ArticleHIV/AIDS (Auckland, N.Z.)2026
Factors Associated with Condom Use Among HIV-Positive Adolescents in Eastern Uganda.
Article in HIV/AIDS (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Adolescents increasingly contribute to the global HIV epidemic, and the low HIV testing rates heighten transmission risks. Condom use is crucial in preventing HIV transmission and drug-resistant strains, yet its consistency among HIV-positive adolescents on antiretroviral therapy (ART) remains uncertain. This study investigates the prevalence of condom use and predictors among HIV-positive adolescents attending ART clinic in Uganda. Methods: A cross-sectional study was conducted from January to March 2025 among 165 HIV-positive adolescents (aged 10-19 years) at Tororo General Hospital ART clinic. Structured questionnaires were used for data collection, and multivariable logistic regression was used to determine predictors of condom use, using SPSS version 27. Results: Condom use prevalence was low at 10.9% among HIV-positive adolescents. On multivariable logistic regression, significant predictors of condom use included urban residence (aOR 2.67, 95% CI: 1.42-4.98), older age (15-19 years) (aOR 1.48, 95% CI: 1.12-2.36), secondary education (aOR 1.31, 95% CI: 1.02-2.62), Muslim religion (aOR 3.76, 95% CI: 1.98-6.75), having three or more sexual partners (aOR 2.17, 95% CI: 1.14-3.87), being on ART for more than five years (aOR 3.73, 95% CI: 1.15-6.21), and drug use (aOR 1.37, 95% CI: 1.16-2.11). Nearly all participants (99.4%) reported lack of access to free condoms, while 75.8% had never received counseling on condom use. Conclusion: Condom use among HIV-positive adolescents in Tororo district remains alarmingly suboptimal. Enhancing access to condoms, integrating targeted sexual health education, and addressing sociocultural barriers through community-based interventions are critical. Future research should explore tailored strategies to improve condom adherence in this population.
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