Tackling sexually transmitted infection burden in Ugandan communities living in the United Kingdom: a qualitative analysis of the socio-cultural interpretation of disease and condom use

Atukunda, Esther C; Mugyenyi, Godfrey R; Oloro, Joseph; Hughes, Skye

doi:10.4314/ahs.v15i3.23

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…We found low syphilis testing rates among HMSW and FSW which is consistent with prior studies of sex workers in Uganda, and elsewhere, that reported low syphilis testing behaviors [3,20,30,47,48]. Syphilis is a less stigmatized disease than HIV in Uganda [49]. One study found that the perception of syphilis as a genetic (inherited) disease was a barrier to testing among men [50].…”

Section: Discussionsupporting

confidence: 88%

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

et al. 2020

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Background: In Sub-Saharan Africa where HIV disproportionately affects women, heterosexual male sex workers (HMSW) and their female clients are at risk of acquiring or transmitting HIV and other STIs. However, few studies have described HIV and STI risk among HMSW. We aimed to assess and compare recent HIV and syphilis screening practices among HMSW and female sex workers (FSW) in Uganda. Methods: Between August and December 2019, we conducted a cross-sectional study among 100 HMSW and 240 female sex workers (FSW). Participants were enrolled through snowball sampling, and an interviewer-administered questionnaire used to collect data on HIV and syphilis testing in the prior 12 and 6 months respectively. Integrated change model constructs were used to assess intentions, attitudes, social influences, norms and self-efficacy of 3-monthly Syphilis and 6-monthly HIV testing. Predictors of HIV and syphilis recent testing behaviors were estimated using negative binomial regression. Results: We enrolled 340 sex workers of whom 100 (29%) were HMSW. The median age was 27 years [interquartile range (IQR) 25-30] for HMSW and 26 years [IQR], (23-29) for FSW. The median duration of sex work was 36 and 30 months for HMSW and FSW, respectively. HMSW were significantly less likely than FSW to have tested for HIV in the prior 12 months (50% vs. 86%; p = 0.001). For MSW, non-testing for HIV was associated with higher education [adjusted prevalence ratio (aPR) 1.66; 95% confidence interval (CI) 1.09-2.50], poor intention to seek HIV testing (aPR 1.64; 95% CI 1.35-2.04), perception that 6-monthly HIV testing was not normative (aPR 1.33; 95% CI 1.09-1.67) and low self-efficacy (aPR 1.41; 95% CI 1.12-1.79). Not testing for syphilis was associated with low intention to seek testing (aPR 3.13; 95% CI 2.13-4.55), low self-efficacy (aPR 2.56; 95% CI 1.35-4.76), negative testing attitudes (aPR 2.33; 95% CI 1.64-3.33), and perception that regular testing was not normative (aPR 1.59; 95% CI 1.14-2.22). Conclusions: Non-testing for HIV and syphilis was common among HMSW relative to FSW. Future studies should evaluate strategies to increase testing uptake for this neglected sub-population of sex workers.

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Section: Discussionsupporting

confidence: 88%

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

et al. 2020

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“…We found low uptake of recent syphilis testing which is consistent with prior studies of sex workers in Uganda, and elsewhere, that reported low syphilis testing behaviors (2,3,15,27,40). Syphilis is a less stigmatized disease than HIV in Uganda (41). One study found that the perception of syphilis as a genetic (inherited) disease was a barrier to testing among men (42).…”

Section: Discussionsupporting

confidence: 87%

HIV and Syphilis Testing Behaviors among Heterosexual Male Sex Workers in Uganda

Muhindo

Mujugira²,

Castelnuovo³

et al. 2020

Preprint

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Background : Few studies have described STI and HIV testing practices among heterosexual male sex workers (MSW) in Sub-Saharan Africa. Our study aimed to assess recent HIV and syphilis screening practices among MSW in Uganda. Methods : Between August and December 2019, we conducted a cross-sectional study among 100 MSW and 240 female sex workers (FSW). Participants were enrolled through snowball sampling, and an interviewer-administered questionnaire used to collect data on HIV and syphilis in the prior 12 months. Integrated change model constructs were uses to assessed intentions, attitudes, social influences, norms and self-efficacy of 3-monthly Syphilis and 6-monthly HIV testing. Predictors of HIV and syphilis recent testing behaviors were estimated using negative binomial regression. Results : We enrolled 340 sex workers of whom 100 (29%) were MSW. The median age was 27 years (interquartile range [IQR] 25–30) for MSW and 26 years [IQR], (23–29) for FSW. The median duration of sex work was 36 and 30 months for MSW and FSW, respectively. MSW were significantly less likely than FSW to have tested for HIV in the prior 12 months (50% vs 86%; p = 0.001). For MSW, non-HIV testing was associated with higher education (adjusted prevalence ratio [aPR] 1.66; 95% confidence interval [CI] 1.09-2.50), poor intention to seek HIV testing (aPR 1.64; 95% CI: 1.35-2.04), perception that 6-monthly HIV testing was not normative (aPR 1.33; 95% CI: 1.09-1.67) and low self-efficacy (aPR 1.41; 95% CI: 1.12-1.79). Non-syphilis testing was associated with low intention to seek testing (aPR 3.13; 95% CI: 2.13-4.55), low self-efficacy (aPR 2.56; 95% CI: 1.35-4.76), negative testing attitudes (aPR 2.33; 95% CI: 1.64-3.33), and perception that regular testing was not normative (aPR 1.59; 95% CI: 1.14-2.22). Conclusions : Non-testing for HIV and syphilis was common among heterosexual MSW relative to FSW. Future studies should evaluate strategies to increase testing uptake for this neglected sub-population of sex workers.

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“…Thus, many aspects relate to the health and disease process. There is a pragmatic identification and orientation about these aspects, since they guide the way society and management behave in the context of health, directly affecting those individuals most affected 36,37 .…”

Section: The Influence Of Sociocultural Aspects In the Construction Omentioning

confidence: 99%

Sociocultural aspects of health and disease and their pragmatic impact

Alves

Oliveira

2018

J. Hum. Growth Dev.

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Introdução: Diversos fatores estão envolvidos no processo de saúde e doença e importantes pontos se relacionam a aspectos socioculturais os quais necessitam ser entendidos e interpretados para entendimento de um arcabouço mais geral que envolve a saúde.Objetivo: Analisar os aspectos socioculturais relacionados ao processo de saúde e doença.Método: Trata-se de um estudo de revisão reflexiva. Foram construídas categorias temáticas para o desenvolvimento dos resultados e discussão segundo a análise de Bardin.Resultados: Os aspectos socioculturais influenciam na saúde da população fundamentado na criação de trabalho no campo da saúde pública.Conclusão: Muitos aspectos estão envolvidos no processo de saúde e doença. Todos impactam de alguma forma em algum contexto na saúde pública e por isso devem ser analisados e considerados.

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Tackling sexually transmitted infection burden in Ugandan communities living in the United Kingdom: a qualitative analysis of the socio-cultural interpretation of disease and condom use

Cited by 4 publications

References 26 publications

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

HIV and syphilis testing behaviors among heterosexual male and female sex workers in Uganda

HIV and Syphilis Testing Behaviors among Heterosexual Male Sex Workers in Uganda

Sociocultural aspects of health and disease and their pragmatic impact

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