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4 results on '"Joseph Ssekasanvu"'

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

Author

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

Subjects
Intimate partner violence, HIV, Sexually transmitted infections, Public aspects of medicine, RA1-1270
Abstract

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.

Published
2019
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3. Erratum to: Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda

Author

Emilio Ovuga, Joseph Ssekasanvu, David Serwadda, Joseph K. B. Matovu, Nuala McGrath, Rhoda K. Wanyenze, Julie A. Denison, and Fredrick Makumbi

Subjects
Gerontology, medicine.medical_specialty, business.industry, lcsh:Public aspects of medicine, Published Erratum, Public health, Public Health, Environmental and Occupational Health, Alternative medicine, MEDLINE, lcsh:RA1-1270, 030209 endocrinology & metabolism, HIV counseling, 03 medical and health sciences, 0302 clinical medicine, Epidemiology, medicine, 030212 general & internal medicine, Biostatistics, business
Published
2017
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4. Trends in HIV counseling and testing uptake among married individuals in Rakai, Uganda

Author

Rhoda K. Wanyenze, Joseph Ssekasanvu, David Serwadda, Julie A. Denison, Fredrick Makumbi, Nuala McGrath, Joseph K. B. Matovu, and Emilio Ovuga

Subjects
Adult, Counseling, Male, Gerontology, Adolescent, Population, Uptake, Couples, HIV Infections, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), hemic and lymphatic diseases, Odds Ratio, medicine, Humans, Serologic Tests, Uganda, Community Health Services, 030212 general & internal medicine, Spouses, education, Retrospective Studies, education.field_of_study, 030505 public health, business.industry, Rakai, Public Health, Environmental and Occupational Health, Retrospective cohort study, Odds ratio, Middle Aged, medicine.disease, 3. Good health, surgical procedures, operative, HCT, Relative risk, Marital status, Married, Female, Erratum, Biostatistics, Trends, 0305 other medical science, business, Demography, Cohort study, Research Article
Abstract

Background: despite efforts to promote HIV counseling and testing (HCT) - among couples, few couples know their own or their partners' HIV status. We assessed trends in HCT uptake among married individuals in Rakai district, southwestern Uganda.Methods: we analysed data for 21,798 married individuals aged 15-49 years who were enrolled into the Rakai Community Cohort Study (RCCS) between 2003 and 2009. Married individuals were interviewed separately but were retrospectively linked to their partners at analysis. All participants had serologic samples obtained for HIV testing, and had the option of receiving HCT together (couples' HCT) or separately (individual HCT). Individuals were categorized as concordant HIV-positive if both partners had HIV; concordant HIV-negative if both did not have HIV; or HIV-discordant if only one of the partners had HIV. We used chi2 tests to assess linear trends in individual and couples' HCT uptake in the entire sample and conducted multinomial logistic regression on a sub-sample of 10,712 individuals to assess relative risk ratios (RRR) and 95% Confidence Intervals (95%CI) associated with individual and couples' HCT uptake. Analysis was done using STATA version 11.0.Results: uptake of couples' HCT was 27.2% in 2003/04, 25.1% in 2005/06, 28.5% in 2006/08 and 27.8% in 2008/09 (chi2 for trend = 2.38; P = 0.12). Uptake of individual HCT was 57.9% in 2003/04, 60.2% in 2005/06, 54.0% in 2006/08 and 54.4% in 2008/09 (chi2 for trend = 8.72; P = 0.003). The proportion of couples who had never tested increased from 14.9% in 2003/04 to 17.8% in 2008/09 (chi2 for trend = 18.16; P < 0.0001). Uptake of couples' HCT was significantly associated with prior HCT (Adjusted [Adj.] RRR = 6.80; 95%CI: 5.44, 8.51) and being 25-34 years of age (Adj. RRR = 1.81; 95% CI: 1.32, 2.50). Uptake of individual HCT was significantly associated with prior HCT (Adj. RRR = 6.26; 95%CI: 4.24, 9.24) and the female partner being HIV-positive (Adj. RRR = 2.46; 95%CI: 1.26, 4.80).Conclusion: uptake of couples' HCT remained consistently low (below 30%) over the years, while uptake of individual HCT declined over time. These findings call for innovative strategies to increase demand for couples' HCT, particularly among younger couples and those with no prior HCT

Published
2013

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