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Open Access 01-12-2019 | Sexually Transmitted Infection | Research article

Intimate partner violence, HIV and sexually transmitted infections in fishing, trading and agrarian communities in Rakai, Uganda

Authors: Bushra Sabri, Andrea L. Wirtz, Joseph Ssekasanvu, Bareng A. S. Nonyane, Fred Nalugoda, Joseph Kagaayi, Robert Ssekubugu, Jennifer A. Wagman

Published in: BMC Public Health | Issue 1/2019

Abstract

Background

Intimate partner violence (IPV), HIV and sexually transmitted infections (STI) can contribute to disparities in population health, depending on the individual, social and environmental factors characterizing a setting. To better understand the place-based determinants and patterns of these key interrelated public health problems in Uganda, we compared risk factors for IPV, HIV and STI in fishing, trading and agrarian communities in Rakai, Uganda by gender.

Method

This study used cross-sectional data collected from 14,464 sexually active men (n = 6531) and women (n = 7933) as part of the Rakai Community Cohort Study, a population-based open cohort study of men and women aged 15–49 years. We used multilevel modified poisson regression models, which incorporated random intercepts for community and households. Factors associated with IPV, HIV and STI were assessed separately for men and women in fishing, trading and agrarian communities.

Results

A larger proportion of participants in the fishing communities than those in trading and agrarian communities were HIV positive, engaged in HIV risk behaviors, had STI symptoms and reported perpetration of or victimization by IPV. Female gender was a shared correlate of IPV, HIV and STI in the fishing communities. Engagement in multiple sexual relationships or partner’s engagement in multiple relationships were shared correlates of IPV, and HIV in agrarian communities and IPV and STI in trading communities.

Conclusion

Programs should target factors at multiple levels to reduce risk for syndemic conditions of HIV, STI and IPV in Rakai, Uganda particularly among men and women in fishing communities.

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Title: Intimate partner violence, HIV and sexually transmitted infections in fishing, trading and agrarian communities in Rakai, Uganda
Authors: Bushra Sabri
Andrea L. Wirtz
Joseph Ssekasanvu
Bareng A. S. Nonyane
Fred Nalugoda
Joseph Kagaayi
Robert Ssekubugu
Jennifer A. Wagman
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Sexually Transmitted Infection
Sexually Transmitted Infection
Sexually Transmitted Infection
Human Immunodeficiency Virus
Sexually Transmitted Infection
Published in: BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-019-6909-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Intimate partner violence, HIV and sexually transmitted infections in fishing, trading and agrarian communities in Rakai, Uganda

Abstract

Background

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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