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Title Intimate partner violence, HIV and sexually transmitted infections in fishing, trading and agrarian communities in Rakai, Uganda.
Full text https://escholarship.org/uc/item/2cv5086k
Date 2019
Author(s) Sabri, Bushra; Wirtz, Andrea L; Ssekasanvu, Joseph; Nonyane, Bareng AS; Nalugoda, Fred; Kagaayi, Joseph; Ssekubugu, Robert; Wagman, Jennifer A
Abstract BackgroundIntimate partner violence (IPV), HIV and sexually transmitted infections (STI) can contribute to disparities in population health, depending on the individual, social and environmental factors characterizing a setting. To better understand the place-based determinants and patterns of these key interrelated public health problems in Uganda, we compared risk factors for IPV, HIV and STI in fishing, trading and agrarian communities in Rakai, Uganda by gender.MethodThis study used cross-sectional data collected from 14,464 sexually active men (n = 6531) and women (n = 7933) as part of the Rakai Community Cohort Study, a population-based open cohort study of men and women aged 15-49 years. We used multilevel modified poisson regression models, which incorporated random intercepts for community and households. Factors associated with IPV, HIV and STI were assessed separately for men and women in fishing, trading and agrarian communities.ResultsA larger proportion of participants in the fishing communities than those in trading and agrarian communities were HIV positive, engaged in HIV risk behaviors, had STI symptoms and reported perpetration of or victimization by IPV. Female gender was a shared correlate of IPV, HIV and STI in the fishing communities. Engagement in multiple sexual relationships or partner's engagement in multiple relationships were shared correlates of IPV, and HIV in agrarian communities and IPV and STI in trading communities.ConclusionPrograms should target factors at multiple levels to reduce risk for syndemic conditions of HIV, STI and IPV in Rakai, Uganda particularly among men and women in fishing communities.
Subject(s) Humans; HIV; Sexually Transmitted Diseases; HIV Infections; Risk Factors; Regression Analysis; Poisson Distribution; Cohort Studies; Cross-Sectional Studies; Commodification; Sex Factors; Agriculture; Adolescent; Adult; Middle Aged; Sexual Partners; Uganda; Female; Male; Young Adult; Intimate Partner Violence; Intimate partner violence; Sexually transmitted infections; Behavioral and Social Science; HIV/AIDS; Prevention; Violence Research; Infectious Diseases; Violence Against Women; Mental Health; Sexually Transmitted Infections; Clinical Research; Aetiology; 2.3 Psychological; social and economic factors; Infection; Peace; Justice and Strong Institutions; Public Health and Health Services; Public Health
Coverage 594
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source BMC public health, vol 19, iss 1
Rights public
Identifier qt2cv5086k
Repository Berkeley - University of California
Added to C-A: 2022-08-31;09:39:52