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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV seroprevalence, associated risk behavior, and alcohol use among male Rwanda Defense Forces military personnel
AIDS and Behavior, Volume 17, No. 5, Year 2013
Notification
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Description
A cross-sectional study was conducted among active-duty male soldiers, aged ≥21 years, in the Rwanda Defense Forces (RDF) and included an anonymous behavioral survey and HIV rapid testing to determine risk factors associated with HIV seroprevalence. Overall prevalence was 2.6 % (95 % CI: 1.84-3.66); personnel who were divorced, separated or widowed, served ≥6 years, never deployed, uncircumcised, reported STI symptoms, had ≥6 lifetime sex partners, or screened positive for harmful alcohol use (via Alcohol Use Disorders Identification Test) had higher HIV prevalence. Ever being divorced, separated or widowed (OR = 29.8; 95 % CI: 5.5-159.9), and STI symptoms (OR = 3.4; 95 % CI: 1.5-7.6) were significantly associated with infection, after multivariable adjustment, while circumcision was protective (OR = 0.4; 95 % CI: 0.2-0.9). Despite mobility and other factors that uniquely influence HIV transmission in militaries, RDF prevalence was similar to the general population. A reason for this finding may be conservative sexual behavior combined with effective leadership-supported prevention programs. Data suggest a concentrated rather than generalized epidemic, with targets identified for intervention. © 2012 Springer Science+Business Media New York.
Authors & Co-Authors
Harbertson, Judith
United States, San Diego
Naval Medical Center San Diego
United States, Rockville
Henry Jackson Foundation
Grillo, Michael P.
United States, San Diego
Naval Medical Center San Diego
Zimulinda, Eugene
Rwanda, Kigali
Us Embassy
Murego, Charles
Rwanda, Kigali
Rwanda Defense Forces
Brodine, Stephanie K.
United States, San Diego
Naval Medical Center San Diego
May, Susanne J.
United States, Seattle
University of Washington
Sebagabo, Marcellin
Rwanda, Kigali
Rwanda Defense Forces
Araneta, Maria Rosario G.
United States, La Jolla
University of California, San Diego
Cronan, Terry
United States, San Diego
San Diego State University
Shaffer, Richard A.
United States, San Diego
Naval Medical Center San Diego
Statistics
Citations: 14
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.1007/s10461-012-0343-6
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Substance Abuse
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Rwanda
Participants Gender
Male