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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Veröffentlicht in:PloS one 2022-11, Vol.17 (11), p.e0277129
Hauptverfasser: Kaggwa, Mark Mohan, Muwanguzi, Moses, Najjuka, Sarah Maria, Nduhuura, Elicana, Kajjimu, Jonathan, Mamun, Mohammed A, Arinaitwe, Innocent, Ashaba, Scholastic, Griffiths, Mark D
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container_issue 11
container_start_page e0277129
container_title PloS one
container_volume 17
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
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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. 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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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1932-6203
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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
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