ArticleResearch square2024
Household transport ownership and HIV viral suppression in rural Uganda: a cross- sectional, population-based study.
Joseph Ssuuna, Ping Teresa Yeh, Godfrey Kigozi, Fred Nalugoda, Gertrude Nakigozi, Joseph Kagaayi, Ronald M Galiwango, Joseph G Rosen, Steven J Reynolds, Thomas C Quinn and 4 more
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In one paragraphArticle in Research square, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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2 · The registryThe trial behind it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
14 authors.
Joseph SsuunaRakai Health Sciences Program.
Ping Teresa YehJohns Hopkins Bloomberg School of Public Health.
Godfrey KigoziRakai Health Sciences Program.
Fred NalugodaRakai Health Sciences Program.
Gertrude NakigoziRakai Health Sciences Program.
Joseph KagaayiMakerere University College of Health Sciences.
Ronald M GaliwangoRakai Health Sciences Program.
Joseph G RosenJohns Hopkins Bloomberg School of Public Health.
Steven J ReynoldsJohns Hopkins School of Medicine.
Thomas C QuinnJohns Hopkins Bloomberg School of Public Health.
Maria J WawerJohns Hopkins Bloomberg School of Public Health.
Ronald H GrayJohns Hopkins Bloomberg School of Public Health.
M Kate GrabowskiJohns Hopkins School of Medicine.
Larry W ChangJohns Hopkins School of Medicine.
Funding
International Studies of the Acquired Immune Deficiency Syndrome (AIDS)ZIAAI000361 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI REDD, ANDREW · 2009 to 2025
$15.8MThe Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7MStructural and Social Transitions Among Adolescents in Rakai (SSTAR)R01HD091003 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SANTELLI, JOHN S. · 2017 to 2021
$3.7MThe role of penile bacteria and inflammation in HIV susceptibility; Rakai, UgandaR01AI123002 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI LIU, CINDY · 2016 to 2020
$3.3MNeurologic Sequelae of HIV Subtype A and D Infection and ART Rakai UgandaR01MH099733 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SACKTOR, NED C, WAWER, MARIA J · 2013 to 2017
$3.0MEvaluating Demand Generation (Stylish Man) for HIV/Family Planning Services RakaiR01AI114438 · NIAID · JOHNS HOPKINS UNIVERSITY · PI WAWER, MARIA J · 2014 to 2017
$3.0MRCT to reduce HIV acquisition and viral load among migrants, Rakai, UgandaR01MH115799 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CHANG, LARRY WILLIAM, WAWER, MARIA J · 2018 to 2022
$2.9MCHWs, mHealth, and Combination HIV Prevention in a Hotspot: A Randomized TrialR01MH107275 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CHANG, LARRY WILLIAM · 2015 to 2019
$2.7MHard-to-Reach Populations: Implications for Ending the AIDS EpidemicR01AI143333 · NIAID · JOHNS HOPKINS UNIVERSITY · PI CHANG, LARRY WILLIAM · 2019 to 2022
$2.4MPenile Microbiome, Inflammation and HIV Susceptibility During Sexual Debut and Maturation Among Male AdolescentsR01AI128779 · NIAID · JOHNS HOPKINS UNIVERSITY · PI TOBIAN, AARON A · 2017 to 2020
$2.1MMultidisciplinary Research Training to Understand and Reduce HIV Incidence in UgandaD43TW010557 · FIC · JOHNS HOPKINS UNIVERSITY · PI CHANG, LARRY WILLIAM · 2018 to 2022
$1.6MUnderstanding HIV risk and service use in hotspot Ugandan fishing communitiesR01MH105313 · NIMH · JOHNS HOPKINS UNIVERSITY · PI KENNEDY, CAITLIN E · 2015 to 2017
$1.1MFIC NIH HHS D43 TW010557NIAAA NIH HHS K01 AA024068NIAID NIH HHS K01 AI125086NIAID NIH HHS K25 AI114461NIAID NIH HHS R01 AI114438NIAID NIH HHS R01 AI123002NIAID NIH HHS R01 AI128779NIAID NIH HHS R01 AI143333NICHD NIH HHS R01 HD091003NIMH NIH HHS F31 MH126796NIMH NIH HHS R01 MH099733NIMH NIH HHS R01 MH105313NIMH NIH HHS R01 MH107275NIMH NIH HHS R01 MH115799NIMH NIH HHS R25 MH083620
6 · The paper itselfAbstract
Background: Empirical data on transportation access and HIV treatment outcomes in sub-Saharan Africa are rare. We assessed the association between household transport ownership and HIV viral suppression in rural Uganda. Methods: The study was conducted among people living with HIV aged 15-49 years using cross-sectional data from the Rakai Community Cohort Study (RCCS), collected from June 14, 2018, to November 6, 2020. Transport ownership was defined as household possession of a car, motorcycle, or bicycle. HIV viral suppression was defined as < 1000 HIV RNA copies/ml. Poisson regression with robust variance estimation identified unadjusted and adjusted prevalence ratios and 95% confidence intervals (CI) of HIV viral suppression by transport ownership. Results: The study included 3,060 persons aged 15-49 living with HIV. Overall HIV viral suppression was 86.5% and was higher among women compared to men (89.3% versus 81.6%; adjusted prevalence ratio: 1.14, 95% CI: 1.10, 1.18). A total of 874 participants (28.6%) resided in households that owned at least one means of transport. HIV viral suppression was 79.8% among men and 88.2% among women from households without any means of transport, compared to 85.4% among men and 92.4% among women from households with at least one means of transport. Adjusted prevalence ratios of HIV viral suppression were 1.11 (95% CI: 1.04, 1.18) for males and 1.06 (95% CI: 1.03, 1.10) for females from households owning at least one means of transport compared with those from households with none. Conclusion: There was increased HIV viral suppression among people living with HIV from households with transport means compared to those from households without transport means, suggesting transport may facilitate access to, and continued engagement with, HIV treatment services.
Indexed as
HIV care and treatmentpeople living with HIVpopulation-based studysub-Saharan AfricatransportationUgandaviral load suppression
Identifiers
PMID38746257
PMCPMC11092855
What OpenQuestion holds
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LicenceCC BY
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