Show simple item record

dc.contributor.authorSpittal, Patricia M.
dc.contributor.authorMalamba, Samuel S.
dc.contributor.authorOgwang, Martin D.
dc.contributor.authorMusisi, Seggane
dc.contributor.authorEkwaru, J. Paul
dc.contributor.authorSewankambo, Nelson K.
dc.contributor.authorPearce, Margo E.
dc.contributor.authorJongbloed, Kate
dc.contributor.authorPatel, Sheetal H.
dc.contributor.authorKatamba, Achilles
dc.contributor.authorBlair, Alden H.
dc.contributor.authorMuyinda, Herbert
dc.contributor.authorSchechter, Martin T.
dc.date.accessioned2022-04-29T13:48:35Z
dc.date.available2022-04-29T13:48:35Z
dc.date.issued2018
dc.identifier.citationSpittal, P. M., Malamba, S. S., Ogwang, M. D., Musisi, S., Ekwaru, J. P., Sewankambo, N. K., ... & Schechter, M. T. (2018). Cango Lyec (Healing the Elephant): Gender differences in HIV infection in post-conflict Northern Uganda. Journal of Acquired Immune Deficiency Syndromes (1999), 78(3), 257.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/pmc6012052/
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/2975
dc.description.abstractAs previously encamped resettle, potential for rapid HIV transmission in post-conflict Northern Uganda is concerning. Women in particular may be experiencing heightened vulnerability resulting from war-related sexual violence. Setting: Cango Lyec (Healing the Elephant) Project is a cohort involving conflict-affected people in 3 districts in Northern Uganda. Methods: Eight randomly selected communities were mapped, and a census was conducted. Participants aged 13–49 years completed questionnaires in Luo on war-related experiences, mental health, sexual vulnerabilities, and sociodemographics. Blood samples were tested for HIV and syphilis. Baseline data from all sexually active participants was used to determine gender differences in HIV prevalence. Multivariate modeling determined correlates of HIV by gender. Results: Among 2008 participants, HIV prevalence was higher among women [17.2; 95% confidence interval (CI): 14.7 to 19.7] compared to men (10.6; 95% CI: 8.0 to 13.2, ,0.001). Among women, correlates of HIV included: war-related sexual assault [adjusted odds ratio (AOR): 1.95; 95% CI: 1.16 to 3.26]; probable depression (AOR: 2.22; 95% CI: 1.46 to 3.37); probable post-traumatic stress disorder (AOR: 2.03; 95% CI: 1.45 to 2.84); experiencing $12 traumatic events (AOR: 2.04; 95% CI: 1.31 to 3.18); suicide ideation (AOR: 1.67; 95% CI: 1.22 to 2.28); living in a female-headed household (AOR: 2.76; 95% CI: 1.70 to 4.49); first sexual partner $10 years older (AOR: 1.69; 95% CI: 1.07 to 2.67); sex for exchange (AOR: 5.51; 95% CI: 1.76 to 17.31); having 2 (AOR: 2.54; 95% CI: 1.23 to 5.23) or 3+ (AOR: 4.65; 95% CI: 2.65 to 8.18) sexual partners; inconsistent condom use (AOR: 0.40; 95% CI: 0.29 to 0.57); genital ulcers (AOR: 3.08; 95% CI: 2.16 to 4.38); active syphilis (AOR: 4.33; 95% CI: 1.22 to 15.40); and ill health without medical care (AOR: 2.02; 95% CI: 1.22 to 3.34). Among men, correlates of HIV included no condom at sexual debut (AOR: 1.92; 95% CI: 1.30 to 2.83) and genital ulcers (AOR: 4.40; 95% CI: 1.35 to 14.40). Conclusion: Women are disproportionately impacted by HIV, trauma, and depression in this conflict-affected population. Traumainformed HIV prevention and culturally safe mental health initiatives are urgently required.en_US
dc.language.isoenen_US
dc.publisherJournal of Acquired Immune Deficiency Syndromesen_US
dc.subjectHIV-AIDSen_US
dc.subjectConflict-affected peopleen_US
dc.subjectNorthern Ugandaen_US
dc.subjectGenderen_US
dc.subjectSexual violenceen_US
dc.subjectMental healthen_US
dc.titleCango Lyec (Healing the Elephant): Gender Differences in HIV Infection in Post-conflict Northern Ugandaen_US
dc.typeArticleen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record