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Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda
BACKGROUND: The use of psychoactive substances such as alcohol, heroin and marijuana is associated with negative health outcomes such as sexual violence and unintended pregnancies, and risky sexual behaviours. Although there is evidence linking psychoactive substance use and risky sexual behaviours...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152422/ https://www.ncbi.nlm.nih.gov/pubmed/37131127 http://dx.doi.org/10.1186/s12889-023-15679-8 |
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author | Ssekamatte, Tonny Nalugya, Aisha Mugambe, Richard K. Wagaba, Brenda Nakalembe, Doreen Mutebi, Aloysius Bagonza, Richard Asaba Tigaiza, Arnold Kansiime, Winnifred K. Ssempala, Richard Wafula, Solomon T. Isunju, John Bosco Buregyeya, Esther |
author_facet | Ssekamatte, Tonny Nalugya, Aisha Mugambe, Richard K. Wagaba, Brenda Nakalembe, Doreen Mutebi, Aloysius Bagonza, Richard Asaba Tigaiza, Arnold Kansiime, Winnifred K. Ssempala, Richard Wafula, Solomon T. Isunju, John Bosco Buregyeya, Esther |
author_sort | Ssekamatte, Tonny |
collection | PubMed |
description | BACKGROUND: The use of psychoactive substances such as alcohol, heroin and marijuana is associated with negative health outcomes such as sexual violence and unintended pregnancies, and risky sexual behaviours. Although there is evidence linking psychoactive substance use and risky sexual behaviours such as inconsistent condom use and multiple sexual relationships, there is limited data on sex under the influence of psychoactive substances among young people. This study aimed to investigate the prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda. METHODS: A cross-sectional study was conducted among 744 sexually active young psychoactive substance users in informal settlements in Kampala, Uganda. Data were collected through face-to-face interviews using a digitalized structured questionnaire, preloaded on the Kobocollect mobile application. The questionnaire captured data on the socio-demographic characteristics of the respondents, history of psychoactive substance use, and sexual behaviours. Data were analysed using STATA Version 14.0. A modified Poisson regression model was used to determine the predictors of sex under the influence of psychoactive substances.. Adjusted prevalence ratios at a p-value value ≤ 0.05 with a 95% confidence interval were considered. RESULTS: About 61.0% (454/744) of the respondents had had sex under the influence of psychoactive substances in the last 30 days. The predictors of sex under the influence of psychoactive substances were being female (PR 1.18, 95% CI: 1.04–1.34), being 20–24 years of age (PR: 1.22, 95% CI: 1.04–1.44), being married (PR 1.15, 95% CI: 1.01–1.31) or divorced/separated (PR 1.43, 95% CI: 1.26–1.61), not living with biological parents or guardians (PR 1.22, 95% CI: 0.99–1.50), earning 71 USD and below (PR 0.86, 95% CI: 0.79–1.03) and using alcohol (PR 1.43, 95% CI: 1.25–1.69), marijuana (PR 1.16, 95% CI: 1.02–1.31) and khat (PR 1.25, 95% CI: 1.10–1.42) in the last 30 days. CONCLUSION: The study found that a high proportion of sexually active young people in informal settlements in Kampala, Uganda had engaged in sex under the influence of psychoactive substances in the past 30 days. The study also identified several factors associated with sex under the influence of psychoactive substances, including being female, being aged 20–24 years, being married or divorced or separated, not living with biological parents or guardians, and using alcohol, marijuana, or khat in the past 30 days. Our findings suggest the need for targeted sexual and reproductive health programs that incorporate risk-reduction interventions aimed at reducing sex under the influence of psychoactive substances, especially among females and those who do not live with their parents. |
format | Online Article Text |
id | pubmed-10152422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101524222023-05-03 Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda Ssekamatte, Tonny Nalugya, Aisha Mugambe, Richard K. Wagaba, Brenda Nakalembe, Doreen Mutebi, Aloysius Bagonza, Richard Asaba Tigaiza, Arnold Kansiime, Winnifred K. Ssempala, Richard Wafula, Solomon T. Isunju, John Bosco Buregyeya, Esther BMC Public Health Research BACKGROUND: The use of psychoactive substances such as alcohol, heroin and marijuana is associated with negative health outcomes such as sexual violence and unintended pregnancies, and risky sexual behaviours. Although there is evidence linking psychoactive substance use and risky sexual behaviours such as inconsistent condom use and multiple sexual relationships, there is limited data on sex under the influence of psychoactive substances among young people. This study aimed to investigate the prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda. METHODS: A cross-sectional study was conducted among 744 sexually active young psychoactive substance users in informal settlements in Kampala, Uganda. Data were collected through face-to-face interviews using a digitalized structured questionnaire, preloaded on the Kobocollect mobile application. The questionnaire captured data on the socio-demographic characteristics of the respondents, history of psychoactive substance use, and sexual behaviours. Data were analysed using STATA Version 14.0. A modified Poisson regression model was used to determine the predictors of sex under the influence of psychoactive substances.. Adjusted prevalence ratios at a p-value value ≤ 0.05 with a 95% confidence interval were considered. RESULTS: About 61.0% (454/744) of the respondents had had sex under the influence of psychoactive substances in the last 30 days. The predictors of sex under the influence of psychoactive substances were being female (PR 1.18, 95% CI: 1.04–1.34), being 20–24 years of age (PR: 1.22, 95% CI: 1.04–1.44), being married (PR 1.15, 95% CI: 1.01–1.31) or divorced/separated (PR 1.43, 95% CI: 1.26–1.61), not living with biological parents or guardians (PR 1.22, 95% CI: 0.99–1.50), earning 71 USD and below (PR 0.86, 95% CI: 0.79–1.03) and using alcohol (PR 1.43, 95% CI: 1.25–1.69), marijuana (PR 1.16, 95% CI: 1.02–1.31) and khat (PR 1.25, 95% CI: 1.10–1.42) in the last 30 days. CONCLUSION: The study found that a high proportion of sexually active young people in informal settlements in Kampala, Uganda had engaged in sex under the influence of psychoactive substances in the past 30 days. The study also identified several factors associated with sex under the influence of psychoactive substances, including being female, being aged 20–24 years, being married or divorced or separated, not living with biological parents or guardians, and using alcohol, marijuana, or khat in the past 30 days. Our findings suggest the need for targeted sexual and reproductive health programs that incorporate risk-reduction interventions aimed at reducing sex under the influence of psychoactive substances, especially among females and those who do not live with their parents. BioMed Central 2023-05-02 /pmc/articles/PMC10152422/ /pubmed/37131127 http://dx.doi.org/10.1186/s12889-023-15679-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Ssekamatte, Tonny Nalugya, Aisha Mugambe, Richard K. Wagaba, Brenda Nakalembe, Doreen Mutebi, Aloysius Bagonza, Richard Asaba Tigaiza, Arnold Kansiime, Winnifred K. Ssempala, Richard Wafula, Solomon T. Isunju, John Bosco Buregyeya, Esther Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title | Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title_full | Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title_fullStr | Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title_full_unstemmed | Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title_short | Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda |
title_sort | prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in kampala, uganda |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152422/ https://www.ncbi.nlm.nih.gov/pubmed/37131127 http://dx.doi.org/10.1186/s12889-023-15679-8 |
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