Independent effects of reported sexually transmitted infections and sexual behavior on HIV-1 prevalence among adult women, men, and teenagers in rural Uganda

More search options...

Carpenter, LM; Kamali, A; Payne, M; Kiwuuwa, S; Kintu, P; Nakiyingi, J; Kinsman, J; Nalweyiso, N; Quigley, MA; Kengeya-Kayondo, JF; Whitworth, JAG; (2002) Independent effects of reported sexually transmitted infections and sexual behavior on HIV-1 prevalence among adult women, men, and teenagers in rural Uganda. Journal of acquired immune deficiency syndromes (1999), 29 (2). pp. 174-80. ISSN 1525-4135

Full text not available from this repository.

Abstract

OBJECTIVE: To assess whether sexually transmitted infections (STIs) and sexual behavior are independently associated with HIV-1 among adult women, men, and teenagers in rural Uganda. DESIGN: Cross-sectional survey. METHODS: All adults (13 years and older) residing in 18 communities were invited to participate. HIV status was determined from serum samples and data collected during confidential interview. Independent effects of risk factors for HIV were estimated using adjusted odds ratios (ORs) with 95% confidence intervals (CIs) from logistic regression. RESULTS: Women reporting genital ulcers in the last 12 months were over twice as likely to be HIV positive after adjustment for sociodemographic factors and number of lifetime sexual partners (OR, 2.5; 95% CI, 1.9-3.4). Equivalent associations were stronger for men (OR, 3.2; 95% CI, 2.2-4.7) but weaker for teenagers (OR, 2.0, 95% CI, 0.5-8.7). Number of lifetime sexual partners was associated ( p <.05) with HIV status for women, men, and teenagers independently of reported genital ulcers. Teenagers reporting casual partners were over four times ( p <.001), and men reporting condom use almost twice ( p <.001), as likely to be HIV positive. Neither history of genital discharge nor other measures of sexual behavior were independently related to HIV status. CONCLUSION: Reported STIs and sexual behavior are independently associated with HIV in rural Uganda. Community-based interventions to reduce HIV should target both and should include teenagers.

Item Type:	Article
Keywords:	HIV prevalence, rural Uganda, general population, adults, teenagers, reported sexually transmitted infections, reported, sexual behavior, Randomized controlled trial, sub-saharan africa, risk-factors, tanzania, population, community, diseases, region, urban, epidemiology, Adolescent, Adult, Cross-Sectional Studies, Female, HIV Infections, epidemiology, HIV-1, Human, Male, Middle Age, Prevalence, Risk Factors, Rural Population, trends, Sex Behavior, Sexually Transmitted Diseases, epidemiology, Uganda, epidemiology
Faculty and Department:	Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012) Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre:	Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID:	11832688
Web of Science ID:	173890200011
URI:	http://researchonline.lshtm.ac.uk/id/eprint/16699

Statistics

Item downloaded times since 17 Oct 2011 22:08.

View statistics for "Independent effects of reported sexually transmitted infections and sexual behavior on HIV-1 prevalence among adult women, men, and teenagers in rural Uganda"

Actions (login required)

Edit Item