Benedicto Mugabi|Miisa Nanyingi|Richard Kabanda|Juliet Ndibazza|Peter Elyanu|John Baptist Asiimwe|Gorret Nazziwa|Gilbert Habaasa|Adeodata Kekitiinwa
Prevalence and factors associated with sexual and reproductive health literacy among youth living with HIV in Uganda: a cross-sectional study
Uganda Martyrs University|Uganda Martyrs University|Uganda Martyrs University|Uganda Martyrs University|Baylor College of Medicine Children’s Foundation|Baylor College of Medicine Children’s Foundation
abstract background adequate sexual reproductive health literacy srhl among young people linked informed sexual behaviours studies srhl largely conducted among general adolescent population little known youth aged 1524 years living human immunodeficiency virus ylhiv possible lack srhl population considering high rate teenage pregnancies unprotected sex reported ylhiv study aimed assess prevalence associated personal environmental factors srhl among ylhiv highvolume urban hiv clinic uganda methods crosssectional survey ylhiv receiving routine hiv care services bayloruganda hiv clinic interviewed using adapted european health literacy survey hlseu using simple random sampling eligible youth received hiv care services august november 2019 enrolled study srhl scores computed using hlseu index method individuals whose scores ranged 34 50 considered health literate used descriptive statistics determine prevalence potential associated personal environmental factors plt005 identified performing twostep inferential statistics bivariate analysis binary logistic regression odds ratios calculated estimate likelihood youth health literate sexual reproductive health srh issues comparison reference categories 95 confidence intervals determined establish whether relationships statistically significant results 267 ylhiv interviewed bayloruganda hiv clinic 167 625 female mean age 189 years sd 28 majority 242 906 vertically infected hiv 52 195 health literate srh issues multivariate level ylhiv never difficulty accessing srh information 0391 times less likely health literate srh issues counterparts challenges accessing srh information adjusted odds ratio aor 0391 95 ci 0178 0860 p 0019 ylhiv find easy access srh care service points 2929 times likely literate srh found easy access services adjusted odds ratio aor 2929 95 ci 1241 6917 p0014 additionally ylhiv listen radio health talks 2406 times likely health literate srh issues aor 2406 95 ci 1133 5112 p0022 conclusions srhl unmet need among ylhiv 195 health literate srh issues could complicate achievement unaids sustainable development goal sdg hivaidsfree generation 2030 low health literacy hl skills affect efficacy almost hiv disease prevention health promotion efforts inaccessible srh care service points listening radio health talks positively associated srhl access srh information negatively associated srhl