ArticleGlobal social welfare : research, policy & practice2015
Rising School Enrollment and Declining HIV and Pregnancy Risk Among Adolescents in Rakai District, Uganda, 1994-2013.
Article in Global social welfare : research, policy & practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 31 citations in OpenAlex.
- Pathways, consequences, and community-proposed responses to school discontinuation in rural eastern Uganda: a qualitative study.Global health action · 2026Article
- Evaluating the biomedical and behavioral drivers of HIV incidence decline in adolescent girls and young women in Uganda: A mathematical modeling study.PLoS medicine · 2026Article
- Depression symptom severity and behavioral impairment in school-going adolescents in Uganda.BMC psychiatry · 2025Article
- Comparative study of the vulnerability profile of young people and adults with reactive HIV tests.Revista da Escola de Enfermagem da U S P · 2025Article
- Family Factors and Gender Norms as Protective Factors Against Sexual Risk-Taking Behaviors Among Adolescent Girls in Southern Uganda.Global social welfare : research, policy & practice · 2024Article
- Mobile Phone Technology for Preventing HIV and Related Youth Health Problems, Sexual Health, Mental Health, and Substance Use Problems in Southwest Uganda (Youth Health SMS): Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2023Article
- The negative health spillover effects of universal primary education policy: Ethnographic evidence from Uganda.Global public health · 2023Article
- Incidence of unintended pregnancy and associated factors among adolescent girls and young women at risk of HIV infection in Kampala, Uganda.Frontiers in reproductive health · 2023Article
- Proximate and distal factors associated with the stall in the decline of adolescent pregnancy in Uganda.BMC public health · 2021Article
- Article
- Cell Phones, Sexual Behaviors and HIV Prevalence in Rakai, Uganda: A Cross Sectional Analysis of Longitudinal Data.AIDS and behavior · 2020Article
- HIV vulnerability among adolescent girls and young women: a multi-country latent class analysis approach.International journal of public health · 2020Article
- Narrating the Transition to Adulthood for Youth in Uganda: Leaving School, Mobility, Risky Occupations, and HIV.Health education & behavior : the official publication of the Society for Public Health Education · 2019Article
- Facing HIV infection and unintended pregnancy: Rakai, Uganda, 2001-2013.BMC women's health · 2018Article
- Re-focusing HIV prevention messages: a qualitative study in rural Uganda.AIDS research and therapy · 2016Article
- Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2015Article
- Perceptions of Adolescent Pregnancy Among Teenage Girls in Rakai, Uganda.Global qualitative nursing researchArticle
- A scoping review of qualitative studies on sexual and reproductive health and rights in Uganda: Exploring factors at multiple levels.Women's health (London, England)Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundPoverty, family stability, and social policies influence the ability of adolescents to attend school. Likewise, being enrolled in school may shape an adolescent's risk for HIV and pregnancy. We identified trends in school enrollment, factors predicting school enrollment (
methodsData from the Rakai Community Cohort Study (RCCS) were examined for adolescents 15-19 years (n=21,735 person-rounds) from 1994 to 2013. Trends, antecedents, and consequences were assessed using logistic and linear regression with robust variance estimation. Qualitative data were used to explore school leaving among HIV+ and HIV- youth (15-24 years).
resultsSchool enrollment and socioeconomic status (SES) rose steadily from 1994 to 2013 among adolescents; orphanhood declined after availability of antiretroviral therapy. Antecedent factors associated with school enrollment included age, SES, orphanhood, marriage, family size, and the percent of family members <20 years. In qualitative interviews, youth reported lack of money, death of parents, and pregnancy as primary reasons for school dropout. Among adolescents, consequences associated with school enrollment included lower HIV prevalence, prevalence of sexual experience, and rates of alcohol use and increases in consistent condom use. Young women in school were more likely to report use of modern contraception and never being pregnant. Young men in school reported fewer recent sexual partners and lower rates of sexual concurrency.
conclusionsRising SES and declining orphanhood were associated with rising school enrollment in Rakai. Increasing school enrollment was associated with declining risk for HIV and pregnancy.
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