HIV and other sexually transmitted infections in a cohort of women involved in high risk sexual behaviour in Kampala, Uganda

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dc.contributor.authorVandepitte, J.
dc.contributor.authorBukenya, J.
dc.contributor.authorWeiss, H. A.
dc.contributor.authorNakubulwa, S.
dc.contributor.authorFrancis, S. C.
dc.contributor.authorHughes, P.
dc.contributor.authorHayes, R.
dc.contributor.authorGrosskurth, H.
dc.date.accessioned2022-05-16T11:37:44Z
dc.date.available2022-05-16T11:37:44Z
dc.date.issued2011
dc.description.abstractUganda has long been successful in controlling the HIV epidemic but there is evidence that HIV prevalence and incidence are increasing again. Data on the HIV/STI epidemic among sex workers are so far lacking from Uganda. This paper describes the baseline epidemiology of HIV/STI in a newly-established cohort of women involved in high risk sexual behaviour in Kampala, Uganda. Methods—Women were recruited from red-light-areas in Kampala. Between April 2008-May 2009, 1027 eligible women were enrolled. Socio-demographic and behavioural information was collected; blood and genital samples were tested for HIV/STI. Risk factors for HIV-infection were examined using multivariable logistic regression. Results—HIV seroprevalence was 37%. The prevalence of N. gonorrhoea (NG) was 13%, C. trachomatis (CT) 9%, T. vaginalis (TV) 17%, bacterial vaginosis (BV) 56% and 11% had candida infection. 80% had HSV-2 antibodies, 21% were TPHA -positive and 10% had active syphilis (RPR+TPHA+). In 3% of the genital ulcers, T. pallidum (TP) was identified, H. ducreyi (HD) in 6% and HSV-2 in 35%. Prevalent HIV was independently associated with older age, being widowed, lack of education, sex work as sole income, street based sex work, not knowing HIVstatus, using alcohol and intravaginal cleansing with soap. HIV-infection was associated with NG, TV, BV, HSV-2 seropositivity and active syphilis. Conclusions—Prevalence of HIV/STI is high among women involved in high risk sexual behaviour in Kampala. Targeted HIV prevention interventions including regular STI screening, VCT, condom promotion and counselling for reducing alcohol use are urgently needed in this population.en_US
dc.identifier.citationVandepitte, J., Bukenya, J., Weiss, HA, Nakubulwa, S., Francis, SC, Hughes, P., ... & Grosskurth, H. (2011). HIV and other sexually transmitted infections in a cohort of women involved in high risk sexual behavior in Kampala, Uganda. Sexually transmitted diseases , 38 (4), 316.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/pmc3920055/
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3242
dc.language.isoenen_US
dc.publisherSexually transmitted diseasesen_US
dc.subjectHIVen_US
dc.subjectSTIen_US
dc.subjectFemale sex workersen_US
dc.subjectEpidemiologyen_US
dc.subjectRisk behaviouren_US
dc.subjectUgandaen_US
dc.titleHIV and other sexually transmitted infections in a cohort of women involved in high risk sexual behaviour in Kampala, Ugandaen_US
dc.typeArticleen_US
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