Background
Methods
Study settings
Study design and study population
Sampling and participants recruitment
Data collection
Data management and analysis
Results
Social demographics of the study participants
Variable | Respondents location | p-value | |
---|---|---|---|
Muleba (N = 254) (%) | Buchosa (N = 202) (%) | ||
Mean age (in years) | 33.01 | 32.92 | > 0.05 |
Sex | |||
Men | 169 (67) | 100 (50) | |
Women | 85 (33) | 102 (50) | < 0.001 |
Marital status | |||
Married | 157(62) | 102 (50) | |
Single | 65 (26) | 40 (20) | < 0.001 |
Divorced/Widow/Cohabit | 32 (13) | 60 (30) | |
Education | |||
No formal education | 22 (9) | 32 (16) | |
Primary+ | 232 (91) | 170 (84) | > 0.05 |
Occupation | |||
Fishing | 128 (50) | 72 (35) | |
Fishing related business | 57 (22) | 38 (19) | |
Fishing related employment | 23 (10) | 46 (23) | > 0.05 |
Farming and fishing | 46 (18) | 46 (23) | |
Religion | |||
Christian | 206 (81) | 177 (88) | |
Muslim | 48 (19) | 25 (12) | > 0.05 |
Residence | |||
Permanent | 77 (30) | 41 (20) | |
Only for business | 177 (70) | 161 (80) | > 0.05 |
Prevalence HIV infection during the community-based survey
Island | HIV test results | Total tested | Prevalence (%) | |
---|---|---|---|---|
Positive | Negative | |||
Lubiri | 8 | 72 | 80 | 10 |
Makibwa | 13 | 71 | 84 | 18 |
Nyamangu | 8 | 69 | 77 | 11.4 |
Kasalazi | 15 | 48 | 63 | 23.8 |
Lunyanja | 6 | 77 | 83 | 7.2 |
Zilagula | 13 | 47 | 60 | 21.7 |
Overall | 63 | 384 | 447 | 14 |
Magnitude of HIV sero-positivity from the Voluntary Counselling and Testing (VCT) Registry
Site/ Island | Category | Total tested | HIV+ (%) | OR | 95%CI | p-value |
---|---|---|---|---|---|---|
N = 1744 | n = 158 | |||||
District | Muleba | 1394 | 131 (9.4) | 1 | ||
Buchosa | 350 | 27 (7.7) | 1.25 | 0.812–1.925 | > 0.05 | |
Buchosa | Male | 223 | 13 (5.8) | 1 | ||
Female | 127 | 14 (11) | 0.499 | 0.227–1.099 | > 0.05 | |
Muleba | Male | 806 | 50 (6.2) | 1 | ||
Female | 588 | 81 (13.8) | 0.414 | 0.286–0.600 | < 0.001 | |
Chakazimbwe | Male | 70 | 07 (10) | 1 | ||
Female | 108 | 10 (9.3) | 1.088 | 0.394–3.009 | > 0.05 | |
Goziba | Male | 281 | 14 (5) | 1 | ||
Female | 141 | 17 (12.1) | 0.382 | 0.182–0.800 | < 0.01 | |
Ihumbo | Male | 84 | 4 (4.8) | 1 | ||
Female | 78 | 4 (5.1) | 0.925 | 0.223–3.833 | > 0.05 | |
Iroba | Male | 61 | 2 (3.3) | 1 | ||
Female | 59 | 8 (13.6) | 0.216 | 0.043–1.064 | > 0.05 | |
Rubiri | Male | 99 | 2 (2) | 1 | ||
Female | 32 | 4 (12.5) | 0.144 | 0.025–0.829 | < 0.05 | |
Makibwa | Male | 82 | 6 (7.3) | 1 | ||
Female | 51 | 14 (27.5) | 0.209 | 0.074–0.587 | < 0.001 | |
Mulumo | Male | 65 | 6 (9.2) | 1 | ||
Female | 84 | 11 (13) | 0.674 | 0.236–1.933 | > 0.05 | |
Nyabulo | Male | 64 | 9 (14.1) | 1 | ||
Female | 35 | 13 (37.1) | 0.277 | 0.104–0.740 | < 0.05 | |
Kerebe | Male | 123 | 6 (2.7) | 1 | ||
Female | 64 | 5 (7.8) | 0.605 | 0.177–2.064 | > 0.05 | |
Nyamangu | Male | 100 | 7 (7) | 1 | ||
Female | 63 | 9 (14.35) | 0.452 | 0.159–1.282 | > 0.05 |
Levels of knowledge and attitude on HIV/AIDS
Multivariate logistic regression of factors associated with HIV infection among fisherfolk during the community survey
Category | Variable | Total tested | HIV {+} | Crude OR | 95% CI | p-value |
---|---|---|---|---|---|---|
N = 447 | N = 63 | |||||
