Title: Are HIV unaware persons the hidden population at high risk of HIV infection or re-infection in Uganda?

POPLINE Document Number: 183327

Author(s):

Kiirya SK

Source citation:

In: Third African Population Conference, Durban, South Africa, 6-10 December 1999. The African Population in the 21st Century. / Troisieme Conference Africaine sur la Population, La Population Africaine au 21e Siecle. Volume V, [compiled by] Union for African Population Studies. Dakar, Senegal, Union for African Population Studies, 1999. :413-432.

Abstract:

This study examines child-bearing, new sexual partnerships, disclosure of HIV status prior to coitus, and negotiations on condom use among HIV infected, uninfected and unaware persons as the basis for ascertaining the group at high risk of HIV infection/re-infection. HIV infected (86 females and 58 males), HIV uninfected (25 females and 21 males) and HIV unaware (59 males and 40 females) persons were drawn from one parish of Kampala, Iganga, Soroti, Lira, Masaka, Mbarara and Kabale districts. A pre-tested questionnaire which yielded a content validity index (CVI) of .79 was used to measure childbearing, new sexual partnerships, disclosure of HIV status prior to coitus, negotiations on condom use for the three groups. Focus group discussions were also carried out with each group to establish the etiological basis of these behaviours. HIV infected persons (86%) reported higher levels of childbearing compared to the uninfected (66%) and unaware (57%) persons. Of the HIV infected persons who learned of their HIV status through a test, about 61% went ahead to bear children. Also, more HIV infected (44%) and uninfected persons (44%) tend to disclose to partners their HIV status prior to coitus than the HIV unaware persons (35%). However, HIV unaware and uninfected persons reported higher levels of initiation and coitus negotiations on the form of coitus (condom use) than the HIV infected (69%) and with new partners during the past year from the time this study was undertaken than the HIV infected persons. Childbearing and non-negotiation with partners on condom use turned out as the factors that increase HIV re-infection among PHAs. (author's)

Keywords:

Uganda
Research Report
Population At Risk
KAP Surveys
Focus Groups
HIV Positive Persons
Sexual Partners
Pregnant Women
HIV Infections
Partner Communication
Condom Use
Sex Behavior
Risk Behavior
Developing Countries
Africa, Eastern
Africa, Sub Saharan
Africa
Research Methodology
Surveys
Sampling Studies
Studies
Data Collection
Viral Diseases
Diseases
Behavior
Population Characteristics
Demographic Factors
Population
Interpersonal Relations
Risk Reduction Behavior
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