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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Trends in HIV-related behaviors and knowledge in Uganda, 1989-2005: Evidence of a shift toward more risk-taking behaviors
Journal of Acquired Immune Deficiency Syndromes, Volume 49, No. 3, Year 2008
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Description
Objective(s): To describe recent trends in HIV-related behaviors and knowledge in Uganda between 1989 and 2005. Design: Population-based, cross-sectional national surveys of adult women and men. Methods: Trend analysis of selected HIV-related behavior and knowledge indicators, using data from the 2004-2005 Uganda HIV/AIDS Sero-Behavioral Survey and the 2000-2001, 1995, and 1988-1989 Uganda Demographic and Health. Surveys. Responses to similar questions across the different surveys were compared to determine trends in indicators. Results: HIV/AIDS knowledge increased to a high level by 2001 and remained stable thereafter. Some self-reported risk behaviors improved, whereas others deteriorated. Among 15- to 24-year-old women and men, primary abstinence increased, from. 23% in 1989 to 32% in 2005 and from 32% in 1995 to 42% in 2005, respectively. In men, there were increases in sex with multiple partners and sex with nonspousal partners, although reported condom use during nonspousal sex declined. Of men aged 15-49 years, self-reported multiple sex partnership increased from 24% in 2001 to 29% in 2005 and nonspousal sex increased from 28% in 2001 to 37% in 2005. Between 2001 and 2005, condom use during last nonspousal sex declined, from 65% to 55% in men aged 15-24 years. Conclusions: Although substantial improvements in HIV-related risk behaviors and knowledge occurred since 1989, recent increases in some HIV-related risk behaviors were observed, indicating a shift toward more risk-taking behaviors. Prevention efforts should be reinvigorated to address this, otherwise the past success in the HIV fight will be reversed. Monitoring of HIV-related indicators should be continued. Copyright © 2008 Lippincott Williams & Wilkins.
Authors & Co-Authors
Opio, Alex A.
Uganda, Kampala
Uganda Ministry of Health
Mishra, Vinod K.
United States, Calverton
Macro International Inc.
Hong, Rathavuth
United States, Calverton
Macro International Inc.
Musinguzi, Joshua B.
Uganda, Kampala
Uganda Ministry of Health
Kirungi, Wilford L.
Uganda, Kampala
Uganda Ministry of Health
Cross, Anne
United States, Calverton
Macro International Inc.
Mermin, Jonathan H.
Kenya, Nairobi
Us Centers of Disease Control and Prevention
Bunnell, Rebecca E.
Kenya, Nairobi
Us Centers of Disease Control and Prevention
Statistics
Citations: 34
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1097/QAI.0b013e3181893eb0
ISSN:
15254135
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Male
Female