HIV Incidence and Factors Associated with Seroconversion in a Rural Community Home Based Counseling and Testing Program in Eastern Uganda

We estimated HIV incidence and identified risk factors for seroconversion following a rural community home based HIV counseling and testing program in Uganda. We analyzed data from two rounds of testing at least a year apart. Of 19,401 initially seronegative participants, 106 seroconverted in Round...

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Bibliographic Details
Published in:AIDS and behavior 2014, Vol.18 (Suppl 1), p.60-68
Main Authors: Okiria, Alfred G., Okui, O., Dutki, M., Baryamutuma, R., Nuwagaba, C. K., Kansiime, E., Ojamuge, G., Mugweri, J., Fleuret, J., King, R., Bazeyo, W., Lindan, C.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescent
Adult
Age Distribution
Aged
AIDS Serodiagnosis
Counseling
Couples
Female
Follow-Up Studies
Health Psychology
HIV
HIV Infections - complications
HIV Infections - epidemiology
HIV Infections - prevention & control
HIV Seronegativity
HIV Seropositivity - epidemiology
House Calls
Human immunodeficiency virus
Humans
Husbands
Incidence
Infectious Diseases
Male
Males
Mass Screening - utilization
Medical research
Medicine
Medicine & Public Health
Middle Aged
Original Paper
Patient Acceptance of Health Care
Prevalence
Public Health
Risk Factors
Rural areas
Rural Communities
Rural Health
Rural Population
Sick Role
Socioeconomic Factors
Studies
Symptoms
Uganda
Uganda - epidemiology
Young Adult
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Summary:We estimated HIV incidence and identified risk factors for seroconversion following a rural community home based HIV counseling and testing program in Uganda. We analyzed data from two rounds of testing at least a year apart. Of 19,401 initially seronegative participants, 106 seroconverted in Round 2. Overall HIV incidence was 0.55 per 100 person years (95 % CI: 0.45 –0.66) with no gender difference. Among men, being widowed or divorced (aRR 4.4), and having HIV related symptoms (aRR 11.5) were associated with seroconversion; having primary level education (aRR 0.2) was protective. Among women, being aged 35–59 years (aRR 2.3) and having HIV related symptoms (aRR 9.2) were associated with seroconversion; having couples’ posttest counseling in Round 1 (aRR 0.4) was protective. HIV incidence is lower than estimates from elsewhere in Uganda. Nevertheless, focused prevention programs are still needed, targeting previously married men and older women, and including couples’ counseling.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-013-0502-4