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HIV, ABC and DHS: age at first sex in Uganda
Authors: M Gersovitz
Source: Sexually Transmitted Infections, 83(2): 165–168, doi: 10.1136/sti.2006.021576
Topic(s): First intercourse
HIV/AIDS
Country: Africa
  Uganda
Published: APR 2007
Abstract: Although the DHSs for Uganda provide evidence of an upward trend in age at first sex between 1995 and 2000, they also provide evidence of bias in either response or sample membership sufficient to offset all evidence of trend for men and much of the evidence for women. These data therefore do not provide evidence that Ugandans are responding to the HIV epidemic by prolonging abstinence. The Abstain-Be-Faithful-Condoms (ABC) approach to prevent HIV emphasises the delaying of age at first sex. To investigate adoption of the ABC approach, Zaba et al1estimated the median age at first sex from the DHSs. They inferred that this median has increased. Gersovitz,2 however, showed that the bias in response could account for the deferral of first sex in several DHSs. This paper scrutinises two DHSs for Uganda, an oft-cited example of the success of ABC,3 and argues against the findings of Zaba et al…..