Browsing by Author "Kiconco, Allen"
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Item Adverse childhood experiences and adult cardiometabolic risk factors and disease outcomes: Cross-sectional, populationbased study of adults in rural Uganda(Journal of global health, 2021) Wooyoung Kim, Andrew; Kakuhikire, Bernard; Baguma, Charles; North, Crystal M.; Satinsky, Emily N.; Perkins, Jessica M.; Ayebare, Patience; Kiconco, Allen; Namara, Elizabeth B.; Bangsberg, David R.; Siedner, Mark J.Cardiovascular diseases (CVD) pose a major threat to public health in sub-Saharan African communities, where the burden of these classes of illnesses is expected to double by 2030. Growing research suggests that past developmental experiences and early life conditions may also elevate CVD risk throughout the life course. Greater childhood stress and adversity are consistently associated with a range of adult CVDs and associated risk factors, yet little research exists on the long-term effects of early life stress on adult physical health outcomes, especially CVD risk, in sub-Saharan African contexts. This study aims to evaluate the associations between adverse childhood experiences and adult cardiometabolic risk factors and health outcomes in a population-based study of adults living in Mbarara, a rural region of southwestern Uganda.Item Adverse childhood experiences, adult depression, and suicidal ideation in rural Uganda: A cross-sectional, population-based study(PLoS Med, 2021) Satinsky, Emily N.; Kakuhikire, Bernard; Baguma, Charles; Rasmussen, Justin D.; Ashaba, Scholastic; Cooper-Vince, Christine E.; Perkins, Jessica M.; Kiconco, Allen; Namara, Elizabeth B.; Bangsberg, David R.; Tsai, Alexander C.Depression is recognized globally as a leading cause of disability. Early-life adverse childhood experiences (ACEs) have been shown to have robust associations with poor mental health during adulthood. These effects may be cumulative, whereby a greater number of ACEs are progressively associated with worse outcomes. This study aimed to estimate the associations between ACEs and adult depression and suicidal ideation in a cross-sectional, population-based study of adults in Uganda.Item Intimate Partner Violence and HIV Testing among Women in Rural South western Uganda(Journal of Clinical and Translational Science, 2021) Schember, Cassandra; Perkins, Jessica; Nyakato, Viola; Kakuhikire, Bernard; Kiconco, Allen; Namara, Betty; Brown, Lauren; Audet, Carolyn; Pettit, April; Bangsberg, David; Tsai, AlexanderThis research shows that physical intimate partner violence was associated with never testing for HIV while verbal intimate partner violence was associated with increased testing for HIV suggesting that HIV testing interventions should consider intimate partner violence prevention. OBJECTIVES/GOALS: HIV incidence is higher among women who experience intimate partner violence (IPV). However, few studies have assessed the association between HIV testing (regardless of the result) and the experience of IPV. Our objective was to assess the relationship between IPV and HIV testing among women from rural southwestern Uganda.Item Marriage for the ‘New Woman’ from the Lord's Resistance Army: Experiences of female ex-abductees in Acholi region of Uganda☆(Women's Studies International Forum, 2018) Kiconco, Allen; Nthakomwa, MartinA number of studies have documented and analyzed forced marriage patterns and realities of girls within the Lord's Resistance Army (LRA). However, the impact of wartime abduction, captivity and forced marriage on forging and sustaining post-LRA marriage relationships has been under-researched. This article contributes to addressing this gap by examining how stigma against female LRA ex-abductees influences their prospects for choices in marriage as they seek to reintegrate in communities of Uganda. Drawing on findings from Acholi area of northern Uganda, the article discusses how cultural and traditional perspectives stigmatize female ex-abductees, considered as ‘unacceptable’, ‘stained’ and therefore ‘unmarriageable’. The findings suggest that stigma adversely affects access to key community relationships such as marriage, thereby hindering social and economic opportunities for recovery and reintegration among the female ex-abductees in Uganda.Item Prevalence, Risk Factors and Prevention of Depression in the Adult Population in Mbarara District, Uganda(Research Square, 2021) Kiconco, Allen; Bright Laban, Waswa; Ssemakula, Edward; Baikirize, Moses; Muhwezi, TalbertThis study concerns the prevalence, risk factors and prevention of depression in the adult population in three sub-counties in Mbarara district. Depression is a common mental disorder which presents with a wide array of symptoms including loss of energy, poor sleep, poor eating habits, fatigue, irritability and social withdrawal. The main objective of the present study was to determine the prevalence and factors associated with depression and to identify measures that can be implemented to reduce risk factors of the disease among adults in Nyamitanga, Rugando and Rwanyamahembe sub-counties in Mbarara district.Item Wartime Captivity and Homecoming: Culture, Stigma and Coping Strategies of Formerly Abducted Women in Post-conflict Northern Uganda.(Disasters, 2021) Kiconco, Allen; Nthakomwa, MartinOne of the three durable solutions to mass displacement preferred by the UNHCR and leading humanitarian agencies is that victims return to their home communities, resulting into meaningful reintegration. It is believed that families and communities provide the best hope for recovery and reintegration post displacement due to familiarity, care and shared culture. Yet these ‘places of hope and comfort’, sometimes defined and shaped by ethnic culture and values, can also potentially provide a hostile environment in which stigma can flourish. The women formerly abducted by the Lord’s Resistance Army (LRA) in northern Uganda find that achieving meaningful reintegration into their communities is a distant prospect despite being the home culture they once shared. The stigmatization of formerly abducted persons by the home community members who have never been abducted renders them ‘outsiders’ upon return to their home communities. Meaningful relationships with fellow community members and access to cultural, social and economic systems are hampered by stigma about the women's traumatic past episode as abductees. This experience has significant implications for these women, negotiating their journey to recovery and reintegration into home communities.