Browsing by Author "Borne, Bart van den"
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Item Gender norms associated with adolescent sexual behaviors in Uganda(International Social Science Journal, 2019) Nalukwago, Judith; Crutzen, Rik; Borne, Bart van den; Mukisa Bukuluki, Paul; Bufumbo, Leonard; Burke, Holly McClain; Field, Samuel; Zikusooka, Amos; Fiedler, Anne Akia; Alaii, JaneGender norm attitudes and practices remain deeply entrenched in many African societies (Gibson et al. 2014; Wight et al. 2006). Countries driven by gender inequalities that constrain Judith Nalukwago, the lead author of this article, has a PhD in Public Health from the Faculty of Health, Medicine and Life Sciences of Maastricht University, The Netherlands. She is a health promotion scholar, practitioner and a behavioural scientist with grounded skills in both theoretical and practical implementation of social and behaviour change interventions. She has a background in monitoring, evaluation, research, learning/ knowledge management, and adolescent health programming from an academic and programme implementation perspective. Email: j.nalukwago@maastrichtuniversity.nl individual behaviour in sexual interactions often have the highest rates of HIV and teenage pregnancies (Hardee et al. 2014; Richards et al. 2013; Van den Berg et al. 2013). Women and girls face more gendered risks than their male counterparts, which affects their social, economic and political opportunities (Mbonye et al. 2012; UNAIDS 2016; UNICEF 2015)Item Socio-Cognitive Factors Associated With Condom Use, Multiple Sexual Partnerships, and Contraception Use Among Sexually-Active Adolescent Girls in Uganda(Global Journal of Health Science, 2018) Nalukwago, Judith; Crutzen, Rik; Borne, Bart van den; Bukuluki, Paul M.; Bufumbo, Leonard; Burke, Holly M.; Field, Samuel; Zikusooka, Amos; Fiedler, Anne A.; Alaii, JaneMany adolescent girls start sexual activity early which exposes them to health risks of HIV and unplanned pregnancies. However, adolescent girls are less likely than boys to initiate discussion or demand use of condoms. Multiple sexual partnerships among girls are reported to be on the rise with eminent transactional sex and pre-marital relationships. The unmet need for contraception among adolescent girls is also high. A cross-sectional survey covering 16 districts in Uganda assessed the socio-cognitive factors associated with condom use, multiple sexual partnerships and contraception use among sexually active adolescent girls (N=255). There were strong associations between feeling confident to discuss contraceptive methods with a partner (OR = 9.41, 95 % CI = 3.54, 25.06), being comfortable to use contraception (OR = 30.61, 95% CI = 4.10, 228.64), discussing contraception use with someone (OR = 10.53, 95% CI = 5.61, 19.78), and contraception use. Whereas knowledge was found to have no significant relationship with service uptake, information services remain important in clearing any misconceptions and addressing any health concerns. It is imperative to explore communication factors including skills development and providing adequate health information to guide dialogue among adolescents and their key influencers.