Agyei W K, Mukiza-Gapere J, Epema E J
The Futures Group, Washington, DC 20036.
J Trop Med Hyg. 1994 Aug;97(4):219-27.
Results from a survey of adolescents and young adults in Mbale District in Uganda are presented. First sexual experience among female and male respondents occurs at quite an early age, 15 years for males and 16 years for females. Most respondents claimed to have received information on reproductive health. The accuracy of these self-assessments was rather poor as a relatively small proportion of the respondents could identify the safe period in a woman's menstrual cycle. The incidence of adolescent pregnancy is generally high and slightly higher in rural than in urban areas. A relatively large proportion of pregnancies occur out of wedlock. The respondents' contraceptive knowledge was quite good but many still engaged in unprotected sexual relations. The most commonly used methods were the condom and the pill. The main reasons given for non-use were lack of knowledge about contraceptives, beliefs that they were not safe, and their non-availability. This calls for improvements in family planning education and in accessibility of contraceptives.
本文展示了乌干达姆巴莱区青少年和青年成年人的调查结果。男性和女性受访者的首次性经历都发生在相当早的年龄，男性为15岁，女性为16岁。大多数受访者声称接受过生殖健康方面的信息。这些自我评估的准确性相当差，因为只有相对较小比例的受访者能够识别女性月经周期中的安全期。青少年怀孕的发生率普遍较高，农村地区略高于城市地区。相当大比例的怀孕是未婚先孕。受访者的避孕知识相当不错，但仍有许多人进行无保护的性关系。最常用的方法是避孕套和避孕药。不使用的主要原因是缺乏避孕知识、认为它们不安全以及无法获得。这就需要改进计划生育教育并提高避孕药具的可及性。
