• African health sciences · Mar 2023

    High prevalence of risky sexual behaviour among key populations receiving antiretroviral therapy at a large HIV clinic in northern Uganda.

    • Norbert Adrawa, Jonathan Izudi, Kenneth Nyeko, Emma Welikhe, Bennet Joseph Kizito, and Francis Bajunirwe.
    • The AIDS Support Organization (TASO), Gulu Centre of Clinical Excellence, P. O. BOX 347, Gulu City.
    • Afr Health Sci. 2023 Mar 1; 23 (1): 362372362-372.

    BackgroundRisky sexual behaviour (RSB) among key populations pose a significant risk of human immunodeficiency virus (HIV) infection but remains understudied.ObjectivesWe assessed the prevalence and factors associated with RSB among key populations living with HIV (KPLHIV) in the post-conflict region of northern Uganda.MethodsWe designed a cross-sectional study using secondary data, with the outcome as RSB defined as having multiple sexual partners, or condomless sex in the past 3 months, or sexual intercourse with a commercial sex worker in the past 3 months, or sexual intercourse under the influence of substance use in the past 3 months. We used modified Poisson regression to determine factors associated with RSB, reported as adjusted risk ratio (aRR) with 95% confidence interval (CI).ResultsWe studied 165 participants and 122 (73.9%) reported RSB and this was more likely among heterosexual females (aRR, 2.39; 95% CI, 1.54-3.71), the married (aRR, 1.92; 95% CI, 1.42-2.49) or separated participants (aRR, 1.47; 95% CI, 1.21-1.79), and transgender persons (aRR, 3.71; 95% CI, 2.05-6.71).ConclusionsRSB is highly prevalent among KPLHIV in northern Uganda so they should be targeted with HIV prevention and behavioural interventions to prevent potential HIV transmission to the general population.© 2023 Adrawa N et al.

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