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Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?

BACKGROUND: While the nexus of migration and health outcomes is well acknowledged, the effect of rural–urban migration on the use of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural–urban migration on the use of SRH services, while controllin...

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Autores principales: Bwambale, Mulekya F., Bukuluki, Paul, Moyer, Cheryl A., Van den Borne, Bart H. W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903651/
https://www.ncbi.nlm.nih.gov/pubmed/33622341
http://dx.doi.org/10.1186/s12913-021-06173-1
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author Bwambale, Mulekya F.
Bukuluki, Paul
Moyer, Cheryl A.
Van den Borne, Bart H. W.
author_facet Bwambale, Mulekya F.
Bukuluki, Paul
Moyer, Cheryl A.
Van den Borne, Bart H. W.
author_sort Bwambale, Mulekya F.
collection PubMed
description BACKGROUND: While the nexus of migration and health outcomes is well acknowledged, the effect of rural–urban migration on the use of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural–urban migration on the use of SRH services, while controlling for confounding, and whether there is a difference in the use of SRH services among migrant and non-migrant street children and young adults. METHODS: Data were collected from 513 street children and young adults aged 12–24 years, using venue-based time-space sampling (VBTS). We performed multivariate logistic regression analysis using Stata 16.0 to identify factors associated with SRH services use, with rural–urban migration status as the main predictor. Participants were further classified as new migrants (≤ 2 years of stay in city), established migrants (> 2 years of stay in city) or non-migrants (lifelong native street children) with no rural–urban migration history. RESULTS: Overall, 18.13% of the street children and young adults had used contraception/family planning, 58.67% had tested for human immunodeficiency virus (HIV) and knew their status and 34.70% had been screened for sexually transmitted infections (STIs). Non-migrants were 2.70 times more likely to use SRH services (HIV testing, STI screening and family planning) compared to the migrants (aOR = 2.70, 95% CI 1.23–5.97). Other factors associated with SRH services use among street children and young adults include age (aOR = 4.70, 95% CI 2.87–7.68), schooling status (aOR = 0.33, 95% CI 0.15–0.76), knowledge of place of care (aOR = 2.71, 95% CI 1.64–4.46) and access to SRH information (aOR = 3.23, 95% CI 2.00–5.24). CONCLUSIONS: SRH services utilisation among migrant street children and young adults is low compared to their non-migrant counterparts and is independently associated with migration status, age, schooling status, knowledge of place of care and access to SRH information. Our findings call for the need to design and implement multi-dimensional interventions to increase the use of SRH services among street children and young adults, while taking into consideration their migration patterns. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06173-1.
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spelling pubmed-79036512021-03-01 Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter? Bwambale, Mulekya F. Bukuluki, Paul Moyer, Cheryl A. Van den Borne, Bart H. W. BMC Health Serv Res Research Article BACKGROUND: While the nexus of migration and health outcomes is well acknowledged, the effect of rural–urban migration on the use of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural–urban migration on the use of SRH services, while controlling for confounding, and whether there is a difference in the use of SRH services among migrant and non-migrant street children and young adults. METHODS: Data were collected from 513 street children and young adults aged 12–24 years, using venue-based time-space sampling (VBTS). We performed multivariate logistic regression analysis using Stata 16.0 to identify factors associated with SRH services use, with rural–urban migration status as the main predictor. Participants were further classified as new migrants (≤ 2 years of stay in city), established migrants (> 2 years of stay in city) or non-migrants (lifelong native street children) with no rural–urban migration history. RESULTS: Overall, 18.13% of the street children and young adults had used contraception/family planning, 58.67% had tested for human immunodeficiency virus (HIV) and knew their status and 34.70% had been screened for sexually transmitted infections (STIs). Non-migrants were 2.70 times more likely to use SRH services (HIV testing, STI screening and family planning) compared to the migrants (aOR = 2.70, 95% CI 1.23–5.97). Other factors associated with SRH services use among street children and young adults include age (aOR = 4.70, 95% CI 2.87–7.68), schooling status (aOR = 0.33, 95% CI 0.15–0.76), knowledge of place of care (aOR = 2.71, 95% CI 1.64–4.46) and access to SRH information (aOR = 3.23, 95% CI 2.00–5.24). CONCLUSIONS: SRH services utilisation among migrant street children and young adults is low compared to their non-migrant counterparts and is independently associated with migration status, age, schooling status, knowledge of place of care and access to SRH information. Our findings call for the need to design and implement multi-dimensional interventions to increase the use of SRH services among street children and young adults, while taking into consideration their migration patterns. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06173-1. BioMed Central 2021-02-23 /pmc/articles/PMC7903651/ /pubmed/33622341 http://dx.doi.org/10.1186/s12913-021-06173-1 Text en © The Author(s) 2021 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/. The Creative Commons Public Domain Dedication waiver (http://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 Article
Bwambale, Mulekya F.
Bukuluki, Paul
Moyer, Cheryl A.
Van den Borne, Bart H. W.
Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title_full Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title_fullStr Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title_full_unstemmed Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title_short Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
title_sort utilisation of sexual and reproductive health services among street children and young adults in kampala, uganda: does migration matter?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7903651/
https://www.ncbi.nlm.nih.gov/pubmed/33622341
http://dx.doi.org/10.1186/s12913-021-06173-1
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