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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
High HIV incidence and socio-behavioral risk patterns in fishing communities on the shores of Lake Victoria, Uganda
Sexually Transmitted Diseases, Volume 39, No. 6, Year 2012
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Description
Background: We report on HIV acquisition and its associated risk factors in 5 fishing communities on the shores of Lake Victoria in Uganda. A cohort of 1000 HIV-uninfected at-risk volunteers aged 13 to 49 years were recruited in 2009 and followed up for 18 months. Methods: At enrollment and semiannual visits, socio-demographic and risk behavior data were collected through a structured questionnaire and blood samples tested for HIV and syphilis. Detailed life histories were collected from 78 volunteers using in-depth interviews. Results: Of the 1000 volunteers enrolled, 919 (91.9%) were followed up, with 762 (76.2%) reaching the study end points (either seroconverted or completed 4 visits). There were 59 incident cases in 1205.6 person-years at risk (PYAR), resulting in an incidence rate of 4.9 (95% CI = 3.8 to 6.3) per 100 PYAR. The highest HIV incidence rates were among those working in bars (9.8/100 PYAR [4.7-20.6]), protestants (8.6/100 PYAR [5.8-12.7]), those aged 13 to 24 years (7.5/100 PYAR [5.2-11.0]), and new immigrants (6.6/100 PYAR [4.9-8.9]). HIV infection was independently associated with being young (adjusted hazard ratio (aHR) = 2.5 [95% CI = 1.3-4.9]), reporting genital sores/discharge recently (aHR = 2.8 [1.6-5.0]), regular alcohol consumption (aHR = 3.3 [1.6-6.1]), use of marijuana (aHR = 2.9 [1.0-8.0]), cigarette smoking (aHR = 3.6 [1.4-9.3]), and religion (compared with Catholics, Protestants had aHR = 2.7 [1.4-5.3] and Muslims had aHR = 2.3 [1.1-4.8]). Conclusions: These fishing communities experienced high HIV infection, which was mainly explained by high-risk behavior. There is an urgent need to target HIV prevention and research efforts to this vulnerable and neglected group. © 2012 American Sexually Transmitted Diseases Association All rights reserved.
Authors & Co-Authors
Seeley, Janet A.
Unknown Affiliation
Nakiyingi-Miiro, Jessica
Unknown Affiliation
Kamali, Anatoli
Unknown Affiliation
Mpendo, Juliet
Unknown Affiliation
Asiki, Gershim
Unknown Affiliation
Abaasa, Andrew M.
Unknown Affiliation
De Bont, Jan
Unknown Affiliation
Nielsen, Leslie Elizabeth
Unknown Affiliation
Kaleebu, Pontiano P.
Unknown Affiliation
Statistics
Citations: 135
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1097/OLQ.0b013e318251555d
ISSN:
01485717
e-ISSN:
15374521
Research Areas
Environmental
Infectious Diseases
Sexual And Reproductive Health
Substance Abuse
Study Design
Cohort Study
Study Approach
Qualitative
Study Locations
Uganda