Evidence map›Paper›PMID 26449622›Full record

ArticleBMC public health2015

Understanding the socio-structural context of high HIV transmission in kasensero fishing community, South Western Uganda.

Muhamadi Lubega, Neema Nakyaanjo, Sumaya Nansubuga, Edgar Hiire, Godfrey Kigozi, Gertrude Nakigozi, Tom Lutalo, Fred Nalugoda, David Serwadda, Ronald Gray and 3 more

Abstract read
In one paragraph

Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Muhamadi LubegaRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. dlmuhamadi@yahoo.co.uk.
Neema NakyaanjoRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. neema@rhsp.org.
Sumaya NansubugaSchool of Graduate Studies and Research Busoga University, PO Box 154, Iganga, Uganda. ksum44@yahoo.com.
Edgar HiireRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. hire.edgarj@gmail.com.
Godfrey KigoziRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. gkigozi@rhsp.org.
Gertrude NakigoziRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. ftrude@rhsp.org.
Tom LutaloRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. tlutalo@rhsp.org.
Fred NalugodaRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. fnalugoda@rhsp.org.
David SerwaddaRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. dserwadda@rhsp.org.
Ronald GrayRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. rgray4@jhu.edu.
Maria WawerRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. mwawer1@jhu.edu.
Caitlin KennedyJohns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA. caitlinkennedy@jhu.edu.
Steven James ReynoldsRakai Health Sciences Program, Old Bukoba road, PO Box 279, Kalisizo, Uganda. sreynol6@jhu.edu.

Funding

International Center for Excellence in Research (ICER) in Uganda: Impact of ARVsZIAAI001040 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REYNOLDS, STEVEN · 2009 to 2025
$23.5M
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8M
Intramural NIH HHS
6 · The paper itself

Abstract

backgroundIn Kasensero fishing community, home of the first recorded case of HIV in Uganda, HIV transmission remains high with an incidence of 4.3 and 3.1 per 100 person-years in women and men, respectively, and an HIV prevalence of 44 %, reaching up to 74 % among female sex workers. We explored the social contextual factors for the high HIV transmission at Kasensero to inform future policy and preventive interventions.

methodsWe conducted 20 in-depth interviews, including both HIV positive and HIV negative respondents, and 12 focus-group discussions involving a total of 92 respondents from the Kasensero fishing community from April-September 2014. Content analysis was performed to identify recurrent themes.

resultsOur findings suggest that the high HIV transmission in Kasensero is a complex function of eight themes including; positive/negative attitudes about HIV and combination HIV prevention such as the demand for services versus ART/circumcision disinhibition; HIV depository; Multiple partners; Frequent unprotected sex; Clothing; Parental behaviors; Pressure within the sex industry; and Cross generational sex.

conclusionsThe current combination HIV prevention services by the RHSP need to be enhanced with more government involvement including ensuring sustainable supply of ART and circumcision services since they are reportedly highly demanded. Community involvement through the engagement of popular peers could also help in the campaign to change the HIV predisposing culture, misconceptions and risky social norms of the population. Social Context HIV Transmission Fishing Community.

Indexed as

CultureAcquired Immunodeficiency SyndromeAdultAnimalsAnti-Retroviral AgentsCircumcision, MaleComprehensionFemaleFishesFocus GroupsHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansIncidenceMaleMiddle AgedAnti-Retroviral Agents

Identifiers

PMID26449622
PMCPMC4599692

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.