Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda
Background: People with disability are a vulnerable population and are at a high risk of acquiring human immunodeficiency virus (HIV) infection. Objectives: We investigated the association between severity of disability and not having knowledge of any HIV prevention method among adults in Uganda....
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2024-12-01
|
| Series: | African Journal of Disability |
| Subjects: | |
| Online Access: | https://ajod.org/index.php/ajod/article/view/1497 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850250980578295808 |
|---|---|
| author | Joseph O. Mugisha Ronald Makanga Beatrice W. Kimono Ivan Kasamba |
| author_facet | Joseph O. Mugisha Ronald Makanga Beatrice W. Kimono Ivan Kasamba |
| author_sort | Joseph O. Mugisha |
| collection | DOAJ |
| description | Background: People with disability are a vulnerable population and are at a high risk of acquiring human immunodeficiency virus (HIV) infection.
Objectives: We investigated the association between severity of disability and not having knowledge of any HIV prevention method among adults in Uganda.
Method: Between January 2015 and December 2015, data were collected within a general population in Uganda, on six domains of disability based on the Washington Group Short Set on Functioning. In addition, routine data on socio-demographic factors and other HIV-related data were collected among adults aged 16 years and above. A continuum of functioning was developed: without disability, mild, moderate and severe. Bivariate and multivariate associations of disability and not knowing any HIV prevention method were fitted using logistic regression models.
Results: A total of 3,331 adults (60.4% female) were included. Of these, 14.5% (n = 482) were classified as having either moderate or severe disability, and this proportion exponentially increased with age (p 0.001). Overall, 4.2% (n = 140) reported not knowing any HIV prevention method, with a slightly higher proportion among females than males (3.1% in males, 4.9% in females). Compared to people with no disability, those with moderate or severe disability were 5 times more unlikely to know any HIV prevention methods (adjusted odds ratio = 5.45, 95% confidence interval = 3.25 -9.13, p 0.001). Additionally, the combined effect of moderate and severe disability and none/incomplete primary education increased the likelihood of not knowing HIV prevention methods over and beyond their separate effects (p 0.001).
Conclusion: Effective HIV prevention strategies must integrate best practices that target people with disabilities.
Contribution: These findings contribute to the evidence of the lack of HIV prevention knowledge among people with disabilities in general populations. |
| format | Article |
| id | doaj-art-b6e48e52b94f4408b0fc61ed6aecf929 |
| institution | OA Journals |
| issn | 2223-9170 2226-7220 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Disability |
| spelling | doaj-art-b6e48e52b94f4408b0fc61ed6aecf9292025-08-20T01:58:03ZengAOSISAfrican Journal of Disability2223-91702226-72202024-12-01130e1e810.4102/ajod.v13i0.1497428Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in UgandaJoseph O. Mugisha0Ronald Makanga1Beatrice W. Kimono2Ivan Kasamba3Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Research Unit, EntebbeMedical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Research Unit, EntebbeMedical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Research Unit, EntebbeMedical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine, Uganda Research Unit, EntebbeBackground: People with disability are a vulnerable population and are at a high risk of acquiring human immunodeficiency virus (HIV) infection. Objectives: We investigated the association between severity of disability and not having knowledge of any HIV prevention method among adults in Uganda. Method: Between January 2015 and December 2015, data were collected within a general population in Uganda, on six domains of disability based on the Washington Group Short Set on Functioning. In addition, routine data on socio-demographic factors and other HIV-related data were collected among adults aged 16 years and above. A continuum of functioning was developed: without disability, mild, moderate and severe. Bivariate and multivariate associations of disability and not knowing any HIV prevention method were fitted using logistic regression models. Results: A total of 3,331 adults (60.4% female) were included. Of these, 14.5% (n = 482) were classified as having either moderate or severe disability, and this proportion exponentially increased with age (p 0.001). Overall, 4.2% (n = 140) reported not knowing any HIV prevention method, with a slightly higher proportion among females than males (3.1% in males, 4.9% in females). Compared to people with no disability, those with moderate or severe disability were 5 times more unlikely to know any HIV prevention methods (adjusted odds ratio = 5.45, 95% confidence interval = 3.25 -9.13, p 0.001). Additionally, the combined effect of moderate and severe disability and none/incomplete primary education increased the likelihood of not knowing HIV prevention methods over and beyond their separate effects (p 0.001). Conclusion: Effective HIV prevention strategies must integrate best practices that target people with disabilities. Contribution: These findings contribute to the evidence of the lack of HIV prevention knowledge among people with disabilities in general populations.https://ajod.org/index.php/ajod/article/view/1497hivdisabilityadultsgeneral populationuganda. |
| spellingShingle | Joseph O. Mugisha Ronald Makanga Beatrice W. Kimono Ivan Kasamba Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda African Journal of Disability hiv disability adults general population uganda. |
| title | Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda |
| title_full | Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda |
| title_fullStr | Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda |
| title_full_unstemmed | Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda |
| title_short | Leaving no one behind: Disability and HIV prevention, knowledge among adults in a population cohort in Uganda |
| title_sort | leaving no one behind disability and hiv prevention knowledge among adults in a population cohort in uganda |
| topic | hiv disability adults general population uganda. |
| url | https://ajod.org/index.php/ajod/article/view/1497 |
| work_keys_str_mv | AT josephomugisha leavingnoonebehinddisabilityandhivpreventionknowledgeamongadultsinapopulationcohortinuganda AT ronaldmakanga leavingnoonebehinddisabilityandhivpreventionknowledgeamongadultsinapopulationcohortinuganda AT beatricewkimono leavingnoonebehinddisabilityandhivpreventionknowledgeamongadultsinapopulationcohortinuganda AT ivankasamba leavingnoonebehinddisabilityandhivpreventionknowledgeamongadultsinapopulationcohortinuganda |