prevalence of condom usage at the first sexual intercourse among young adults who are unmarried is reported to be 37 % for female and 59 % for males [25].…”