HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY
Background and Objectives: HIV infection among vulnerable women (VW) has been attributed to unfavourable power relations and limited access to sexual and reproductive health information and services. Aim of this work is to report sexually-transmitted infections (STI) prevalence and to assess the imp...
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PAGEPress Publications
2021-08-01
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| Series: | Mediterranean Journal of Hematology and Infectious Diseases |
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| Online Access: | https://www.mjhid.org/index.php/mjhid/article/view/4670 |
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| author | Francesco Vladimiro Segala Giulia Micheli Cristina Seguiti Andrea Pierantozzi Robert Lukwiya Benson Odong Francesco Aloi Emmanuel Ochola Roberto Cauda Katleen De gaetano Donati Antonella Cingolani |
| author_facet | Francesco Vladimiro Segala Giulia Micheli Cristina Seguiti Andrea Pierantozzi Robert Lukwiya Benson Odong Francesco Aloi Emmanuel Ochola Roberto Cauda Katleen De gaetano Donati Antonella Cingolani |
| author_sort | Francesco Vladimiro Segala |
| collection | DOAJ |
| description | Background and Objectives: HIV infection among vulnerable women (VW) has been attributed to unfavourable power relations and limited access to sexual and reproductive health information and services. Aim of this work is to report sexually-transmitted infections (STI) prevalence and to assess the impact of HIV awareness, demographic and socio-behavioural factors in a rural area of northern Uganda.
Methods: Pe Atye Kena is a longitudinal cohort, intervention study enrolling young women aged 18-49 years old living in the municipality of Gulu, Uganda. HIV, HBV, syphilis serologic tests and electronic comprehensive questionnaire on sexual high-risk behaviours were administered. Statistical analysis was performed by uni- and multivariable regression models.
Results: 461 VW were enrolled (mean age: 29 (SD7.7)). 40 (8.5%) were found to be positive for HIV, 42 (9.1%) for syphilis and 29 (6.3%) for HBV. Older age (> 34 years vs < 24 years; OR 4.95, 95% CI: 1.7 to 14); having done the last HIV test > 12m before the interview (OR 5.21, 95% CI: 2.3 to 11); suspecting the male sexual partner to be HIV+ (OR 2.2; 95% CI: 1.1 to 4.3); not having used condom at first sexual intercourse (OR 2.6; 95% CI 1.3 to 5.15) were all factors associated with an incident HIV diagnosis.
Conclusions: In this cohort, HIV prevalence is high and sexual high-risk behaviors are multifaced; future interventions will be aimed to reduce HIV/STIs misconceptions and to promote a sense of community, self-determination and female empowerment. |
| format | Article |
| id | doaj-art-b0c917ca73a64d90adecbfa77cc98332 |
| institution | OA Journals |
| issn | 2035-3006 |
| language | English |
| publishDate | 2021-08-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Mediterranean Journal of Hematology and Infectious Diseases |
| spelling | doaj-art-b0c917ca73a64d90adecbfa77cc983322025-08-20T02:08:34ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062021-08-0113110.4084/MJHID.2021.055HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDYFrancesco Vladimiro Segala0Giulia Micheli1Cristina Seguiti2Andrea Pierantozzi3Robert Lukwiya4Benson Odong5Francesco Aloi6Emmanuel Ochola7Roberto Cauda8Katleen De gaetano Donati9Antonella Cingolani10a:1:{s:5:"en_US";s:78:"Catholic University of the Sacred Heart, Infectious Diseases Unit, Rome, Italy";}Catholic University of the Sacred Heart, Infectious Diseases Unit, 00168, Roma, ItalyCatholic University of the Sacred Heart, Infectious Diseases Unit, 00168, Roma, ItalyAIFA-Italian Medicine Agency, 00187, Roma, ItalyComboni Samaritans of Gulu Health Center, 701102, Gulu, UgandaMedical Teams International, Kitgum, Uganda, Università Cattolica S. Cuore, Special Medical Pathology, 00168, Roma, Italy, Lacor Hospital, Department of HIV, Epidemiology and Documentation, Gulu, UgandaCatholic University of the Sacred Heart, Infectious Diseases Unit, 00168, Roma, ItalyCatholic University of the Sacred Heart, Infectious Diseases Unit, 00168, Roma, ItalyCatholic University of the Sacred Heart, Infectious Diseases Unit, 00168, Roma, ItalyBackground and Objectives: HIV infection among vulnerable women (VW) has been attributed to unfavourable power relations and limited access to sexual and reproductive health information and services. Aim of this work is to report sexually-transmitted infections (STI) prevalence and to assess the impact of HIV awareness, demographic and socio-behavioural factors in a rural area of northern Uganda. Methods: Pe Atye Kena is a longitudinal cohort, intervention study enrolling young women aged 18-49 years old living in the municipality of Gulu, Uganda. HIV, HBV, syphilis serologic tests and electronic comprehensive questionnaire on sexual high-risk behaviours were administered. Statistical analysis was performed by uni- and multivariable regression models. Results: 461 VW were enrolled (mean age: 29 (SD7.7)). 40 (8.5%) were found to be positive for HIV, 42 (9.1%) for syphilis and 29 (6.3%) for HBV. Older age (> 34 years vs < 24 years; OR 4.95, 95% CI: 1.7 to 14); having done the last HIV test > 12m before the interview (OR 5.21, 95% CI: 2.3 to 11); suspecting the male sexual partner to be HIV+ (OR 2.2; 95% CI: 1.1 to 4.3); not having used condom at first sexual intercourse (OR 2.6; 95% CI 1.3 to 5.15) were all factors associated with an incident HIV diagnosis. Conclusions: In this cohort, HIV prevalence is high and sexual high-risk behaviors are multifaced; future interventions will be aimed to reduce HIV/STIs misconceptions and to promote a sense of community, self-determination and female empowerment.https://www.mjhid.org/index.php/mjhid/article/view/4670Sexually transmitted infectionsFemale empowermentUgandaHIV |
| spellingShingle | Francesco Vladimiro Segala Giulia Micheli Cristina Seguiti Andrea Pierantozzi Robert Lukwiya Benson Odong Francesco Aloi Emmanuel Ochola Roberto Cauda Katleen De gaetano Donati Antonella Cingolani HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY Mediterranean Journal of Hematology and Infectious Diseases Sexually transmitted infections Female empowerment Uganda HIV |
| title | HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY |
| title_full | HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY |
| title_fullStr | HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY |
| title_full_unstemmed | HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY |
| title_short | HIGH-RISK SEXUAL BEHAVIOURS AMONG VULNERABLE WOMEN IN NORTHERN UGANDA, BASELINE RESULTS FROM PE ATYE KENA COHORT STUDY |
| title_sort | high risk sexual behaviours among vulnerable women in northern uganda baseline results from pe atye kena cohort study |
| topic | Sexually transmitted infections Female empowerment Uganda HIV |
| url | https://www.mjhid.org/index.php/mjhid/article/view/4670 |
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