Seven-year trends in HIV-1 infection rates, and changes in sexual behaviour, among adults in rural Uganda

@article{Kamali2000SevenyearTI,
  title={Seven-year trends in HIV-1 infection rates, and changes in sexual behaviour, among adults in rural Uganda},
  author={Anatoli Kamali and Lucy M. Carpenter and J A G Whitworth and Robert C Pool and Anthony Ruberantwari and Amato Ojwiya},
  journal={AIDS},
  year={2000},
  volume={14},
  pages={427-434}
}
ObjectiveTo assess trends in HIV-1 infection rates and changes in sexual behaviour over 7 years in rural Uganda. MethodsAn adult cohort followed through eight medical–serological annual surveys since 1989–1990. All consenting participants gave a blood sample and were interviewed on sexual behaviour. ResultsOn average, 65% of residents gave a blood sample at each round. Overall HIV-1 prevalence declined from 8.2% at round 1 to 6.9% at round 8 (P = 0.008). Decline was most evident among men aged… 
Is sexual risk taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993–2006
TLDR
Among youth, risky behaviour declined but increased in the late 1990s/early 2000s, among those aged 35+ years, condom use rose but casual partners also rose and several indicators portrayed a temporary increase in risk taking behaviour from 1998 to 2002.
Incidence of HIV-1 infection and changes in prevalence of reproductive tract infections and sexual risk behaviours: a population-based longitudinal study in rural Tanzania
TLDR
The results suggest that RTIs and HIV-1 infections increased in this population in the early 1990s and women were at higher risk of HIV- 1 infection as compared to men.
HIV prevalence and incidence are no longer falling in southwest Uganda: evidence from a rural population cohort 1989–2005
TLDR
HIV-1 prevalence is rising in this cohort of rural population cohort in Uganda, and shows signs of increasing among some subgroups, whereas others indicated that the reduction in risky behaviour that began in the 1990s continues.
Associations between sexual behaviour change in young people and decline in HIV prevalence in Zambia
TLDR
The reported number of sexual partners during the year immediately prior to the survey was a factor that reduced the association between HIV and survey times among sexually active young urban men and women.
Explaining continued high HIV prevalence in South Africa: socioeconomic factors, HIV incidence and sexual behaviour change among a rural cohort, 2001–2004
TLDR
HIV incidence is high in rural South Africa, particularly among women of low education, and some risky sexual behaviours (early sexual debut, having multiple sexual partners) are becoming more common over time.
Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household survey
TLDR
The high HIV prevalence among young people in South Africa and, in particular, young women's disproportionate risk is confirmed, indicating programs for youth must continue to promote partner reduction, consistent condom use and prompt treatment for sexually transmitted infections while also addressing contextual factors that make it difficult for them to implement behavior change.
Trends in HIV Infection: Prevention-Related Attitudes and Behaviors Among Secondary School Students in Western Uganda
TLDR
Data show that significant positive changes in the sexual behavior of secondary school students in western Uganda have occurred, which could explain, in part, the decline of HIV prevalence rates among young people observed in this region.
Independent Effects of Reported Sexually Transmitted Infections and Sexual Behavior on HIV‐1 Prevalence Among Adult Women, Men, and Teenagers in Rural Uganda
TLDR
Reported STIs and sexual behavior are independently associated with HIV in rural Uganda and community‐based interventions to reduce HIV should target both and should include teenagers.
Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and population-based surveys
TLDR
Efforts to sustain the ongoing process of change in the well-educated segments of the population should not be undervalued, but the modest change in behaviour identified among the most deprived groups represents the major preventive challenge.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 34 REFERENCES
Decreasing HIV-1 seroprevalence in young adults in a rural Ugandan cohort
TLDR
This is the first report of a decline in HIV-1 prevalence among young adults in a general population in sub-Saharan Africa with high overall HIV- 1 prevalence, and should be reason for some cautious optimism and encourage the vigorous pursuit of AIDS control measures.
Change in sexual behaviour and decline in HIV infection among young pregnant women in urban Uganda
TLDR
This is the first report of a change over a period of 6 years in male and female sexual behaviour, assessed at the population level, that may partly explain the observed decline in HIV seroprevalence in young pregnant women in urban Uganda.
Changes in male sexual behaviour in response to the AIDS epidemic: evidence from a cohort study in urban Tanzania
TLDR
The predominant change among men in urban Tanzania, who are predominantly married and aged over 25 years, is a reduction of the number of sexual partners, although condom use remains low.
Estimates of the impact of HIV infection on fertility in a rural Ugandan population cohort.
TLDR
Fertility rates in a population-based cohort of over 3500 women aged 15-49 years living in rural southwest Uganda are described and examined and the lower fertility in HIV-positive women is unlikely to be explained by increased use of contraception, as use of modern contraceptive methods in rural Uganda is low.
HIV‐1 incidence and HIV‐1 ‐associated mortality in a rural Ugandan population cohort
TLDR
These results demonstrate the profound impact that the HIV-1 epidemic has on adult mortality in a rural area of Uganda where theAIDS prevalence and incidence rates in adults are 8 and 1%, respectively.
Migration and HIV‐1 seroprevalence in a rural Ugandan population
TLDR
Change of residence is strongly associated with an increased risk of HIV‐1 infection in this rural population and is likely to be the result of more risky sexual behaviour among those who move, have important implications for the design of AIDS control programmes and intervention studies.
Trends in HIV‐1 prevalence may not reflect trends in incidence in mature epidemics: data from the Rakai population‐based cohort, Uganda
TLDR
Prevalence was not an adequate surrogate measure of incidence, limiting the utility of serial prevalence measures in assessing the dynamics of the HIV epidemic and in evaluating the impact of current preventive strategies.
Studying dynamics of the HIV epidemic: population‐based data compared with sentinel surveillance in Zambia
TLDR
ANC-based data might draw a rather distorted picture of current dynamics of the HIV epidemic, and extrapolations of overall prevalence rates may correlate with that of the general population.
...
1
2
3
4
...