NDLI: Partner Characteristics Associated With HIV Acquisition Among Youth in Rakai, Uganda.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mathur, Sanyukta Wei, Ying Zhong, Xiaobo Song, Xiaoyu Nalugoda, Fred Lutalo, Tom Wawer, Maria Gray, Ron Serwadda, David Santelli, John S.
Spatial Coverage	Uganda
Description	Country affiliation: Moldova Author Affiliation: Mathur S ( *Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY)
Abstract	BACKGROUND: HIV risk is influenced by multiple factors including the behaviors and characteristics of sexual partners. We examined the association between partner characteristics and HIV acquisition among young people in rural Uganda, controlling for individual-level risk factors. METHODS: We used self-reported data from 15- to 24-year-olds (n = 1969 male participants and n = 2826 female participants) from a population-based cohort (2005-2011) in Rakai, Uganda. Respondents could report characteristics for up to 4 sexual partners in the last year. Poisson regression was used to estimate HIV incidence rate ratios (IRRs). RESULTS: In regression analyses controlling for marital status, young women's risk of HIV acquisition increased if their partner was a truck driver, drank alcohol before sex, and used condoms inconsistently. In young men, the risk of HIV acquisition increased with partners who were not enrolled in school, in partnerships with higher coital frequency, and in partnerships where respondents were unable to assess the HIV risk of their partner. Mixed-model regressions adjusting for respondent's individual-level risk factors showed that young women's risk of HIV acquisition increased with each nonmarital sexual partner [IRR: 1.54 (1.20 to 1.98)], each partner who drank alcohol before sex [IRR: 1.60 (1.11 to 2.32)], and each partner who used condoms inconsistently [IRR: 1.99 (1.33 to 2.98)]. Among young men, having nonmarital partnerships increased HIV acquisition [IRR for each partner: 1.54 (1.20 to 1.98)]. IMPLICATIONS: Partner characteristics predicted HIV acquisition among youth. HIV prevention programs should emphasize awareness of partner's risk characteristics to avoid high-risk relationships.
File Format	HTM / HTML
ISSN	15254135
e-ISSN	10779450
DOI	10.1097/QAI.0000000000000539
Journal	JAIDS Journal of Acquired Immune Deficiency Syndromes
Issue Number	1
Volume Number	69
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-05-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline AIDS Hiv Infections Transmission Risk-taking Sexual Behavior Sexual Partners Adolescent Cohort Studies Epidemiology Interviews As Topic Longitudinal Studies Rural Population Uganda Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Pharmacology (medical)

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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