The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages

Sileo, Katelyn M.; Kintu, Michael; Kiene, Susan M.

doi:10.1080/09540121.2017.1391985

Cited by 24 publications

(18 citation statements)

References 24 publications

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“…Strong evidence for a bidirectional relationship between IPV and HIV/AIDS has emerged from prospective cohort studies (55,56). Fishing communities face several structural barriers to HIV including IPV (31,57). Our study further showed that IPV might inform decision making on preferences for HIV prevention methods.…”

Section: Discussionmentioning

confidence: 54%

Acceptability and Predictors of Uptake of Anti-retroviral Pre-exposure Prophylaxis (PrEP) Among Fishing Communities in Uganda: A Cross-Sectional Discrete Choice Experiment Survey

et al. 2019

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We used a discrete choice experiment to assess the acceptability and potential uptake of HIV pre-exposure prophylaxis (PrEP) among 713 HIV-negative members of fishing communities in Uganda. Participants were asked to choose between oral pill, injection, implant, condoms, vaginal ring (women), and men circumcision. Product attributes were HIV prevention effectiveness, sexually transmitted infection (STI) prevention, contraception, waiting time, and secrecy of use. Data were analysed using mixed multinomial logit and latent class models. HIV prevention effectiveness was viewed as the most important attribute. Both genders preferred oral PrEP. Women least preferred the vaginal ring and men the implant. Condom use was predicted to decrease by one third among men, and not to change amongst women. Oral PrEP and other new prevention technologies are acceptable among fishing communities and may have substantial demand. Future work should explore utility of multiple product technologies that combine contraception with HIV and other STI prevention.2

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Section: Discussionmentioning

confidence: 54%

Acceptability and Predictors of Uptake of Anti-retroviral Pre-exposure Prophylaxis (PrEP) Among Fishing Communities in Uganda: A Cross-Sectional Discrete Choice Experiment Survey

et al. 2019

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“…The Ugandan Ministry of Health considers fishermen and CSWs most-at-risk populations for HIV (Uganda Ministry of Health, 2016). In addition, we included alcohol-sellers and fishmongers as high-risk occupational groups based on prior studies demonstrating females in these occupations engage in high-risk sexual behavior, including transactional sex (Lubega et al, 2015;MacPherson et al, 2012;Sileo, Kintu, & Kiene, 2018). Like fishermen, fishmongers are mobile, and have access to large influxes of cash, which may increase their likelihood of engaging in sex with CSWs and sex under the influence of alcohol (Sileo, Kintu, et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Hazardous alcohol consumption and alcohol-related problems are associated with unknown and HIV-positive status in fishing communities in Uganda

et al. 2018

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In Uganda, alcohol consumption is associated with higher HIV prevalence. However, research is needed to better understand how different patterns of alcohol consumption and alcohol-related problems may drive this association. In this cross-sectional study, we examined how hazardous alcohol use and alcohol-related problems such as psychological, physical, and social harms are associated with HIV status in fishing communities in Uganda. 300 (132 male, 168 female) residents of fishing communities in Uganda (75 participants from each of the following occupational groups: fishmongers, alcohol sellers, commercial sex workers (CSW), and fishermen) completed an interviewer-assisted computerized interview. We captured information on sociodemographics and HIV testing history. Prior 12-month hazardous alcohol consumption patterns and alcohol-related problems were assessed with the AUDIT and AUDADIS. 19.7%, 58.0%, and 23.3% of the sample reported being HIV positive, being HIV negative from a test within the prior 12 months, and not knowing their HIV status respectively. 18.7% reported the co-occurrence of hazardous alcohol consumption patterns and alcohol-related problems. 7.7% reported either hazardous alcohol consumption patterns or alcohol-related problems. Compared to non-drinkers, those with co-occurring hazardous consumption and alcohol-related problems had greater odds of being HIV positive (adjOR 2.75, 95% CI 1.17-6.43) and of unknown HIV status (adjOR 3.35, 95% CI 1.52-7.42). Reporting only hazardous consumption levels, only alcohol-related problems, or low-risk drinking, did not increase the odds of being HIV positive or of unknown status. Among those not HIV positive, those with co-occurring hazardous consumption and alcohol-related problems had greater odds of never having had an HIV test (adjOR 3.78, 95% CI 1.63-8.68). The co-occurrence of hazardous alcohol use and alcohol related problems appears to be a prominent risk factor for HIV infection, not knowing one's HIV status, and never testing for HIV in this setting.

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“…We found that 54% of young people reported three or more HIV risk behaviors and 97% reported at least one HIV risk behavior. Other studies report a high prevalence of HIV risk behaviors in shing communities (54)(55)(56)(57). Factors associated with HIV sexual risk behavior included alcohol use, employment status, being in a marital union and multiple sexual partnerships.…”

Section: Discussionmentioning

confidence: 99%

Alcohol Use, Intimate Partner Violence, and HIV Sexual Risk Behavior Among Young People in Fishing Communities of Lake Victoria, Uganda

Wandera

Tumwesigye

Walakira

et al. 2020

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BackgroundThere is limited evidence about the effect of alcohol use and intimate partner violence (IPV) on HIV risk among young people in fishing communities from eastern and central Uganda. Therefore, we aimed to determine whether alcohol use and intimate partner violence were HIV behavior among young people in fishing communities on the shores of Lake Victoria, in Uganda. MethodsWe conducted multivariable logistic regression analyses of HIV risk behavior using cross-sectional data from 501 young people from Mukono (Katosi landing site) and Namayingo districts (Lugala landing site). Results Almost all (97%) respondents reported at least one HIV risk behavior; more than half (54%) reported engagement in three or more HIV risk behaviors. Results from the adjusted model indicate that alcohol use, working for cash or kind, being married and having multiple sexual partners increased the odds of HIV risk behavior. IPV was not associated with HIV risk behavior. Conclusion Interventions to promote consistent condom use and fewer sexual partnerships are critical for young people in the fishing communities in Uganda.

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The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages

Cited by 24 publications

References 24 publications

Acceptability and Predictors of Uptake of Anti-retroviral Pre-exposure Prophylaxis (PrEP) Among Fishing Communities in Uganda: A Cross-Sectional Discrete Choice Experiment Survey

Acceptability and Predictors of Uptake of Anti-retroviral Pre-exposure Prophylaxis (PrEP) Among Fishing Communities in Uganda: A Cross-Sectional Discrete Choice Experiment Survey

Hazardous alcohol consumption and alcohol-related problems are associated with unknown and HIV-positive status in fishing communities in Uganda

Alcohol Use, Intimate Partner Violence, and HIV Sexual Risk Behavior Among Young People in Fishing Communities of Lake Victoria, Uganda

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