ArticleBMC health services research2021
Utilisation of sexual and reproductive health services among street children and young adults in Kampala, Uganda: does migration matter?
Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Health facility capacities for providing adolescent sexual and reproductive health services in Southwestern Uganda.BMC health services research · 2026Article
- Prevalence and correlates of prevalent sexually transmitted infections among young women employed as domestic workers in Central Uganda: a community-based cross-sectional study.BMJ public health · 2026Article
- Sexual and reproductive health challenges among street adolescents in Sylhet city, Bangladesh: A cross-sectional study.PloS one · 2026Article
- Risk factors of sexual and reproductive health problems, service utilization, and its challenges among street youths in East Gojjam zone, North West Ethiopia: exploratory qualitative study.BMC public health · 2025Article
- Reproductive Justice for Adolescent Migrant Girls in the Post-ICPD Era: A Critical Analysis of Contraceptive Care for Venezuelan Girls in Colombia.Studies in comparative international development · 2025Article
- Access to health and rights of children in street situations and working children: a scoping review.BMJ paediatrics open · 2024Article
- Implementing Quality Improvement Initiatives to Improve the Use of Adolescent- and Youth-Friendly Health Services in Zou, Benin.Global health, science and practice · 2024Article
- Gendered risks: access to and utilization of sexual and reproductive health services among young migrants in Southwestern Uganda: the role of the 'lending a hand' intervention.Frontiers in reproductive health · 2024Article
- From 'no problem' to 'a lot of difficulties': barriers to health service utilization among migrants in Rakai, Uganda.Health policy and planning · 2023Article
- Validity of Self-Report for Ascertaining HIV Status Among Circular Migrants and Permanent Residents in South Africa: A Cross-Sectional, Population-Based Analysis.AIDS and behavior · 2023Article
- Factors Associated with Utilization of Sexual and Reproductive Health Services among the Youth in Lira City West, Northern Uganda: A Cross-Sectional Study.BioMed research international · 2023Article
- Rural-Urban Migration, Childbearing Decision-Making, Fertility and Contraceptive Perspectives of Street Adolescents and Youth in Kampala, Uganda.Frontiers in reproductive health · 2022Article
- Venezuelan migrants and access to contraception in Colombia: A mixed research approach towards understanding patterns of inequality.Journal of migration and health · 2021Article
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Authors and funding
4 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundWhile the nexus of migration and health outcomes is well acknowledged, the effect of rural-urban migration on the use of sexual and reproductive health (SRH) services has received less attention. We assessed the effect of rural-urban migration on the use of SRH services, while controlling for confounding, and whether there is a difference in the use of SRH services among migrant and non-migrant street children and young adults.
methodsData were collected from 513 street children and young adults aged 12-24 years, using venue-based time-space sampling (VBTS). We performed multivariate logistic regression analysis using Stata 16.0 to identify factors associated with SRH services use, with rural-urban migration status as the main predictor. Participants were further classified as new migrants (≤ 2 years of stay in city), established migrants (> 2 years of stay in city) or non-migrants (lifelong native street children) with no rural-urban migration history.
resultsOverall, 18.13% of the street children and young adults had used contraception/family planning, 58.67% had tested for human immunodeficiency virus (HIV) and knew their status and 34.70% had been screened for sexually transmitted infections (STIs). Non-migrants were 2.70 times more likely to use SRH services (HIV testing, STI screening and family planning) compared to the migrants (aOR = 2.70, 95% CI 1.23-5.97). Other factors associated with SRH services use among street children and young adults include age (aOR = 4.70, 95% CI 2.87-7.68), schooling status (aOR = 0.33, 95% CI 0.15-0.76), knowledge of place of care (aOR = 2.71, 95% CI 1.64-4.46) and access to SRH information (aOR = 3.23, 95% CI 2.00-5.24).
conclusionsSRH services utilisation among migrant street children and young adults is low compared to their non-migrant counterparts and is independently associated with migration status, age, schooling status, knowledge of place of care and access to SRH information. Our findings call for the need to design and implement multi-dimensional interventions to increase the use of SRH services among street children and young adults, while taking into consideration their migration patterns.
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