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Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study
INTRODUCTION: As HIV infected adolescents mature into adulthood, they are confronted with issues related to sexuality and sexual reproductive health (SRH). An estimated 68,000 adolescents aged 10-19 years are living with HIV in Zambia. The current study explores their sexuality and SRH experience an...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The African Field Epidemiology Network
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398862/ https://www.ncbi.nlm.nih.gov/pubmed/28451048 http://dx.doi.org/10.11604/pamj.2017.26.71.11312 |
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author | Ndongmo, Therese Ntigwa Ndongmo, Clement Bertin Michelo, Charles |
author_facet | Ndongmo, Therese Ntigwa Ndongmo, Clement Bertin Michelo, Charles |
author_sort | Ndongmo, Therese Ntigwa |
collection | PubMed |
description | INTRODUCTION: As HIV infected adolescents mature into adulthood, they are confronted with issues related to sexuality and sexual reproductive health (SRH). An estimated 68,000 adolescents aged 10-19 years are living with HIV in Zambia. The current study explores their sexuality and SRH experience and needs. METHODS: This was a mixed method analytical cross-sectional study. Adolescents at a tertiary hospital were surveyed on their sexuality and SRH experiences. Bivariate analyses on SPSS were used to assess factors associated with selected behaviors. Emerging themes from open-ended questions qualitative data were explored using content analysis. RESULTS: A total of 148 adolescents (63.5% females) aged 15-19 years were surveyed. Majority (77.0%) had secondary education; 77.2% currently in school; 40.1 % had a boy or girlfriend; 15.1% have ever had sex, of whom only 61.1 % reported consistent condom use. About 68.9 % expressed intention to have children; 2.1% of girls had been pregnant before. Of 52 respondents, 19.2% had a sexually transmitted infection (STI) before. Not being in school was a significant predictor, for knowing where to access information about sex (OR= 2.53; 95% CI:1.10-5.82; p=0.02), and also for ever gone there (OR=2.61; 95% CI:1.04-6.58; p=0.03). CONCLUSION: The survey of HIV infected adolescents attending a tertiary hospital in Zambia found that their sexuality and SRH needs remain similar to those of the general adolescent population in terms of counseling in sexual matters, family planning and STI services. More efforts are needed to provide for adolescent health care needs, especially those living with HIV. |
format | Online Article Text |
id | pubmed-5398862 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-53988622017-04-27 Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study Ndongmo, Therese Ntigwa Ndongmo, Clement Bertin Michelo, Charles Pan Afr Med J Research INTRODUCTION: As HIV infected adolescents mature into adulthood, they are confronted with issues related to sexuality and sexual reproductive health (SRH). An estimated 68,000 adolescents aged 10-19 years are living with HIV in Zambia. The current study explores their sexuality and SRH experience and needs. METHODS: This was a mixed method analytical cross-sectional study. Adolescents at a tertiary hospital were surveyed on their sexuality and SRH experiences. Bivariate analyses on SPSS were used to assess factors associated with selected behaviors. Emerging themes from open-ended questions qualitative data were explored using content analysis. RESULTS: A total of 148 adolescents (63.5% females) aged 15-19 years were surveyed. Majority (77.0%) had secondary education; 77.2% currently in school; 40.1 % had a boy or girlfriend; 15.1% have ever had sex, of whom only 61.1 % reported consistent condom use. About 68.9 % expressed intention to have children; 2.1% of girls had been pregnant before. Of 52 respondents, 19.2% had a sexually transmitted infection (STI) before. Not being in school was a significant predictor, for knowing where to access information about sex (OR= 2.53; 95% CI:1.10-5.82; p=0.02), and also for ever gone there (OR=2.61; 95% CI:1.04-6.58; p=0.03). CONCLUSION: The survey of HIV infected adolescents attending a tertiary hospital in Zambia found that their sexuality and SRH needs remain similar to those of the general adolescent population in terms of counseling in sexual matters, family planning and STI services. More efforts are needed to provide for adolescent health care needs, especially those living with HIV. The African Field Epidemiology Network 2017-02-20 /pmc/articles/PMC5398862/ /pubmed/28451048 http://dx.doi.org/10.11604/pamj.2017.26.71.11312 Text en © Therese Ntigwa Ndongmo et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Ndongmo, Therese Ntigwa Ndongmo, Clement Bertin Michelo, Charles Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title | Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title_full | Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title_fullStr | Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title_full_unstemmed | Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title_short | Sexual and reproductive health knowledge and behavior among adolescents living with HIV in Zambia: a case study |
title_sort | sexual and reproductive health knowledge and behavior among adolescents living with hiv in zambia: a case study |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398862/ https://www.ncbi.nlm.nih.gov/pubmed/28451048 http://dx.doi.org/10.11604/pamj.2017.26.71.11312 |
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