Influence of Partner Characteristics on HIV Acquisition among Youth in Rakai, Uganda
Methods: We used self-reported data from 15-24 years-olds from a population-based cohort (2005-2011) on up to four most recent sexual partners in the last year (n=9,062 partners across 7,080 participants). Poisson regression was used to calculate incident rate ratios (IRR).
Results: In bivariate analyses, young women’s risk of HIV acquisition increased if they had non-marital partners, if their partners were older, lived outside her home or community, drove a truck, were not in school, had other partners, drank alcohol before sex, used condom inconsistently, and were described as being at risk of HIV. Young men’s risk of HIV acquisition increased with similar partner characteristics, but also if they had partnerships of shorter duration and with higher coital frequency. Multivariate analyses adjusting for individual-level risk factors, showed that young women’s likelihood of HIV acquisition increased with each non-marital sexual partner (IRR: 1.54 [1.20-1.98]), each partner who drank alcohol before sex (IRR: 1.57 [1.11-2.21]), and each partner who used condoms inconsistently (IRR: 1.99 [1.33-2.04]). Among young men, only having non-marital partnerships increased HIV acquisition (IRR for each partner: 1.54[1.20, 1.98]).
Conclusions: Partner characteristics predicted HIV acquisition among youth. HIV prevention programs should emphasize knowledge of partners and characteristics of partners that increase HIV risk, in addition to current HIV prevention strategies.
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences
Assess the contribution of partner characteristics on HIV acquisition among young people in rural Uganda, controlling for individual-level risk factors.
Keyword(s): HIV Risk Behavior, Youth
Qualified on the content I am responsible for because: I have been the co-investigator of multiple federally funded grants on youth and HIV/AIDS. One of the areas of research included exploring risk factors for youth acquisition of HIV/AIDS.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.