The multidimensional vulnerability of people with disability to HIV infection: Results from the handiSSR study in Bujumbura, Burundi

Autor: Pierre DeBeaudrap, Gervais Beninguisse, Charles Mouté, Carolle Dongmo Temgoua, Pierre Claver Kayiro, Vénérand Nizigiyimana, Estelle Pasquier, Aida Zerbo, Emery Barutwanayo, Dominique Niyondiko, Nicolas Ndayishimiye
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: EClinicalMedicine, Vol 25, Iss , Pp 100477- (2020)
Druh dokumentu: article
ISSN: 2589-5370
DOI: 10.1016/j.eclinm.2020.100477
Popis: Background: In resource-limited contexts, available data indicate that people with disability are disproportionally affected by the HIV epidemic. While disability resulting from chronic HIV infection has received some attention, few epidemiologic studies have examined the vulnerability of people with disability to HIV acquisition. The aims of the study were as follows: to estimate and compare HIV prevalence among people with and without disability living in Bujumbura, Burundi; to examine how the interaction among disability, gender and socioeconomic environment shapes vulnerability to HIV; and to identify potential pathways to higher HIV risk. Methods: In this cross-sectional population-based study, 623 persons with disability (302 with disability onset ≤10 years [“early disability”]) and 609 persons without disability matched for age, sex and location were randomly selected to be tested for HIV and to participate in an interview about their life history, their social environment and their knowledge of sexual health. Findings: A total of 68% of men and 75% of women with disability were affected by multidimensional poverty compared to 54% and 46% of their peers without disability (p
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