Cargando…

Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda

BACKGROUND: Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE: This study aimed to determine t...

Descripción completa

Detalles Bibliográficos
Autores principales: Choudhry, Vikas, Ambresin, Anne-Emmanuelle, Nyakato, Viola Nilah, Agardh, Anette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441731/
https://www.ncbi.nlm.nih.gov/pubmed/26001780
http://dx.doi.org/10.3402/gha.v8.27249
_version_ 1782372815027044352
author Choudhry, Vikas
Ambresin, Anne-Emmanuelle
Nyakato, Viola Nilah
Agardh, Anette
author_facet Choudhry, Vikas
Ambresin, Anne-Emmanuelle
Nyakato, Viola Nilah
Agardh, Anette
author_sort Choudhry, Vikas
collection PubMed
description BACKGROUND: Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE: This study aimed to determine the associations between risky sexual behaviors, participation in transactional sex, and HIV sero-status among men and women aged 15–24 in Uganda. DESIGN: The study uses data from the Uganda AIDS Indicator Survey, a cross-sectional national HIV serological study conducted in 2011. We analyzed data on 1,516 men and 2,824 women aged 15–24 who had been sexually active in the 12 months preceding the survey. Private, face-to-face interviews were also conducted to record the sociodemographics, sexual history, and experiences of sexual coercion. Logistic regression analysis was performed to measure associations between sexual behaviors and transactional sex, and associations between HIV sero-status and transactional sex. RESULTS: Among young people who had been sexually active in the 12 months prior to the survey, 5.2% of young men reported paying for sex while 3.7% of young women reported receiving gifts, favors, or money for sex. Lower educational attainment (OR(adjusted) 3.25, CI 1.10–9.60) and experience of sexual coercion (OR(adjusted) 2.83, CI 1.07–7.47) were significantly associated with paying for sex among men. Multiple concurrent sexual relationships were significantly associated with paying for sex among young men (OR(adjusted) 5.60, CI 2.08–14.95) and receiving something for sex among young women (OR(adjusted) 8.04, CI 2.55–25.37). Paying for sex among young men and having three to five lifetime sexual partners among young women were associated with increased odds of testing positive for HIV. CONCLUSIONS: Transactional sex is associated with sexual coercion and HIV risk behaviors such as multiple concurrent sexual partnerships among young people in Uganda. In addition, transactional sex appears to place young men at increased risk for HIV in Uganda. Both sexes appear equally vulnerable to risks associated with transactional sex, and therefore should be targeted in intervention programs. In addition, strengthening universal education policy and improving school retention programs may be beneficial in reducing risky sexual behaviors and transactional sex.
format Online
Article
Text
id pubmed-4441731
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Co-Action Publishing
record_format MEDLINE/PubMed
spelling pubmed-44417312015-06-04 Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda Choudhry, Vikas Ambresin, Anne-Emmanuelle Nyakato, Viola Nilah Agardh, Anette Glob Health Action Original Article BACKGROUND: Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE: This study aimed to determine the associations between risky sexual behaviors, participation in transactional sex, and HIV sero-status among men and women aged 15–24 in Uganda. DESIGN: The study uses data from the Uganda AIDS Indicator Survey, a cross-sectional national HIV serological study conducted in 2011. We analyzed data on 1,516 men and 2,824 women aged 15–24 who had been sexually active in the 12 months preceding the survey. Private, face-to-face interviews were also conducted to record the sociodemographics, sexual history, and experiences of sexual coercion. Logistic regression analysis was performed to measure associations between sexual behaviors and transactional sex, and associations between HIV sero-status and transactional sex. RESULTS: Among young people who had been sexually active in the 12 months prior to the survey, 5.2% of young men reported paying for sex while 3.7% of young women reported receiving gifts, favors, or money for sex. Lower educational attainment (OR(adjusted) 3.25, CI 1.10–9.60) and experience of sexual coercion (OR(adjusted) 2.83, CI 1.07–7.47) were significantly associated with paying for sex among men. Multiple concurrent sexual relationships were significantly associated with paying for sex among young men (OR(adjusted) 5.60, CI 2.08–14.95) and receiving something for sex among young women (OR(adjusted) 8.04, CI 2.55–25.37). Paying for sex among young men and having three to five lifetime sexual partners among young women were associated with increased odds of testing positive for HIV. CONCLUSIONS: Transactional sex is associated with sexual coercion and HIV risk behaviors such as multiple concurrent sexual partnerships among young people in Uganda. In addition, transactional sex appears to place young men at increased risk for HIV in Uganda. Both sexes appear equally vulnerable to risks associated with transactional sex, and therefore should be targeted in intervention programs. In addition, strengthening universal education policy and improving school retention programs may be beneficial in reducing risky sexual behaviors and transactional sex. Co-Action Publishing 2015-05-21 /pmc/articles/PMC4441731/ /pubmed/26001780 http://dx.doi.org/10.3402/gha.v8.27249 Text en © 2015 Vikas Choudhry et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Original Article
Choudhry, Vikas
Ambresin, Anne-Emmanuelle
Nyakato, Viola Nilah
Agardh, Anette
Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title_full Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title_fullStr Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title_full_unstemmed Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title_short Transactional sex and HIV risks – evidence from a cross-sectional national survey among young people in Uganda
title_sort transactional sex and hiv risks – evidence from a cross-sectional national survey among young people in uganda
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441731/
https://www.ncbi.nlm.nih.gov/pubmed/26001780
http://dx.doi.org/10.3402/gha.v8.27249
work_keys_str_mv AT choudhryvikas transactionalsexandhivrisksevidencefromacrosssectionalnationalsurveyamongyoungpeopleinuganda
AT ambresinanneemmanuelle transactionalsexandhivrisksevidencefromacrosssectionalnationalsurveyamongyoungpeopleinuganda
AT nyakatoviolanilah transactionalsexandhivrisksevidencefromacrosssectionalnationalsurveyamongyoungpeopleinuganda
AT agardhanette transactionalsexandhivrisksevidencefromacrosssectionalnationalsurveyamongyoungpeopleinuganda