Evidence map›Paper›PMID 26499857›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2015

Prevalence of Sexual Experience and Initiation of Sexual Intercourse Among Adolescents, Rakai District, Uganda, 1994-2011.

John S Santelli, Xiaoyu Song, Inge K Holden, Kristin Wunder, Xiaobo Zhong, Ying Wei, Sanyukta Mathur, Tom Lutalo, Fred Nalugoda, Ron H Gray and 1 more

Open access · greenAbstract read
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In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

John S SantelliHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, New York, New York. Electronic address: Js2637@columbia.edu.
Xiaoyu SongHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, New York, New York; Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York.
Inge K HoldenDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York.
Kristin WunderHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, New York, New York.
Xiaobo ZhongDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York.
Ying WeiDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York.
Sanyukta MathurHeilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, New York, New York.
Tom LutaloRakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda.
Fred NalugodaRakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda.
Ron H GrayDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
David M SerwaddaRakai Health Sciences Program, Uganda Virus Research Institute, Entebbe, Uganda; Makerere University school of Public Health, Kampala, Uganda.
Columbia University · USUganda Virus Research Institute · UGJohns Hopkins University · USRakai Health Sciences Program · UG

Funding

Rakai Adolescent Project (RAP)R01HD061092 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SANTELLI, JOHN S. · 2009 to 2013
$2.3M
NICHD NIH HHS 5R01HD061092-05NICHD NIH HHS R01 HD061092
6 · The paper itself

Abstract

purposeThe purpose of the study was to identify risk factors and time trends for sexual experience and sexual debut in rural Uganda.

methodsUsing population-based, longitudinal data from 15- to 19-year olds in Rakai, Uganda, we examined temporal trends in the prevalence of sexual experience and potential risk factors for sexual experience (n = 31,517 person-round observations) using logistic regression. We then identified factors associated with initiation of sex between survey rounds, using Poisson regression to estimate incidence rate ratios (IRR; n = 5,126 person-year observations).

resultsSexual experience was more common among adolescent women than men. The prevalence of sexual experience rose for most age-gender groups after 1994 and then declined after 2002. Factors associated with higher prevalence of sexual experience (without adjustment for other factors) included age, not enrolled in school, orphanhood, lower socioeconomic status, and drinking alcohol in the past 30 days; similar factors were associated with initiation of sex. Factors independently associated with initiation of sex included older age, nonenrollment in school (IRR = 1.7 for women and 1.8 for men), alcohol use (IRR = 1.3 for women and men), and being a double orphan among men (IRR = 1.2). Sexual experience began to decline around 2000, whereas increases in school enrollment began as early as 1994 and declines in orphanhood occurred after 2004 (as antiretroviral therapy became available).

conclusionsSexual experience among youth in Rakai was associated with social factors particularly school enrollment. Changes in these social factors also appear to influence change over time in sexual experience.

Indexed as

CoitusAdolescentFemaleHumansLogistic ModelsMalePrevalenceRisk FactorsSexual BehaviorSocioeconomic FactorsSurveys and QuestionnairesUgandaYoung AdultAdolescentInitiation of sexual intercourseOrphanhoodRisk factorsSchool enrollmentSexual behaviorSocial determinantsUganda

Identifiers

PMID26499857
PMCPMC4671201
OpenAlexW2140646610

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.