Startseite University students and the risk of HIV and other sexually transmitted infections in Uganda: The Crane Survey
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

University students and the risk of HIV and other sexually transmitted infections in Uganda: The Crane Survey

  • George W. Rutherford EMAIL logo , Andrew Anglemyer , Danstan Bagenda , Michael Muyonga , Christina P. Lindan , Joseph L. Barker , Lisa Johnston und Wolfgang Hladik
Veröffentlicht/Copyright: 24. April 2014
International Journal of Adolescent Medicine and Health
Aus der Zeitschrift International Journal of Adolescent Medicine and Health Band 26 Heft 2

Abstract

Adolescents and young adults are at high risk of human immunodeficiency virus (HIV) infection in sub-Saharan Africa. Previous reports have found that university students in Africa comprise a sexually active population, although the prevalence of HIV or sexually transmitted infections (STI) has not been measured. We conducted a cross-sectional survey of students from five large universities in Kampala, Uganda, using respondent-driven sampling. We asked students to complete behavioral questionnaires and provide biological samples to test for HIV, Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum, Trichomonas vaginalis, and bacterial vaginosis. We enrolled 649 students and obtained interpretable data from 640. Around 50% of the respondents were male, and the mean age was 22 years. An estimated 0.8% (95% CI 0.0–2.0) of male students had Chlamydia infection, approximately 4.3% (95% CI 2.0–7.0) had syphilis, 0.4% (95% CI 0.0–0.9) had HIV, and none had gonorrhea. An estimated 32.6% (95% CI 22.4–40.8) of women had bacterial vaginosis, 2.5% (95% CI 0.7–6.3) had Chlamydia infection, 1.7% (95% CI 0.5–3.6) had syphilis, 1.0% (95% CI 0.0–2.4) had gonorrhea, 0.9% (95% CI 0.0–4.2) had trichomoniasis, and 0.9% (95% CI 0.0–1.8) had HIV. We found no significant risk factors for HIV or other STI among males. We also found that not using a condom during the latest sexual intercourse was significantly associated with HIV infection, other STI, or bacterial vaginosis (OR 2.16; 95% 1.26–3.78) among females. We conclude that while university students are sexually active and there is substantial risk for syphilis, there is little evidence of substantially increased HIV risk among them.

Keywords: HIV; Uganda; students, university
Corresponding author: Professor George Rutherford, MD, Global Health Sciences, University of California, San Francisco, 12th Floor, 50 Beale Street, San Francisco, CA 84105, USA, Phone: +1 415 597-9108, Fax: +1 415 597-8299, E-mail:

Acknowledgments

The Crane Survey Group included Wolfgang Hladik, Joseph Barker, David Serwadda, George Lubwama, Danstan Bagenda, Rachel King, Alex Opio, Tom Tenywa, Edith Nakku-Joloba, Michael Muyonga, John Ssenkusu, Avi Hakim, Kimberley Dills, Sylvia Nakayiwa, David Katuntu, Frank Kaharuza, and Jordan Tappero.

Conflict of interest statement

The authors declare that they have no conflict of interest. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention or of the U.S. Department of Health and Human Services.

References

1. Summers T, Kates J, Murphy G. The tip of the iceberg: the global impact of HIV/AIDS on youth. Menlo Park, California: Henry J. Kaiser Foundation, 2002.Suche in Google Scholar

2. Joint United Nations Programme on HIV/AIDS (UNAIDS). Global report: UNAIDS report on the global AIDS epidemic 2010. Geneva, Switzerland: UNAIDS, 2010.Suche in Google Scholar

3. Ugandan Ministry of Health and ORC Macro. Uganda HIV/AIDS Sero-behavioral Survey 2004–5. Calverton Maryland: ORC Macro, 2006.Suche in Google Scholar

4. Othero DM, Aduma P, Opil CO. Knowledge, attitudes and sexual practices of university students for advancing peer HIV education. East Afr Med J 2009;86:11–15.10.4314/eamj.v86i1.46922Suche in Google Scholar PubMed

5. Odusanya OO, Alakija W. HIV; knowledge and sexual practices amongst students of a school of community health in Lagos, Nigeria. Afr J Med Sci 2004;33:45–9.Suche in Google Scholar

6. Ike SO, Aniebue PN. HIV/AIDS perception and sexual behaviour among Nigerian University students. Niger J Clin Pract 2007;10:105–10.Suche in Google Scholar

7. Ntata PR, Muula AS, Siziya S, Kayambazinthu EE. Gender differences in university students’ HIV/AIDS-related knowledge and sexual behaviours in Malawi: a pilot study. SAHARA J 2008;5:201–5.10.1080/17290376.2008.9724920Suche in Google Scholar PubMed

8. Iiadunnola KT, Abiona TC, Odu OO, Iadunola MY. College students in Nigeria underestimate their risk of contracting HIV/AIDS infection. Eur J Contracept Reprod Health Care 2007;12:131–7.10.1080/13625180601068461Suche in Google Scholar PubMed

9. Agardh A, Emmelin M, Muriisa R, Ostergren PO. Social capital and sexual behavior among Ugandan university students. Glob Health Action 2010;27;3. doi:10.3402/gha.v3/0.5432.Suche in Google Scholar

10. Lule GS, Gruer LD. Sexual behaviour and use of the condom among Uganda students. AIDS Care 1991;3:11–19.10.1080/09540129108253043Suche in Google Scholar PubMed

11. Salganik MJ, Heckathorn DD. Sampling and estimation in hidden populations using respondent-driven sampling. Sociol Method 2004;34:193–239.10.1111/j.0081-1750.2004.00152.xSuche in Google Scholar

