Intimate partner violence, HIV and sexually transmitted infections in fishing, trading and agrarian communities in Rakai, Uganda

BMC Public Health

Jennifer A. Wagman¹  Andrea L. Wirtz²  Joseph Ssekasanvu²  Bareng A. S. Nonyane²  Bushra Sabri³  Joseph Kagaayi⁴  Fred Nalugoda⁴  Robert Ssekubugu⁴ 

[1] 0000 0001 2107 4242, grid.266100.3, Division of Global Public Health, University of California, San Diego, USA;0000 0001 2171 9311, grid.21107.35, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, MD-21205, Baltimore, USA;0000 0001 2171 9311, grid.21107.35, School of Nursing, Johns Hopkins University, 525 North Wolfe Street, Room 456, MD-21205, Baltimore, USA;0000 0004 1790 6116, grid.415861.f, Rakai Health Sciences Program, Uganda Virus Research Institute, P.O. Box 49, Nakiwogo Road, Entebbe, Uganda;

关键词: Intimate partner violence;    HIV;    Sexually transmitted infections;   

DOI  :  10.1186/s12889-019-6909-8

来源: publisher

【 摘 要 】

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.

【 授权许可】

CC BY