HIV fatalism and engagement in transactional sex among Ugandan fisherfolk living with HIV
Bibliographic Data
| ID | 2177798 |
|---|---|
| Authors | Katelyn M Sileo (0000-0003-3714-2945, University of California San Diego), Laura M Bogart (0000-0003-3182-5542, Boston Children's Hospital, corresponding author), Glenn J Wagner (0000-0001-9081-3299, RAND Corporation), William Musoke (Mildmay Uganda), Rose Naigino (Makerere University), Barbara Mukasa (0000-0001-6825-5024, Mildmay Uganda), Rhoda K Wanyenze (0000-0001-5864-3314, Makerere University) |
| Year | 2019 |
| Volume | 16 |
| Issue | 1 |
| Pages | 1-9 |
| Publication date | 2019-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SAHARA-J Journal of Social Aspects of HIV/AIDS (JOURNAL) |
| Journal identifiers | ISSN: 1729-0376 • E-ISSN: 1813-4424 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/17290376.2019.1572533 |
| PMID | 30727838 |
| OpenAlex | W2911916613 |
| Language | EN |
| Citations received | 6 |
| References cited | 34 |
HIV fatalism, or the belief that HIV acquisition and mortality is out of one's control, is thought to contribute to HIV risk in fishing populations in East Africa. The objective of this cross-sectional study was to investigate the association between fatalism and sexual risk behaviours (unprotected sex, engagement in transactional sex), beyond the influence of other known HIV risk factors (e.g. food insecurity, mobility), and identify demographic, psychosocial, and structural correlates of HIV fatalism. Ninety-one men and women living in fishing villages on two islands in Lake Victoria, Uganda completed an interviewer-administered questionnaire after testing HIV-positive during home or community-based HIV testing between May and July 2015. Multivariate logistic regression was used to test the association between HIV fatalism and transactional sex and multivariate linear regression was used to identify demographic, psychosocial, and structural correlates of HIV fatalism. HIV fatalism was significantly associated with a greater likelihood of transactional sex (AOR = 3.07, 95% CI = 1.02-9.23, p = 0.04), and structural barriers to HIV care (e.g. distance to clinic) were significantly associated with HIV fatalism (β = 0.26, SE = 0.12, p = 0.04). Our findings highlight HIV fatalism as a contributor to transactional sex in Ugandan fishing communities, and as a product of broader social and contextual factors, suggesting the potential need for structural HIV interventions in this setting
Environmental health · Fatalism · Logistic regression · Population · Psychiatry · Psychological intervention · Psychosocial · Sociology · Transactional sex · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Gerontology · Internal Medicine
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| Citations per year | 1 |
|---|---|
| Citation span | 2020 - 2026 (7) |
| Highly cited | No |