title: Perceptions of health care services and HIV-related health-seeking behavior among Uganda adolescents.
abstract: Youth represent almost half of all new HIV infections globally. Although condom use is an effective method of HIV prevention among sexually active youth in sub-Saharan Africa (SSA), they face substantial barriers in obtaining condoms in environments where adults hold attitudes condemning premarital sex. More research is needed to better understand the multitude of factors that affect SSA youths' behaviors regarding safe sex practices, including factors that may influence their ability to obtain condoms, and decisions to be tested for HIV. In this study of Uganda youth (n = 1503) from five secondary schools, logistic regression models highlight factors that influence perceptions regarding respect and confidentiality at health centers, condom acquisition, and HIV testing. Family support appears to be an especially important factor that affects youth perceptions about how they will be treated when seeking condoms and HIV testing. Condom acquisition and HIV-testing behaviors are also associated with peer influence, self-esteem, and demographic characteristics, such as age.
authors.affiliation: a Department of Health and Behavioral Sciences , University of Colorado Denver , Denver , CO , USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Hampanda
authors.forename: Michele
authors.initials: M
authors.lastname: Ybarra
authors.forename: Sheana
authors.initials: S
authors.lastname: Bull
mesh_terms: D000293:Adolescent; D003075:Coitus / Q000523:psychology; D003151:Community Health Centers; D017280:Condoms / Q000706:statistics & numerical data / Q000600:supply & distribution*; D003219:Confidentiality / Q000523:psychology; D003695:Delivery of Health Care; D005190:Family; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010379:Peer Group; D011369:Professional-Patient Relations; D012044:Regression Analysis; D012649:Self Concept; D012737:Sex Factors; D012944:Social Support; D014454:Uganda; D055815:Young Adult
keywords: HIV prevention; HIV/AIDS; Uganda; adolescent health