Trends in age at first sex in Uganda: Evidence from Demographic and Health Survey data and longitudinal cohorts in Masaka and Rakai

Sexually Transmitted Infections

Volumn 85, Issue SUPPL. 1, 2009, Pages

  Slaymaker, E ^a   Bwanika, J B ^b   Kasamba, I ^c   Lutalo, T ^b   Maher, D ^c   Todd, J ^c  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b RAKAI HEALTH SCIENCES PROGRAM   (Uganda)

^c MRC/UVRI Research Unit on AIDS   (Uganda)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGE AT FIRST SEX; ARTICLE; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEMOGRAPHY; FEMALE; HEALTH SURVEY; HUMAN; HUMAN EXPERIMENT; MALE; MARRIAGE; ONSET AGE; PRIORITY JOURNAL; SEX DIFFERENCE; SEXUAL BEHAVIOR; TREND STUDY; UGANDA; AGE; COITUS; HEALTH; MIDDLE AGED; RETROSPECTIVE STUDY; SURVIVAL;

ADOLESCENT; ADULT; AGE FACTORS; COITUS; FEMALE; HEALTH SURVEYS; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; RURAL HEALTH; SURVIVAL ANALYSIS; UGANDA; YOUNG ADULT;

EID: 65649140785     PISSN: 13684973     EISSN: 14682044     Source Type: Journal    
DOI: 10.1136/sti.2008.034009     Document Type: Article

References (33)

