Abstract/Details

Factors impacting the sexual behavior of HIV -positive individuals in Uganda


2006 2006

Other formats: Order a copy

Abstract (summary)

Sixty-four percent of the estimated 40.3 million people currently living with HIV reside in sub-Saharan Africa. Few studies of the sexual behavior of seropositive individuals and the possible psycho-social factors associated with this behavior have been conducted in Africa. To describe sexual behavior post testing HIV-positive and to inform the development of prevention guidelines, we conducted a cross-sectional study of 1092 HIV-infected male and female clients of an AIDS support organization in Jinja, Uganda using a structured interview. A nested qualitative study of 39 respondents from this sample was then undertaken. In the quantitative analysis, demographic and psycho-social factors were examined in relation to sexual activity and condom use in the three months prior to the interview. In the multivariate analyses, factors found to be related to engagement in sexual activity in men included education, being married, higher CD4 count, employment, and engagement in masturbation or oral sex. For women, significant factors included being married, their own employment, disclosure of serostatus to partner, younger age, engagement in masturbation or oral sex, desire for biological children, and concern about HIV superinfection. Factors related to inconsistent condom use in gender-specific multivariate models included decreased confidence in using a condom (men and women), having sex with a spouse (men only), partner's desire for children (women only), and lack of concern about HIV superinfection (women only). Support for the theoretical constructs of perceived susceptibility, expectancies, and self-efficacy affecting condom use was found. In the qualitative interview, respondents reported reducing intercourse frequency, reducing number of partners and increasing condom use after testing HIV-positive. Respondents used a variety of strategies to effect these changes. Motivations for behavior change, in both men and women, included concerns for personal health and the health of others and loss of desire for sex. Gender-power inequities, negative attitudes toward condom use, forced sex and rape, and desire for children affected condom use in this population. Quantitative and qualitative data can each contribute essential, but at times conflicting, information when studying complex health behaviors. Social and structural factors must be taken into account in the development of future theoretical and conceptual models. In order to build a knowledge base in this area of research, minimum standards for outcomes should be identified for analysis in studies of the sexual behavior of HIV-positive individuals.

Indexing (details)


Subject
Public health;
Risk factors;
Sexual behavior;
Human immunodeficiency virus--HIV
Classification
0573: Public health
Identifier / keyword
Health and environmental sciences; Condom use; HIV-positive; Sexual behavior; Uganda
Title
Factors impacting the sexual behavior of HIV -positive individuals in Uganda
Author
Lifshay, Julie
Number of pages
132
Publication year
2006
Degree date
2006
School code
0028
Source
DAI-B 67/08, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780542825668
Advisor
Reingold, Arthur L.
University/institution
University of California, Berkeley
University location
United States -- California
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3228402
ProQuest document ID
305350328
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/305350328
Access the complete full text

You can get the full text of this document if it is part of your institution's ProQuest subscription.

Try one of the following:

  • Connect to ProQuest through your library network and search for the document from there.
  • Request the document from your library.
  • Go to the ProQuest login page and enter a ProQuest or My Research username / password.