A high prevalence of HIV-1 infection among pregnant women living in a rural district of north Uganda severely affected by civil strife

Massimo Fabiani, Barbara Nattabi, Alex A. Opio, Joshua Musinguzi, Benon Biryahwaho, Emingtone O. Ayella, Martin Ogwang, Silvia Declich

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

This study aims at estimating the recent trends in HIV-1 prevalence and the factors associated with infection among pregnant women in the Gulu District of north Uganda, a rural area severely affected by civil strife. In 2000-2003, a total of 4459 antenatal clinic attendees of Lacor Hospital were anonymously tested for HIV-1 infection. The overall and age-specific prevalence did not show any significant trend over time. The age-standardized prevalence slightly declined, from 12.1% in 2000 to 11.3% in 2003. Increased age [20-24 years: adjusted odds ratio (AOR) 1.63; 95% CI 1.18-2.25; ≥25 years: AOR 2.56; 95% CI 1.91-3.44], residence in urban areas (AOR 1.76; 95% CI 1.41-2.18), being unmarried (AOR 1.60; 95% CI 1.27-2.01), increased age of partner (25-34 years: AOR 1.87; 95% CI 1.29-2.73; ≥35 years: AOR 2.68; 95% CI 1.72-4.16), modern occupation of partner (AOR 1.98; 95% CI 1.53-2.58), and short time of residence at the current address (AOR 1.36; 95% CI 1.05-1.76) were associated with infection. The HIV-1 prevalence in this rural district is high and similar to that observed in urban antenatal clinics, probably reflecting the effect of the last 18 years of civil strife.

Original languageEnglish
Pages (from-to)586-593
Number of pages8
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume100
Issue number6
DOIs
Publication statusPublished - Jun 2006
Externally publishedYes

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