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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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Risk taking behaviour by survey year and age (combining casual partners and condom use).
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U9G-85-S1-0003-f05: Risk taking behaviour by survey year and age (combining casual partners and condom use).

Mentions: In some cases, trends in condom use were the opposite of trends in casual partners. For example, among those aged 35+ years, casual partners rose between 2000 and 2005, indicating more risky behaviour, but condom use also rose, indicating less risky behaviour. In order to assess the overall trend in “risky behaviour”, we therefore combined both condom use and casual partners (fig 5). For most age groups risky behaviour—as measured by casual partners and condom use—appears to have risen between 1997 and 2001 and then declined.


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)

Risk taking behaviour by survey year and age (combining casual partners and condom use).
© Copyright Policy - openaccess
Related In: Results  -  Collection

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

U9G-85-S1-0003-f05: Risk taking behaviour by survey year and age (combining casual partners and condom use).
Mentions: In some cases, trends in condom use were the opposite of trends in casual partners. For example, among those aged 35+ years, casual partners rose between 2000 and 2005, indicating more risky behaviour, but condom use also rose, indicating less risky behaviour. In order to assess the overall trend in “risky behaviour”, we therefore combined both condom use and casual partners (fig 5). For most age groups risky behaviour—as measured by casual partners and condom use—appears to have risen between 1997 and 2001 and then declined.

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