Age-Disparate Relationships and HIV Prevalence among Never Married Women in Rakai, Uganda
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Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of acquired immune deficiency syndromes
Abstract
Age-disparate relationships are associated with increased HIV prevalence. We determined whether the frequency of age-disparate relationships in never married women changed over time and whether they are associated with HIV prevalence in Rakai, Uganda.
Methods: 10,061 never married women, aged 15–49 in the Rakai Community Cohort Study provided information on the age of their male sexual partners from 1997 to 2013. Logistic regression was used to assess trends in age-disparate relationships (≥5 years) between never married women and their male partners. Log-binomial regression was used to estimate adjusted prevalence ratios (adjPR) of HIV prevalence associated with age-disparate relationships.
Results: 2,992 women (30%) had a male partner ≥5 years older which remained stable over time. The prevalence of HIV among women in age-disparate relationships was 14%, 10% for women in relationships with men 0–4 years older (adjPR 1.36, 95% CI 1.22, 1.53) not controlling women’s age, however after age adjustment the impact of age-disparate relationships on HIV prevalence was attenuated. Age-disparate relationships were associated with increased HIV prevalence among women aged 15–17 (adjPR 1.83, 95% CI 1.10, 3.19), but not in other age groups.
Conclusions: The frequency of age-disparate relationships among never married women were unchanged over a 15-year period in Rakai, Uganda. Age-disparate relationships were associated with increased HIV prevalence among adolescents 15–17, but not older women.
Description
Keywords
HIV, Age difference, Never married women, Rakai, Uganda
Citation
Mwinnyaa, G., Gray, R. H., Grabowski, M. K., Ssekasanvu, J., Ndyanabo, A., Ssekubugu, R., ... & Laeyendecker, O. (2018). Age-Disparate Relationships and HIV Prevalence Among Never Married Women in Rakai, Uganda. Journal of acquired immune deficiency syndromes (1999), 79(4), 430. doi:10.1097/QAI. 0000000000001832.