1. United Nations Programme on HIV/AIDS (UNAIDS). National AIDS programmes: a guide to monitoring and evaluation. 1st ed. Geneva: UNAIDS, 2000.
2. United Nations Programme on HIV/AIDS (UNAIDS). United Nations General Assembly Special Session on HIV/AIDS. Monitoring the declaration of commitment on HIV/AIDS. Guidelines on construction of core indicators. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS), 2002.
3. United Nations Programme on HIV/AIDS (UNAIDS). Follow-up to the 2001 United Nations General Assembly Special Session on HIV/AIDS: Progress report on the global response to the HIV/AIDS epidemic, 2003. Geneva: UNAIDS, 2003.
4. Measure DHS. AIDS indicator database: list of indicators, 2008. http://www.measuredhs.com/hivdata/start.cfm
5. World Health Organization. National AIDS programmes: a guide to indicators for monitoring and evaluation national HIV/AIDS prevention programmes for young people. Geneva: World Health Organization, 2004.
6. Mensch B, Grant M, Blanc A. The changing context of sexual initiation in sub-Saharan Africa. Popul Dev Rev 2006;32:699-727. (Pubitemid 44830904)
7. Wellings K, Collumbien M, Slaymaker E, et al. Sexual behaviour in context: a global perspective. Lancet 2006;368:1706-28. (Pubitemid 46055217)
8. Marston C, King E. Factors that shape young people's sexual behaviour: a systematic review. Lancet 2006;368:1581-6. (Pubitemid 44691913)
9. Dickson N, Paul C, Herbison P, et al. First sexual intercourse: age, coercion and later regrets reported by a birth cohort. BMJ 1998;316:29-33. (Pubitemid 28019866)
10. Koenig MA, Lutalo T, Zhao F, et al. Coercive sex in rural Uganda: prevalence and associated risk factors. Soc Sci Med 2004;58:787-98. (Pubitemid 37524001)
11. Measure DHS. Demographic and health surveys, 2008. http://www.measuredhs. com
12. Kamali A, Carpenter LM, Whitworth JAG, et al. Seven-year trends in HIV-1 infection rates, and changes in sexual behaviour, among adults in rural Uganda. AIDS 2000;14:427-34. (Pubitemid 30182440)
13. Kirungi WL, Musinguzi J, Madraa E, et al. Trends in antenatal HIV prevalence in urban Uganda associated with uptake of preventive sexual behaviour. Sex Transm Infect 2006;82(Suppl I):i36-41.
14. Bessinger R, Akwara P, Halperin D. Sexual behavior, HIV, and fertility trends: a comparative analysis of six countries phase I of the ABC Study. Chapel Hill, North Carolina, USA: Measure Evaluation, 2003. http://www.cpc.unc.edu/ measure/publications/pdf/sr-03-21b.pdf
15. Green E, Halperin D, Nantulya V, et al. Uganda's HIV prevention success: the role of sexual behavior change and the national response. AIDS Behav 2006;10:335-46. (Pubitemid 44174960)
16. Singh S, Darroch JE, Bankole A. A, B and C in Uganda: the roles of abstinence, monogamy and condom use in HIV decline. Reprod Health Matters 2004;12:129-31.
17. Parkhurst J. The Ugandan success story? Evidence and claims of HIV-1 prevention. Lancet 2002;360:78-80. (Pubitemid 34756500)
18. Wringe A, Cremin I, Todd J, et al. Comparative assessment of the quality of age-at-event reporting in three HIV cohort studies in sub-Saharan Africa. Sex Transm Infect 2009;85(Suppl I):i56-i63.
19. Mulder D, Nunn A, Wagner H, et al. HIV-1 incidence and HIV-1-associated mortality in a rural Ugandan population cohort. AIDS 1994;8:87-92. (Pubitemid 24094093)
20. Wawer M, Gray R, Sewankambo N, et al. A randomized, community trial of intensive sexually transmitted disease control for AIDS prevention, Rakai, Uganda. AIDS 1998;12:1211-25. (Pubitemid 28302424)
21. Wawer M, Sewankambo N, Serwadda D, et al. Control of sexually transmitted diseases for AIDS prevention in Uganda: a randomised community trial. Rakai Project Study Group. Lancet 1999;353:525-35. (Pubitemid 29078422)
22. Royston P. Multiple imputation of missing values: further update of ice, with an emphasis on interval censoring. Stata J 2007;7:445-64.
23. Żaba B, Pisani E, Slaymaker E, et al. Age at first sex: understanding recent trends in African demographic surveys. Sex Transm Infect 2004;80(Suppl II):ii28-35.
24. Ministry of Health/ORC Macro. Uganda HIV/AIDS sero-behavioural survey 2004-5. Calverton, Maryland, USA: Ministry of Health and ORC Macro, 2006.
25. United Nations Programme on HIV/AIDS (UNAIDS). Report on the global AIDS epidemic, 2004. Geneva: UNAIDS, 2004.
26. United Nations Programme on HIV/AIDS (UNAIDS). Report on the global AIDS epidemic, 2008. Geneva: UNAIDS, 2008.
27. Shafer LA, Biraro S, Nakiyingi-Miiroa J, et al. HIV prevalence and incidence are no longer falling in southwest Uganda: evidence from a rural population cohort 1989-2005. AIDS 2008;22:1641-9.
28. White RG, Orroth KK, Korenromp EL, et al. Can population differences explain the contrasting results of the Mwanza, Rakai, and Masaka HIV/sexually transmitted disease intervention trials? J AIDS 2004;37:1500-13.
29. Omer S, Gray R, Kagaayi J, et al. 12-year trends in HIV prevalence, incidence, mortality and risk behaviours in a community based cohort in Rakai, Uganda: evidence of decreased HIV incidence, increased sexual risk behaviors offset by condom use. XVII International AIDS Conference; Mexico City; 3-8 Aug 2008.
30. Wawer M, Gray R, Serwadda D, et al. Declines in HIV prevalence in Uganda: not as simple as ABC. 12th Conference on Retroviruses and Opportunistic Infections; Boston, Massachusetts, USA; 2005.
31. Gregson S, Nyamukapa CA, Garnett GP, et al. Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe. Lancet 2002;359:1896-903. (Pubitemid 34615768)
32. Kelly RJ, Gray RH, Sewankambo NK, et al. Age differences in sexual partners and risk of HIV-1 infection in rural Uganda. J Acquir Immune Defic Syndr 2003;32:446-51. (Pubitemid 36363160)
33. Hallett TB, Gregson S, Lewis JJC, et al. Behaviour change in generalised HIV epidemics: impact of reducing cross-generational sex and delaying age at sexual debut. Sex Transm Infect 2007;83(Suppl I):i50-4.