Risk factors for HIV-1 infection in adults in a rural Ugandan community:A population study

Nunn, Andrew J., Kengeya-Kayondo, Jane F., Malamba, Sam S., Seeley, Janet A. and Mulder, Daan W. (1994) Risk factors for HIV-1 infection in adults in a rural Ugandan community:A population study. AIDS, 8 (1). pp. 81-86. ISSN 0269-9370

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Abstract

Objective: To determine sociodemographic risk factors associated with HIV-1 infection in a rural Ugandan population. Design: A population-based survey. Methods: All adult residents (aged = 13 years) in a cluster of 15 neighbouring villages of the Masaka District of south-west Uganda were invited to participate in a sociodemographic and serological survey. Questions relating to sexual behaviour were asked separately in an accompanying case-control study. Socioeconomic data and an unambiguous HIV-1 serostatus were obtained by house-to-house survey for 3809 (72%) of the adult population. The association between serostatus and the following variables were analysed: age, sex, marital status, tribe, religion, education, occupational group, place and frequency of travel and recent history of sexually transmitted disease. Results: Women aged 13-21 years were at a much higher risk than men of the same age [odds ratio (OR), 8.6; 95% confidence interval (CI), 3.0-24.5]. Married people aged <25 years were twice as likely to be infected as those who were not currently married (OR, 2.3; 95% CI, 1.5-3.7). In contrast, in those aged > 25 years, women were at a lower risk than men (OR, 0.72; 95% CI, 0.52-0.98) as were those who were currently married compared with those who were not (OR, 0.47; 95% CI, 0.34-0.64). In both age groups those with a history of a recent genital ulcer were approximately three times more likely to be infected. Muslims had lower risks than non-Muslims (OR, 0.58 for both age groups). Conclusions: The people most at risk of HIV-1 infection in this rural Ugandan population are young married women who had, presumably, commenced sexual activity recently.

Item Type: Article
Uncontrolled Keywords: hiv-1 infection,risk factors,rural population,uganda
Faculty \ School: Faculty of Social Sciences > School of International Development
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Depositing User: Pure Connector
Date Deposited: 01 Nov 2013 13:08
Last Modified: 21 May 2020 23:54
URI: https://ueaeprints.uea.ac.uk/id/eprint/44092
DOI:

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