Prevalence and correlates of HIV infection among adolescents and young people living in fishing populations along Lake Victoria Fishing Communities in Uganda

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Date
2020Author
Nanyonjo, Gertrude
Asiki, Gershim
Ssetaala, Ali
Nakaweesa, Teddy
Wambuzi, Mathias
Nanvubya, Annet
Mpendo, Juliet
Okech, Brenda
Kato Kitandwe, Paul
Nielsen, Leslie
Nalutaaya, Annet
Welsh, Sabrina
Ssentalo Bagaya, Bernard
Chinyenze, Kundai
Fast, Pat
Price, Matt
Kiwanuka, Noah
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Show full item recordAbstract
fishing communities in Uganda are
key populations for HIV, with persistently higher
prevalence and incidence than the general
population. Methods: between March and August
2014, a cross sectional survey was conducted in 10
fishing communities of Lake Victoria in Uganda.
Data was collected on socio-behavioural
characteristics using interviewer administered
questionnaires and venous blood collected for HIV
testing. Prevalent HIV infections among
adolescents and young people aged 13 to 24 years
was estimated and the factors associated with
those infections determined using multi variable
logistic regression modelling. Results: HIV
prevalence was 10.8% among the 630 (96.5%) who
provided a blood sample. Females were 3.5 times
as likely to have HIV infection as males (aOR=3.52,
95% CI: 1.34-9.22). Young people aged 20-24 years
were twice as likely to be HIV infected as those
aged 13-19 years (aOR=1.77, 95% CI: 0.05-2.10),
participants without formal education or those
who had studied up to primary level were more
likely to be HIV infected than those who had post
primary education ((aOR=2.45, 95% CI: 1.19-5.07)
or (5.29 (1.35-20.71) respectively). Reporting more
than one sexual partner in the past 6 months was
associated with HIV prevalent infection than those
reporting no sexual partners (aOR=6.44, 95% CI:
1.27-32.83). Conclusion: adolescents and young
people aged 13-24 years in fishing communities
around Lake Victoria, Uganda, have a high HIV
prevalence, with females having a three-fold
higher level than males. These findings highlight the
need to improve HIV prevention among young
females living in these fishing communities.
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- Medical and Health Sciences [3670]