Risk factors for HIV infection among circumcised men in Uganda: a case-control study

Simple item page
dc.contributor.authorEdiau, Michael
dc.contributor.authorMatovu, Joseph K. B.
dc.contributor.authorByaruhanga, Raymond
dc.contributor.authorTumwesigye, Nazarius M.
dc.contributor.authorWanyenze, Rhoda K.
dc.date.accessioned2022-03-21T08:55:17Z
dc.date.available2022-03-21T08:55:17Z
dc.date.issued2015
dc.description.abstractMale circumcision (MC) reduces the risk of HIV infection. However, the risk reduction effect of MC can be modified by type of circumcision (medical, traditional and religious) and sexual risk behaviours post-circumcision. Understanding the risk behaviours associated with HIV infection among circumcised men (regardless of form of circumcision) is critical to the design of comprehensive risk reduction interventions. This study assessed risk factors for HIV infection among men circumcised through various circumcision approaches. Methods: This was a case-control study which enrolled 155 cases (HIV-infected) and 155 controls (HIV-uninfected), all of whom were men aged 18 35 years presenting at the AIDS Information Center for HIV testing and care. The outcome variable was HIV sero-status. Using SPSS version 17, multivariable logistic regression was performed to identify factors independently associated with HIV infection. Results: Overall, 83.9% among cases and 56.8% among controls were traditionally circumcised; 7.7% of cases and 21.3% of controls were religiously circumcised while 8.4% of cases and 21.9% of controls were medically circumcised. A higher proportion of cases than controls reported resuming sexual intercourse before complete wound healing (36.9% vs. 14.1%; pB0.01). Risk factors for HIV infection prior to circumcision were:being in a polygamous marriage (AOR: 6.6, CI: 2.3 18.8) and belonging to the Bagisu ethnic group (AOR: 6.1, CI: 2.6 14.0). After circumcision, HIV infection was associated with: being circumcised at 18 years (AOR: 5.0, CI: 2.4 10.2); resuming sexual intercourse before wound healing (AOR: 3.4, CI: 1.6 7.3); inconsistent use of condoms (AOR: 2.7, CI: 1.5 5.1); and having sexual intercourse under the influence of peers (AOR: 2.9, CI: 1.5 5.5). Men who had religious circumcision were less likely to have HIV infection (AOR: 0.4, 95% CI: 0.2 0.9) than the traditionally circumcised but there was no statistically significant difference between those who were traditionally circumcised and those who were medically circumcised (AOR: 0.40, 95% CI: 0.1 1.1).en_US
dc.identifier.citationEdiau, M., Matovu, J. K., Byaruhanga, R., Tumwesigye, N. M., & Wanyenze, R. K. (2015). Risk factors for HIV infection among circumcised men in Uganda: a case‐control study. Journal of the International AIDS Society, 18(1), 19312.http://dx.doi.org/10.7448/IAS.18.1.19312en_US
dc.identifier.urihttp://dx.doi.org/10.7448/IAS.18.1.19312
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2859
dc.language.isoenen_US
dc.publisherJournal of the International AIDS Societyen_US
dc.subjectHIV risk behavioursen_US
dc.subjectmale circumcisionen_US
dc.subjectrisk factors for HIV infectionen_US
dc.subjectUgandaen_US
dc.subjectcase-control studyen_US
dc.titleRisk factors for HIV infection among circumcised men in Uganda: a case-control studyen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Risk factors for HIV infection among circumcised men in Uganda.pdf
Size:
114.31 KB
Format:
Adobe Portable Document Format
Description:
Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences