A combination intervention addressing sexual risk-taking behaviors among vulnerable women in Uganda: study protocol for a cluster randomized clinical trial

Ssewamala, Fred M.; Bahar, Ozge Sensoy; Tozan, Yeşim; Nabunya, Proscovia; Mayo-Wilson, Larissa Jennings; Kiyingi, Joshua; Kagaayi, Joseph; Bellamy, Scarlett L.; McKay, Mary M.; Witte, Susan S.

doi:10.1186/s12905-019-0807-1

Cited by 32 publications

(38 citation statements)

References 114 publications

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“…It is worth mentioning that some publications have linked the problem of the impact of precarious employment on health with the specific working conditions of a given industry or profession, e.g., the sex industry [56]. Even if the very nature of the industry's working conditions seems to have an adverse effect on health, the results of some studies are inconclusive.…”

Section: H5mentioning

confidence: 99%

The Impact of Mandate Contract and Self-Employment on Workers’ Health—Evidence from Poland

Piwowar‐Sulej

Bąk-Grabowska

2021

IJERPH

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The purpose of the study is to analyze the correlations between two clearly defined forms of non-standard employment (self-employment and mandate contract) and workers’ health. The study also addressed such variables as gender, age, length of service, and the reason for employment (voluntary vs. non-voluntary). The research was carried out in Poland in 2020 using the CATI method (a telephone interviewing technique), and it covered a sample of 200 workers (100 self-employed and 100 working under a mandate contract). Most of the respondents declared that their form of employment did not affect their health. However, the statistical analysis showed significant differences in health status between the self-employed and those working on a mandate contract. Self-employed respondents experienced mental health impacts more often, whereas those working under a mandate contract more frequently declared that their physical health was affected. The length of service was only important for mental health, having a negative impact on it. The respondents’ age and gender turned out to be statistically insignificant, which is in contradiction to many previous research findings. The inability to choose one’s form of employment resulted in worse physical health. These findings demonstrate the importance of certain variables that were not prioritized in previous studies and emphasize the need to clearly define what non-standard and precarious forms of employment are, as well as revealing new correlations between the studied categories and providing directions for further research.

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Section: H5mentioning

confidence: 99%

The Impact of Mandate Contract and Self-Employment on Workers’ Health—Evidence from Poland

Piwowar‐Sulej

Bąk-Grabowska

2021

IJERPH

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“…These include spatial mapping to identify geographic areas of higher-than-average HIV-1 prevalence [10] and demographic surveillance to characterize populations that are at higher risk of HIV-1 infection [11,12]. Recent studies in Uganda have employed spatial mapping and demographic surveillance prior to the implementation of combination interventions in high-risk populations like FF [13,14] and WHR [15]. In addition, phylogenetic analyses have been increasingly used to characterize aspects of HIV-1 transmission dynamics from nucleotide sequences of the virus.…”

Section: Introductionmentioning

confidence: 99%

Phylogenetic and Demographic Characterization of Directed HIV-1 Transmission Using Deep Sequences from High-Risk and General Population Cohorts/Groups in Uganda

Bbosa

Ssemwanga

Ssekagiri

et al. 2020

Viruses

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Across sub-Saharan Africa, key populations with elevated HIV-1 incidence and/or prevalence have been identified, but their contribution to disease spread remains unclear. We performed viral deep-sequence phylogenetic analyses to quantify transmission dynamics between the general population (GP), fisherfolk communities (FF), and women at high risk of infection and their clients (WHR) in central and southwestern Uganda. Between August 2014 and August 2017, 6185 HIV-1 positive individuals were enrolled in 3 GP and 10 FF communities, 3 WHR enrollment sites. A total of 2531 antiretroviral therapy (ART) naïve participants with plasma viral load >1000 copies/mL were deep-sequenced. One hundred and twenty-three transmission networks were reconstructed, including 105 phylogenetically highly supported source–recipient pairs. Only one pair involved a WHR and male participant, suggesting that improved population sampling is needed to assess empirically the role of WHR to the transmission dynamics. More transmissions were observed from the GP communities to FF communities than vice versa, with an estimated flow ratio of 1.56 (95% CrI 0.68–3.72), indicating that fishing communities on Lake Victoria are not a net source of transmission flow to neighboring communities further inland. Men contributed disproportionally to HIV-1 transmission flow regardless of age, suggesting that prevention efforts need to better aid men to engage with and stay in care.

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“…The following reasons may explain why the proportion of HIV prevalence between the sexes has changed so much: (1) the previously demonstrated increased vulnerability of women to HIV infection[ 32 ]. There is a broad consensus that male-to-female transmission is more efficient than female-to male transmission[ 33 , 34 ]; (2) increased numbers of FSWs[ 13 , 35 ]; (3) increased frequency of nonspousalsexual relationships[ 36 ]; (4) increased marriage of homosexualmales with women[ 13 , 37 ]; and (5) increased high-risk sexual behavior among women[ 38 ].…”

Section: Discussionmentioning

confidence: 99%

HIV prevalence among 338,432 infertile individuals in Hunan, China, 2012-2018: A cross-sectional study

et al. 2020

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Background The prevalence of human immunodeficiency virus (HIV) varies markedly among different risk groups in China, spreading fromhigh-risk populations to the general population. Indeed, China is in a critical period of HIV/acquired immunodeficiency syndrome (AIDS) prevention and control; however, data regarding HIV testing, infection and coinfection among infertile couples are lacking. This study aimed to estimate the HIV/AIDS prevalence to identify risk factors among infertile couples in Hunan, China. Methods A cross-sectional hospital-based study was conducted to evaluate the prevalence of HIV/ other infections (hepatitis B virus (HBV), hepatitis C virus (HCV), syphilis, and Chlamydia trachomatis, Neisseria gonorrhoeae, and Mycoplasma genitalium (MG) infections) among 338,432 infertile individuals in Hunan, China, from 2012 to 2018. We calculated linear trends in prevalence using bivariate linear regression. Results The overall prevalence rates of HIV, chlamydia, gonorrhea, MG, syphilis, and HBV and HCV antibody positivity in this study were 0.04%, 1.73%, 0.05%, 2.60%, 2.15%, 12.01% and 0.56%, respectively. The predominant infection was HBV, followed by MG, syphilis, and chlamydia. Only 1.13% of the participants (382/338432) reported sexually transmitted disease (STD) signs and symptoms suggesting genital tract infection. However, from 2012-2018, the variation in HIV prevalence was not significant (β = 0.000, P TREND = 0.907). The characteristics of the HIV-infected infertile population have not shifted dramatically, with women accounting for 32.56% of HIV cases in China. Overall, 87.60% of HIV-infected individuals have a relatively low education. In total, 37.98% of HIV-positive patients engage in high-risk behaviors.

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A combination intervention addressing sexual risk-taking behaviors among vulnerable women in Uganda: study protocol for a cluster randomized clinical trial

Cited by 32 publications

References 114 publications

The Impact of Mandate Contract and Self-Employment on Workers’ Health—Evidence from Poland

The Impact of Mandate Contract and Self-Employment on Workers’ Health—Evidence from Poland

Phylogenetic and Demographic Characterization of Directed HIV-1 Transmission Using Deep Sequences from High-Risk and General Population Cohorts/Groups in Uganda

HIV prevalence among 338,432 infertile individuals in Hunan, China, 2012-2018: A cross-sectional study

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