Age | ≤20 | 28 | 1 | 1 | ||
21–35 | 256 | 32 | 0.25 | 0.03–1.97 | > 0.05 | |
≥36 | 163 | 30 | 0.16 | 0.02–1.25 | > 0.05 | |
Location | Muleba | 247 | 27 | 1 | ||
Buchosa | 200 | 36 | 1.79 | 1.04–3.06 | < 0.05 | |
Mean rank age | Age (years) | – | 277.25 | – | – | < 0.0001 a |
Sex | Male | 266 | 32 | 1 | 0.16 | |
Female | 181 | 31 | 1.51 | 0.89–2.58 | ||
Marital status | Married | 254 | 24 | 1 | ||
Single | 101 | 12 | 1.29 | 0.62–2.69 | > 0.05 | |
Widowed/Divorced/ | 92 | 27 | 2.81 | 1.54–5.13 | < 0.001 | |
Cohabiting | ||||||
Education | No formal education | 54 | 19 | 1 | ||
Primary+ | 393 | 44 | 4.31 | 2.27–8.17 | < 0.0001 | |
Fisherfolk occupation category | Fishing+farming | 91 | 05 | |||
Fish business | 109 | 17 | 3.18 | 1.12–8.98 | < 0.05 | |
Employed b | 67 | 16 | 5.40 | 1.87–15.61 | < 0.001 | |
Fishing | 180 | 25 | 2.77 | 1.03–7.51 | < 0.05 | |
Religion | Christian | 376 | 54 | 1 | ||
Muslim | 71 | 09 | 1.16 | 0.54–2.46 | 0.7 | |
Residence | Permanent | 117 | 13 | 1 | ||
Temporary | 330 | 50 | 1.42 | 0.75–2.74 | 0.36 | |
Knowledge | Appropriate | 368 | 50 | 1 | ||
Inappropriate | 79 | 13 | 1.25 | 0.64–2.44 | 0.5 | |
HIV Attitude | Positive | 331 | 53 | 1 | ||
Negative | 116 | 10 | 0.49 | 0.24–1.015 | 0.06 | |
Condom use | Consistent | 234 | 27 | 1 | ||
Inconsistent | 213 | 36 | 1.55 | 0.91–2.67 | 0.10 | |
Circumcision (Only men) | Yes | 236 | 24 | 1 | ||
No | 30 | 8 | 3.21 | 1.29–8.00 | < 0.05 | |
VCT in 1 year | Yes | 343 | 40 | 1 | ||
No | 104 | 23 | 2.15 | 1.23–3.79 | < 0.01 | |
Multiple partners | No | 289 | 31 | |||
Yes | 158 | 32 | 1.96 | 1.15–3.36 | < 0.05 | |
Alcohol use | No | 275 | 27 | 1 | ||
Yes | 172 | 36 | 2.43 | 1.42–4.18 | < 0.001 |
Variable | aOR | 95% CI | p-value | |
---|---|---|---|---|
Lower | Upper | |||
Alcohol intake | ||||
Alcohol non-users | 1 | |||
Alcohol users | 2.26 | 1.228 | 4.147 | 0.009 |
Place of residence | ||||
Located in Muleba | 1 | |||
Located in Buchosa | 0.75 | 0.4 | 1.401 | 0.37 |
Number of sexual partners | ||||
No multiple sexual partners | 1 | |||
Multiple sexual partners | 0.636 | 0.349 | 1.158 | 0.139 |
Level of education | ||||
Primary education+ | 1 | |||
No formal education | 3.37 | 1.637 | 6.921 | 0.001 |
Marital status | ||||
Single | 1 | |||
Married | 0.563 | 0.239 | 1.329 | 0.19 |
Cohabit/widow/divorced | 0.332 | 0.167 | 0.66 | 0.002 |
VCT use | ||||
Uptake of VCT in 1 year | 1 | |||
No uptake of VCT | 0.748 | 0.382 | 1.467 | 0.399 |
Age of participants | ||||
Age | 1.061 | 1.029 | 1.093 | < 0.001 |
Uptake of HIV/AIDS services
Variables | Buchosa | Muleba | Total (%) | ||
---|---|---|---|---|---|
Male (%) | Female (%) | Male (%) | Female (%) | ||
HIV testing for past 12 months | |||||
Yes | 62 (62) | 70 (70) | 138(83) | 73 (90.1) | 343 (76.7) |
No | 38 (38) | 30 (30) | 28 (17) | 8(9.9) | 104 (23.3) |
Condom use last 12 months | |||||
Consistent | 42 (42) | 49 (48) | 94(55.5) | 54 (63.5) | 239 (52.4) |
Inconsistent | 58 (58) | 53 (52) | 75 (44.5) | 31 (36.5) | 217 (47.6) |
HIV infected on antiretroviral therapy | |||||
Yes | 0 (0) | 1 (50) | 4 (57.1) | 4 (80) | 9 (64.3) |
No | 0 (0) | 1 (50) | 3 (42.9) | 1 (20) | 5 (35.7) |
Male circumcision | |||||
Yes | 88 (88) | – | 151(89.3) | – | 239 (88.8) |
No | 12 (12) | – | 18 (10.7) | – | 30 (11.2) |