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Is sexual risk taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993-2006.

Biraro S, Shafer LA, Kleinschmidt I, Wolff B, Karabalinde A, Nalwoga A, Musinguzi J, Kirungi W, Opio A, Whitworth J, Grosskurth H - Sex Transm Infect (2009)

Bottom Line: Among women it increased from 1.4% in 1997 to 3.7% in 2004 and then reduced to 1.4% in 2006.Among those aged 35+ years, condom use rose but casual partners also rose.Several indicators portrayed a temporary increase in risk taking behaviour from 1998 to 2002.

View Article: PubMed Central - PubMed

Affiliation: Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda.

ABSTRACT

Objective: To describe sexual behaviour trends in a rural Ugandan cohort in the context of an evolving HIV epidemic, 1993-2006.

Methods: Sexual behaviour data were collected annually from a population cohort in which HIV serological surveys were also conducted. Behaviour trends were determined using survival analysis and logistic regression. Trends are reported based on the years in which the respective indicators were collected.

Results: Between 1993 and 2006, median age at first sex increased from 16.7 years to 18.2 years among 17-20-year-old girls and from 18.5 years to 19.9 years among boys. Both sexes reported a dip in age at sexual debut between 1998 and 2001. One or more casual partners in the past 12 months among men rose from 11.6% in 1997 to 12.7% in 2004 and then declined to 10.2% in 2006. Among women it increased from 1.4% in 1997 to 3.7% in 2004 and then reduced to 1.4% in 2006. The rise in casual partners between 1997 and 2004 was driven mainly by older age groups. Trends in condom use with casual partners varied by age, increasing among those aged 35+ years, declining in the middle age groups and presenting a dip and then a rise in the youngest aged group (13-19 years).

Conclusion: 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. Several indicators portrayed a temporary increase in risk taking behaviour from 1998 to 2002.

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Use of condom at last sex by age of respondent and partnership type.
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U9G-85-S1-0003-f04: Use of condom at last sex by age of respondent and partnership type.

Mentions: Condom use with the last casual partner increased among the two oldest age groups (age 35–44 years and 45+ years. It declined in the middle age groups and showed a changing trend (declining and then rising) in 13–19-year-olds (fig 4). Note that condom use at last sex with a casual partner was not asked in as many survey rounds as condom use at last sex with anybody. Among those aged 35–44 years, condom use with the last casual partner rose from 38.9% in 1997 (when this question was first asked) to 47.6% in 2005 (data on this indicator not available for 2006). Among those aged 45+ years it rose from 10.0% in 1997 to 31.3% in 2005. By contrast with the older age groups, the middle age groups experienced a decline in condom use at last sex with a casual partner. The trends in condom use at last sex with a casual partner described here were mainly influenced by men. Condom use with a casual partner among women remained fairly stable over time, in the order of 40% among 13–19-year-olds and generally declining with age.


Is sexual risk taking behaviour changing in rural south-west Uganda? Behaviour trends in a rural population cohort 1993-2006.

Biraro S, Shafer LA, Kleinschmidt I, Wolff B, Karabalinde A, Nalwoga A, Musinguzi J, Kirungi W, Opio A, Whitworth J, Grosskurth H - Sex Transm Infect (2009)

Use of condom at last sex by age of respondent and partnership type.
© Copyright Policy - openaccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2654106&req=5

U9G-85-S1-0003-f04: Use of condom at last sex by age of respondent and partnership type.
Mentions: Condom use with the last casual partner increased among the two oldest age groups (age 35–44 years and 45+ years. It declined in the middle age groups and showed a changing trend (declining and then rising) in 13–19-year-olds (fig 4). Note that condom use at last sex with a casual partner was not asked in as many survey rounds as condom use at last sex with anybody. Among those aged 35–44 years, condom use with the last casual partner rose from 38.9% in 1997 (when this question was first asked) to 47.6% in 2005 (data on this indicator not available for 2006). Among those aged 45+ years it rose from 10.0% in 1997 to 31.3% in 2005. By contrast with the older age groups, the middle age groups experienced a decline in condom use at last sex with a casual partner. The trends in condom use at last sex with a casual partner described here were mainly influenced by men. Condom use with a casual partner among women remained fairly stable over time, in the order of 40% among 13–19-year-olds and generally declining with age.

Bottom Line: Among women it increased from 1.4% in 1997 to 3.7% in 2004 and then reduced to 1.4% in 2006.Among those aged 35+ years, condom use rose but casual partners also rose.Several indicators portrayed a temporary increase in risk taking behaviour from 1998 to 2002.

View Article: PubMed Central - PubMed

Affiliation: Medical Research Council/Uganda Virus Research Institute Uganda Research Unit on AIDS, Entebbe, Uganda.

ABSTRACT

Objective: To describe sexual behaviour trends in a rural Ugandan cohort in the context of an evolving HIV epidemic, 1993-2006.

Methods: Sexual behaviour data were collected annually from a population cohort in which HIV serological surveys were also conducted. Behaviour trends were determined using survival analysis and logistic regression. Trends are reported based on the years in which the respective indicators were collected.

Results: Between 1993 and 2006, median age at first sex increased from 16.7 years to 18.2 years among 17-20-year-old girls and from 18.5 years to 19.9 years among boys. Both sexes reported a dip in age at sexual debut between 1998 and 2001. One or more casual partners in the past 12 months among men rose from 11.6% in 1997 to 12.7% in 2004 and then declined to 10.2% in 2006. Among women it increased from 1.4% in 1997 to 3.7% in 2004 and then reduced to 1.4% in 2006. The rise in casual partners between 1997 and 2004 was driven mainly by older age groups. Trends in condom use with casual partners varied by age, increasing among those aged 35+ years, declining in the middle age groups and presenting a dip and then a rise in the youngest aged group (13-19 years).

Conclusion: 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. Several indicators portrayed a temporary increase in risk taking behaviour from 1998 to 2002.

Show MeSH
Related in: MedlinePlus