Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment
University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence o...
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creator | Kaggwa, Mark Mohan Muwanguzi, Moses Najjuka, Sarah Maria Nduhuura, Elicana Kajjimu, Jonathan Mamun, Mohammed A Arinaitwe, Innocent Ashaba, Scholastic Griffiths, Mark D |
description | University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence of ACEs and the family environment of these students in low-and medium-income countries (LMICs). Therefore, a pilot study was conducted among university students from a LMIC, Uganda.
The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18-22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ).
Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB.
The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS. |
doi_str_mv | 10.1371/journal.pone.0277129 |
format | Article |
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The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18-22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ).
Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB.
The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0277129</identifier><identifier>PMID: 36383509</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Adverse Childhood Experiences ; AIDS ; Alcohol use ; Biology and Life Sciences ; Childhood ; Childhood factors ; Children ; College students ; Colleges & universities ; Cross-Sectional Studies ; Disease transmission ; Domestic violence ; Environmental information ; Families & family life ; Female ; Females ; HIV ; Home environment ; Human immunodeficiency virus ; Humans ; Information ; Low income groups ; Male ; Males ; Medicine and Health Sciences ; Pilot Projects ; Polls & surveys ; Pregnancy ; Regression analysis ; Risk-Taking ; Sexual abuse ; Sexual Behavior ; Sexual intercourse ; Sexually transmitted diseases ; Social Sciences ; Sociodemographics ; STD ; Students ; Substance abuse ; Substance use ; Substance-Related Disorders - epidemiology ; Surveys ; Uganda - epidemiology ; Universities ; University students ; Variables ; Variance ; Young Adult ; Young adults</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0277129</ispartof><rights>Copyright: © 2022 Kaggwa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>2022 Kaggwa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Kaggwa et al 2022 Kaggwa et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-76da974424244220c4c788377cc85cbece800fb050ca6cce2069aefc8fdc76543</citedby><cites>FETCH-LOGICAL-c526t-76da974424244220c4c788377cc85cbece800fb050ca6cce2069aefc8fdc76543</cites><orcidid>0000-0002-7760-7535 ; 0000-0001-8880-6524 ; 0000-0002-4733-154X ; 0000-0002-1728-8966</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668123/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668123/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27321,27901,27902,33751,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36383509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaggwa, Mark Mohan</creatorcontrib><creatorcontrib>Muwanguzi, Moses</creatorcontrib><creatorcontrib>Najjuka, Sarah Maria</creatorcontrib><creatorcontrib>Nduhuura, Elicana</creatorcontrib><creatorcontrib>Kajjimu, Jonathan</creatorcontrib><creatorcontrib>Mamun, Mohammed A</creatorcontrib><creatorcontrib>Arinaitwe, Innocent</creatorcontrib><creatorcontrib>Ashaba, Scholastic</creatorcontrib><creatorcontrib>Griffiths, Mark D</creatorcontrib><title>Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence of ACEs and the family environment of these students in low-and medium-income countries (LMICs). Therefore, a pilot study was conducted among university students from a LMIC, Uganda.
The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18-22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ).
Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB.
The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adverse Childhood Experiences</subject><subject>AIDS</subject><subject>Alcohol use</subject><subject>Biology and Life Sciences</subject><subject>Childhood</subject><subject>Childhood factors</subject><subject>Children</subject><subject>College students</subject><subject>Colleges & universities</subject><subject>Cross-Sectional Studies</subject><subject>Disease transmission</subject><subject>Domestic violence</subject><subject>Environmental information</subject><subject>Families & family life</subject><subject>Female</subject><subject>Females</subject><subject>HIV</subject><subject>Home environment</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Information</subject><subject>Low income groups</subject><subject>Male</subject><subject>Males</subject><subject>Medicine and Health Sciences</subject><subject>Pilot Projects</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Regression analysis</subject><subject>Risk-Taking</subject><subject>Sexual abuse</subject><subject>Sexual Behavior</subject><subject>Sexual intercourse</subject><subject>Sexually transmitted diseases</subject><subject>Social Sciences</subject><subject>Sociodemographics</subject><subject>STD</subject><subject>Students</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Surveys</subject><subject>Uganda - epidemiology</subject><subject>Universities</subject><subject>University 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D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-11-16</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0277129</spage><pages>e0277129-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>University students are known to have risky sexual behaviours (RSBs). The severity of the RSB is influenced by many factors, including the family environment, exposure to adverse childhood events (ACEs), and the use of addictive substances. However, there is limited information about the influence of ACEs and the family environment of these students in low-and medium-income countries (LMICs). Therefore, a pilot study was conducted among university students from a LMIC, Uganda.
