Kavuma David, Ndibazza Juliet, Kirwana Venantius Bbaale, Mukasa Kafeero Hussein, Katongole Simon Peter, Baluku Joseph Baruch
Faculty of Health Sciences, Uganda Martyrs University-Nkozi, Kampala, Uganda.
Directorate of Medical Services, Mildmay Uganda, Kampala, Uganda.
HIV AIDS (Auckl). 2022 Apr 26;14:217-230. doi: 10.2147/HIV.S357535. eCollection 2022.
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.
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.
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.
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.
关于接受抗逆转录病毒治疗（ART）的失学青年（OS-YP）使用避孕套的情况，目前缺乏相关证据。本研究旨在了解乌干达中部年龄在15至24岁接受ART治疗的失学青年中，与持续使用避孕套相关的因素。
这是一项定量描述性横断面研究，对乌干达中部七个地区的357名接受ART治疗的失学青年进行了调查。采用访谈式问卷，收集了年龄在15至24岁、在此期间不打算生育的失学青年在过去12个月内持续使用避孕套的相关数据。参与者持续使用避孕套被定义为在过去12个月的性行为中常规（总是）使用避孕套。单因素分析采用频率和百分比，双变量关联分析采用Pearson卡方检验，多变量关联分析采用逻辑回归分析，置信水平为95%。
在357名接受ART治疗且有性行为的失学青年中，73%为女性。研究参与者的年龄范围在15至24岁之间（平均±标准差为20±3岁），其中55%的年龄在20至24岁，其性伴侣年龄≥25岁，49%的受访者不使用避孕套。小学教育水平、就业、农村居住以及在认为卫生工作者数量充足的卫生机构接受ART治疗，与持续使用避孕套密切相关，调整后的优势比（AOR）分别为：教育水平0.2（95%CI 0.07-0.69）；就业状况2.12（95%CI 1.06-4.26）；居住情况2.46（95%CI 1.19-5.10）；卫生机构的人员配备感知水平6.08（95%CI 1.05-35.22）。
在艾滋病毒疫情防控背景下，为增加持续使用避孕套的比例，应努力在卫生机构招募更多工作人员，以加强对接受ART治疗且有性行为的青年进行避孕套使用宣传。
