Risky Sexual Practices among Adolescents Living with HIV Accessing HIV and AIDS Care Services at Health Facilities in the Central Region of Uganda

Abstract

Results: Overall, 47.7% of adolescents living with HIV have ever been in a sexual relationship with a higher likelihood among females (RR 1.51; p =0.0014). Peer pressure was the major cause of the sexual relationships (54.6%). 16.6% of them had non penetrative sexual activities only. Those in urban areas had a higher likelihood of not engaging in sexual relationship than those from rural areas (RR 0.59; p =0.0032). Over 35% of the respondents were sexually active with females showing a greater likelihood (RR 1.65; p =0.0035). More to that those older than 17 years had a higher likelihood of being sexually active than those 17 years and younger (RR 3.64; pvalue =0.0000). About 66.7% had disclosed their HIV status to sexual partners, 84.3% were of the same HIV status as their sexual partners (p =0.002). 36% of those who had not disclosed to their partners felt guilty. Males had a higher likelihood of having sexual partners of the same HIV status (RR 1.39; p =0.02). Only 41.9% used condoms during last sexual activity and 87.2% had one sexual partner. About 33.6% had first sexual debut when they were below 15years with (females 25.2%, males 8.4%, p =0.87).