Depression, alcohol use, and intimate partner violence among outpatients in rural Uganda: vulnerabilities for HIV, STIs and high risk sexual behavior
| Autor: | Rhoda K. Wanyenze, Katelyn M. Sileo, Susan M. Kiene, Haruna Lule, Kazi Priyanka Silmi |
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| Jazyk: | angličtina |
| Předmět: |
Male
Rural Population Cross-sectional study Gonorrhea Intimate Partner Violence Poison control HIV Infections 0302 clinical medicine 5. Gender equality Risk Factors Surveys and Questionnaires Outpatients Prevalence Medicine Outpatient clinic Uganda 030212 general & internal medicine Depression (differential diagnoses) Depression Middle Aged 3. Good health Sexual Partners Infectious Diseases Female 0305 other medical science Research Article Adult medicine.medical_specialty Alcohol Drinking Sexual Behavior Sexually Transmitted Diseases Young Adult 03 medical and health sciences Injury prevention Humans Syphilis Psychiatry 030505 public health Unsafe Sex business.industry Chlamydia Infections medicine.disease Cross-Sectional Studies Logistic Models Spouse Abuse Linear Models Domestic violence business Demography |
| Zdroj: | BMC Infectious Diseases |
| ISSN: | 1471-2334 |
| DOI: | 10.1186/s12879-016-2162-2 |
| Popis: | Background Intimate partner violence (IPV), alcohol use, and depression are key vulnerabilities for HIV in Uganda, and taken together may have a synergistic effect on risk. Our objective was to investigate the associations between depression, IPV, and alcohol use and HIV-risk indicators among a sample of outpatients in rural Uganda, and the effect of co-occurrence of these factors on HIV-risk indicators. Methods In a structured interview we collected data on high-risk sexual behavior, depression symptoms, emotional and physical IPV, and alcohol use, as well as a blood sample for HIV and syphilis tests and a urine sample for chlamydia and gonorrhea tests from 325 male and female outpatients receiving provider-initiated HIV testing and counseling (PITC) at a public hospital outpatient clinic in rural Uganda. We used logistic regression and generalized linear modeling to test independent associations between depression, IPV, and alcohol use and HIV-risk indicators, as well as the effect of co-occurrence on HIV-risk indicators. Results Twelve percent of men and 15% of women had two or more of the following conditions: depression, IPV, and alcohol use; another 29% of men and 33% of women had 1 condition. Each condition was independently associated with HIV risk behavior for men and women, and for women, depression was associated with testing positive for HIV or a sexually transmitted infection (STI). Men with one condition (AOR 2.32, 95% CI 1.95–2.77) and two or more conditions (AOR 12.77, 95% CI 7.97–20.47) reported more high risk sex acts compared to those with no potential co-occurring conditions. For men, experiencing two or more conditions increased risky sex more than one alone (χ 2 24.68, p |
| Databáze: | OpenAIRE |
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