“The Cango Lyec Project - Healing the Elephant-”: Risk Factors for HIV infection among young Men and Women (<25 years) in Post Conflict Northern Uganda
Methods: The “Cango Lyec Project” is a prospective cohort study involving Gulu, Amuru and Nwoya districts in Northern Uganda. We randomly selected study communities and conducted a house-to-house census that mapped and enumerated the entire population All residents aged 13-59 living in the selected communities between October 2011-July 2012 who consented to participate in the survey and to HIV testing were recruited and completed trauma, depression and sociodemographic-behavioural surveys conducted in Luo.
Results: Of 1192 young participants, 54.1% were females; 12.1% had been abducted by the rebels and 12.7% of the women were raped while in captivity. Reported median age at sex debut was 16 years among women compared to 15 years among men and 7.76% of the men were circumcised. HIV prevalence was 7.1%[5.1, 9.1] in women vs. 2.1%[0.9, 3.3] in men (p<0.001). Post Traumatic Stress Disorder (PTSD) was observed in 8.1%[6.0, 10.2]of women compared to 7.5%[5.3, 9.7]of men(p=0.716) and depression was reported by 12.7%[10.1, 15.3] of women and 7.7%[5.5, 9.9]of men (p=0.005). HIV infection among young people was associated with female gender (AOR: 2.33 [1.12,4.86]), female headed household (AOR: 3.65[1.70,7.84)]), active syphilis(AOR: 5.70[2.05,15.81]) and age (AOR: 1.26[1.12,1.42]) for each additional year of age).
Conclusions: Young Women are disproportionately impacted by HIV infection in this post conflict-affected population.
Public health or related research
Social and behavioral sciences
Describe extreme vulnerability to HIV among conflict affected populations.
Keyword(s): International Health, HIV/AIDS
Qualified on the content I am responsible for because: I am one of the co-investigators in the Cango Lyec Project, and have been a part of the data cleaning, analysis, and collection. I am familiar with the specific nature of this presentation. I am currently working in partnership with the Cango Lyec Project on an NIH funded study introducing qualitative measures in a grounded theory approach to better understand the cultural perspectives underlying the results from the quantitative data.
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.