12. Malekinejad M, Johnston LG, Kendall C, Kerr LR, Rifkin MR, et al. Using respondent-driven sampling methodology for behavioral surveillance in international settings: a systematic review. AIDS Behav 2008;12(4 Suppl):S105–30.10.1007/s10461-008-9421-1Suche in Google Scholar PubMed

13. East Africa Community/Africa Medical Research Foundation Lake Victoria Partnership Programme. HIV sero-behavioural study in six universities in Uganda. Arusha, Tanzania: East African Community, 2010.Suche in Google Scholar

14. Råssjö EB, Kambugu F, Tumwesigye MN, Tenywa T, Darj E. Prevalence of sexually transmitted infections among adolescents in Kampala, Uganda, and theoretical models for improving syndromic management. J Adolesc Health 2006;38:213–21.10.1016/j.jadohealth.2004.10.011Suche in Google Scholar PubMed

15. Goel S, Salganik MJ. Assessing respondent-driven sampling. Proc Natl Acad Sci USA 2010;13:107:6743–47.10.1073/pnas.1000261107Suche in Google Scholar PubMed PubMed Central

16. Langhaug LF, Sherr L, Cowan FM. How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries. Trop Med Int Health 2010;15:362–81.10.1111/j.1365-3156.2009.02464.xSuche in Google Scholar PubMed PubMed Central

Received: 2013-4-15
Accepted: 2013-5-15
Published Online: 2014-4-24
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. To precribe or not to prescribe antibiotics
  4. Review
  5. A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness
  6. Original articles
  7. Prevalence of health risk behaviors and their associated factors among university students in Kyrgyzstan
  8. Heavy Internet use and its associations with health risk and health-promoting behaviours among Thai university students
  9. Dyslipidemia and hyperinsulinemia in children and adolescents with chronic liver disease: relation to disease severity
  10. A cross-national study to compare the knowledge, attitudes, perceptions of sexually transmitted diseases and the sexual risk behaviors of Latino adolescents
  11. University students and the risk of HIV and other sexually transmitted infections in Uganda: The Crane Survey
  12. Concurrent and simultaneous polydrug use among young Swiss males: use patterns and associations of number of substances used with health issues
  13. Sexual behavior of in-school adolescents in Osun State, Southwest Nigeria: a comparative study
  14. Health profile of urban adolescent girls from India
  15. Age of first reported sexual experience among U.S. soldiers
  16. Prehypertension and associated factors among university students in the Philippines
  17. School-based intervention to promote healthy nutrition in Sousse, Tunisia
  18. Awareness, acceptability, and use of female condoms among university students in Nigeria: implications for STI/HIV prevention
  19. Clustering of risk factors in the smoking habits of schoolchildren in Sousse, Tunisia
  20. Self-esteem in adolescents with chronic physical illness vs. controls in Northern Russia
  21. Gender differences in the mental health literacy of young people
  22. Case reports
  23. An adolescent with chronic giardiasis mimicking anorexia nervosa
  24. Treatment of refractory substance-induced psychosis in adolescent males with a genetic predisposition to mental illness
  25. Book Review
  26. A clinical handbook in adolescent medicine. A guide for health professionals who work with adolescents and young adults
https://doi.org/10.1515/ijamh-2013-0515
Schlagwörter für diesen Artikel
HIV; Uganda; students, university

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. To precribe or not to prescribe antibiotics
  4. Review
  5. A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness
  6. Original articles
  7. Prevalence of health risk behaviors and their associated factors among university students in Kyrgyzstan
  8. Heavy Internet use and its associations with health risk and health-promoting behaviours among Thai university students
  9. Dyslipidemia and hyperinsulinemia in children and adolescents with chronic liver disease: relation to disease severity
  10. A cross-national study to compare the knowledge, attitudes, perceptions of sexually transmitted diseases and the sexual risk behaviors of Latino adolescents
  11. University students and the risk of HIV and other sexually transmitted infections in Uganda: The Crane Survey
  12. Concurrent and simultaneous polydrug use among young Swiss males: use patterns and associations of number of substances used with health issues
  13. Sexual behavior of in-school adolescents in Osun State, Southwest Nigeria: a comparative study
  14. Health profile of urban adolescent girls from India
  15. Age of first reported sexual experience among U.S. soldiers
  16. Prehypertension and associated factors among university students in the Philippines
  17. School-based intervention to promote healthy nutrition in Sousse, Tunisia
  18. Awareness, acceptability, and use of female condoms among university students in Nigeria: implications for STI/HIV prevention
  19. Clustering of risk factors in the smoking habits of schoolchildren in Sousse, Tunisia
  20. Self-esteem in adolescents with chronic physical illness vs. controls in Northern Russia
  21. Gender differences in the mental health literacy of young people
  22. Case reports
  23. An adolescent with chronic giardiasis mimicking anorexia nervosa
  24. Treatment of refractory substance-induced psychosis in adolescent males with a genetic predisposition to mental illness
  25. Book Review
  26. A clinical handbook in adolescent medicine. A guide for health professionals who work with adolescents and young adults
Jetzt anmelden und 20% sparen
Institutioneller Zugang
Wie funktioniert Authentifizierung?
Haben Sie eine Idee, wie wir unsere Website verbessern können?
Bitte schreiben Sie uns.
© 2025 De Gruyter Brill
Heruntergeladen am 29.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/ijamh-2013-0515/html
Button zum nach oben scrollen