Exploring associations between adolescent sexual and reproductive health stigma and HIV testing awareness and uptake among urban refugee and displaced youth in Kampala, Uganda

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dc.contributor.authorLogie, Carmen H.
dc.contributor.authorOkumu, Moses
dc.contributor.authorMwima, Simon P.
dc.contributor.authorKyambadde, Peter
dc.contributor.authorKibathi, Irungu Peter
dc.contributor.authorKironde, Emmanuel
dc.contributor.authorMusinguzi, Joshua
dc.contributor.authorKipenda, Claire Uwase
dc.contributor.authorHakiza, Robert
dc.date.accessioned2023-05-22T17:33:16Z
dc.date.available2023-05-22T17:33:16Z
dc.date.issued2019
dc.description.abstractUganda, hosting over 1.3 million refugees, is a salient context for exploring HIV testing with urban refugee and displaced youth. We examined associations between stigma (HIV-related and adolescent sexual and reproductive health [SRH]-related) and HIV testing services awareness and HIV testing uptake among urban refugee and displaced youth in Kampala, Uganda. We implemented a cross-sectional survey with refugee and displaced adolescent girls and young women (AGYW) and adolescent boys and young men (ABYM) aged 16-24. We conducted exploratory and confirmatory factor analysis of an adolescent SRH stigma scale and identified a two-factor structure (“Sexual activity & pregnancy stigma”,”Modern family planning & abortion stigma”). We conducted multivariable logistic regression analysis to determine the adjusted risk ratio for HIV testing services awareness and testing uptake. Among participants (n=445; mean age=19.59, SD=2.60; AGYW: n=333; 74.7%), two-thirds were aware of HIV testing services in their community and over half (56.0%) had received a lifetime HIV test. In adjusted multivariable regression analysis findings with AGYW: (a) higher sexual activity & pregnancy stigma and modern family planning & abortion stigma were associated with reduced odds of HIV testing services awareness, and (b) modern family planning & abortion stigma was associated with reduced lifetime HIV testing odds. Stigma was not associated with HIV testing awareness/uptake among ABYM. HIV testing services awareness among AGYW was lower than among ABYM, yet AGYW were more likely to have been tested and to experience adolescent SRH stigma as a testing barrier. Addressing adolescent SRH stigma may optimise AGYW's HIV testing.en_US
dc.identifier.citationLogie, C. H., Okumu, M., Mwima, S. P., Kyambadde, P., Hakiza, R., Kibathi, I. P., ... & Kipenda, C. U. (2019). Exploring associations between adolescent sexual and reproductive health stigma and HIV testing awareness and uptake among urban refugee and displaced youth in Kampala, Uganda. Sexual and Reproductive Health Matters, 27(3), 86-106.https://doi.org/10.1080/26410397.2019.1695380en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/8781
dc.language.isoenen_US
dc.publisherSexual and Reproductive Health Mattersen_US
dc.subjectrefugeeen_US
dc.subjectadolescents and youthen_US
dc.subjectHIV testingen_US
dc.subjectstigmaen_US
dc.titleExploring associations between adolescent sexual and reproductive health stigma and HIV testing awareness and uptake among urban refugee and displaced youth in Kampala, Ugandaen_US
dc.typeArticleen_US
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