Association between substance use and concurrent sexual relationships among urban slum dwellers in Nairobi, Kenya

Woldu, Dawit Okubatsion; Haile, Zelalem T.; Howard, Steve; Walther, Christine A. P.; Otieno, Aggrey; Lado, Bennet

doi:10.1080/09540121.2019.1595519

Cited by 6 publications

(2 citation statements)

References 28 publications

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“…The high prevalence of multiple sexual partnerships is not surprising given the known impact of psychoactive substance use on high-risk sexual behaviours [46,47]. This study, therefore, reinforces existing evidence about the role psychoactive substances play in shaping sexual behaviours and consequently driving the HIV epidemic.…”

Section: Discussionsupporting

confidence: 78%

Multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda

et al. 2020

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Background Multiple sexual partnerships increase the risk of transmission of HIV and can be exacerbated by substance abuse. However, the association between psychoactive substance use and multiple sexual partnerships among young people in informal settlements of low-income countries is not well known. This study established the prevalence of multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda. Methods This was a cross-sectional study involving 744 young (aged 18-24 years), sexually active, psychoactive substance-users selected from 12 of the 57 informal settlements of Kampala City. The prevalence of multiple sexual partnerships and their differential distribution by socio-demographic strata was established. Modified Poisson regression models were run in Stata 14 software to generate prevalence rate ratios for the factors associated with multiple sexual partnerships. Results About 40.6% (37.9% of males and 50.0% of females) had engaged in multiple sexual partnerships in the last 30 days. Engaging in multiple sexual partnerships in the last 30 days was positively associated with being female (

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Section: Discussionsupporting

confidence: 78%

Multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda

et al. 2020

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“…The fact that many young people in informal settlements think about sex while intoxicated is however worrying. These settlements are characterized by a high prevalence of multiple sexual partnerships or relationships [ 42 , 50 ], and a low prevalence of consistent condom use. In addition, our study revealed that more than a third of the YPSUs had sexual intercourse while under the influence of psychoactive substances.…”

Section: Discussionmentioning

confidence: 99%

Predictors of consistent condom use among young psychoactive substance users in Kampala's informal settlements, Uganda

Ssekamatte

Mugambe

Nalugya

et al. 2022

Dialogues in Health

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Multi-level experiences and determinants of alcohol misuse and illicit drug use among occupational groups at high-risk of HIV in sub-Saharan Africa: A thematic synthesis of qualitative findings

Kuteesa

Seeley

Cook

et al. 2019

Global Public Health

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Occupational groups at high-risk of HIV in sub-Saharan Africa (SSA) may be at increased risk of substance use because of occupation-related factors. We synthesised qualitative data on determinants and context of alcohol misuse and illicit drug use in these groups. We systematically searched five databases for qualitative studies reporting on alcohol misuse or illicit drug use in fisherfolk, uniformed personnel, miners, truckers, motorcycle taxi riders, and sex workers in SSA. Qualitative data and interpretations were extracted and synthesised using a systematic iterative process to capture themes and overarching concepts. We searched for papers published prior to January 2018. We identified 5692 papers, and included 21 papers in our review, published from 1993 to 2017. Most studies were conducted among fisherfolk (n = 4) or sex workers (n = 12). Ten papers reported on alcohol use alone, three on illicit drug use alone and eight on both. Substance use was commonly examined in the context of work and risky behaviour, key drivers identified included transactional sex, availability of disposable income, poverty, gender inequalities and work/living environments. Substance use was linked to risky behaviour and reduced perceived susceptibility to HIV. Our review underscores the importance of multilevel, integrated HIV prevention and harm reduction interventions in these settings.

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Association between substance use and concurrent sexual relationships among urban slum dwellers in Nairobi, Kenya

Cited by 6 publications

References 28 publications

Multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda

Multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda

Predictors of consistent condom use among young psychoactive substance users in Kampala's informal settlements, Uganda

Multi-level experiences and determinants of alcohol misuse and illicit drug use among occupational groups at high-risk of HIV in sub-Saharan Africa: A thematic synthesis of qualitative findings

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