The present study comprised a cross-sectional online survey among Ugandan students at a public university (N = 316; 75% male; 52.2% aged between 18-22 years). The survey included questions relating to socio-demographic information, family environmental information, the Sexual Risk Survey (SRS), and the Adverse Childhood Experiences-International Questionnaire (ACE-IQ).
Over half (53.8%) reported having had sexual intercourse. Males reported over two times higher mean total SRS score compared to females (χ2 = 4.06, p = 0.044). Approximately one-sixth of the sample had drunk alcohol or used illicit psychoactive substances in the past six months (16.1%). Among four regression analysis models, sociodemographic variables predicted the highest variance (13%), followed by family environment variables (10%), and both psychoactive substance use history (past six months) and ACEs individually explained approximately 5% variance in total SRS score, with the final model predicting 33% of the variance in RSB.
The present study demonstrated a gender disparity with males involved in more RSB than females, as has been reported in most previous RSB studies. Family environment, sociodemographic factors, substance use, and ACEs all appear to contribute to RSB among university students. These findings will benefit other researchers exploring factors associated with RSB among university students and will help develop interventions to reduce RSB to protect students from unwanted pregnancies, sexually transmitted diseases, and HIV/AIDS.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36383509</pmid><doi>10.1371/journal.pone.0277129</doi><orcidid>https://orcid.org/0000-0002-7760-7535</orcidid><orcidid>https://orcid.org/0000-0001-8880-6524</orcidid><orcidid>https://orcid.org/0000-0002-4733-154X</orcidid><orcidid>https://orcid.org/0000-0002-1728-8966</orcidid><oa>free_for_read</oa></addata></record> |
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identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2022-11, Vol.17 (11), p.e0277129 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2737093127 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
subjects | Acquired immune deficiency syndrome Adolescent Adult Adverse Childhood Experiences AIDS Alcohol use Biology and Life Sciences Childhood Childhood factors Children College students Colleges & universities Cross-Sectional Studies Disease transmission Domestic violence Environmental information Families & family life Female Females HIV Home environment Human immunodeficiency virus Humans Information Low income groups Male Males Medicine and Health Sciences Pilot Projects Polls & surveys Pregnancy Regression analysis Risk-Taking Sexual abuse Sexual Behavior Sexual intercourse Sexually transmitted diseases Social Sciences Sociodemographics STD Students Substance abuse Substance use Substance-Related Disorders - epidemiology Surveys Uganda - epidemiology Universities University students Variables Variance Young Adult Young adults |
title | Risky sexual behaviours among Ugandan university students: A pilot study exploring the role of adverse childhood experiences, substance use history, and family environment |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T13%3A06%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risky%20sexual%20behaviours%20among%20Ugandan%20university%20students:%20A%20pilot%20study%20exploring%20the%20role%20of%20adverse%20childhood%20experiences,%20substance%20use%20history,%20and%20family%20environment&rft.jtitle=PloS%20one&rft.au=Kaggwa,%20Mark%20Mohan&rft.date=2022-11-16&rft.volume=17&rft.issue=11&rft.spage=e0277129&rft.pages=e0277129-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0277129&rft_dat=%3Cproquest_plos_%3E2737116868%3C/proquest_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2737093127&rft_id=info:pmid/36383509&rft_doaj_id=oai_doaj_org_article_2d4ea4e057604ade886c0422c6aa90db&rfr_iscdi=true |