Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study
Identifieur interne : 003C19 ( Main/Exploration ); précédent : 003C18; suivant : 003C20Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study
Auteurs : Patric Lundberg [Suède] ; Godfrey Rukundo [Ouganda] ; Schola Ashaba [Ouganda] ; Anna Thorson [Suède] ; Peter Allebeck [Suède] ; Per-Olof Östergren [Suède] ; Elizabeth Cantor-Graae [Suède]Source :
- BMC Public Health [ 1471-2458 ] ; 2011.
Abstract
Poor mental health predicts sexual risk behaviours in high-income countries, but little is known about this association in low-income settings in sub-Saharan Africa where HIV is prevalent. This study investigated whether depression, psychological distress and alcohol use are associated with sexual risk behaviours in young Ugandan adults.
Household sampling was performed in two Ugandan districts, with 646 men and women aged 18-30 years recruited. Hopkins Symptoms Checklist-25 was used to assess the presence of depression and psychological distress. Alcohol use was assessed using a question about self-reported heavy-episodic drinking. Information on sexual risk behaviour was obtained concerning number of lifetime sexual partners, ongoing concurrent sexual relationships and condom use.
Depression was associated with a greater number of lifetime partners and with having concurrent partners among women. Psychological distress was associated with a greater number of lifetime partners in both men and women and was marginally associated (p = 0.05) with having concurrent partners among women. Psychological distress was associated with inconsistent condom use among men. Alcohol use was associated with a greater number of lifetime partners and with having concurrent partners in both men and women, with particularly strong associations for both outcome measures found among women.
Poor mental health is associated with sexual risk behaviours in a low-income sub-Saharan African setting. HIV preventive interventions should consider including mental health and alcohol use reduction components into their intervention packages, in settings where depression, psychological distress and alcohol use are common.
Url:
DOI: 10.1186/1471-2458-11-125
PubMed: 21338500
PubMed Central: 3056745
Affiliations:
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of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Rukundo, Godfrey" sort="Rukundo, Godfrey" uniqKey="Rukundo G" first="Godfrey" last="Rukundo">Godfrey Rukundo</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Psychiatry, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Ashaba, Schola" sort="Ashaba, Schola" uniqKey="Ashaba S" first="Schola" last="Ashaba">Schola Ashaba</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Psychiatry, Mbarara University of Science and Technology, Mbarara</wicri:regionArea><wicri:noRegion>Mbarara</wicri:noRegion></affiliation></author><author><name sortKey="Thorson, Anna" sort="Thorson, Anna" uniqKey="Thorson A" first="Anna" last="Thorson">Anna Thorson</name><affiliation wicri:level="3"><nlm:aff id="I4">Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Allebeck, Peter" sort="Allebeck, Peter" uniqKey="Allebeck P" first="Peter" last="Allebeck">Peter Allebeck</name><affiliation wicri:level="3"><nlm:aff id="I1">Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Ostergren, Per Olof" sort="Ostergren, Per Olof" uniqKey="Ostergren P" first="Per-Olof" last="Östergren">Per-Olof Östergren</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Cantor Graae, Elizabeth" sort="Cantor Graae, Elizabeth" uniqKey="Cantor Graae E" first="Elizabeth" last="Cantor-Graae">Elizabeth Cantor-Graae</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Poor mental health predicts sexual risk behaviours in high-income countries, but little is known about this association in low-income settings in sub-Saharan Africa where HIV is prevalent. This study investigated whether depression, psychological distress and alcohol use are associated with sexual risk behaviours in young Ugandan adults.</p></sec><sec><title>Method</title><p>Household sampling was performed in two Ugandan districts, with 646 men and women aged 18-30 years recruited. Hopkins Symptoms Checklist-25 was used to assess the presence of depression and psychological distress. Alcohol use was assessed using a question about self-reported heavy-episodic drinking. Information on sexual risk behaviour was obtained concerning number of lifetime sexual partners, ongoing concurrent sexual relationships and condom use.</p></sec><sec><title>Results</title><p>Depression was associated with a greater number of lifetime partners and with having concurrent partners among women. Psychological distress was associated with a greater number of lifetime partners in both men and women and was marginally associated (p = 0.05) with having concurrent partners among women. Psychological distress was associated with inconsistent condom use among men. Alcohol use was associated with a greater number of lifetime partners and with having concurrent partners in both men and women, with particularly strong associations for both outcome measures found among women.</p></sec><sec><title>Conclusion</title><p>Poor mental health is associated with sexual risk behaviours in a low-income sub-Saharan African setting. 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Carey</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gotlib, Ih" uniqKey="Gotlib I">IH Gotlib</name></author><author><name sortKey="Joormann, J" uniqKey="Joormann J">J Joormann</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Midanik, Lt" uniqKey="Midanik L">LT Midanik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tomlinson, M" uniqKey="Tomlinson M">M Tomlinson</name></author><author><name sortKey="Grimsrud, At" uniqKey="Grimsrud A">AT Grimsrud</name></author><author><name sortKey="Stein, Dj" uniqKey="Stein D">DJ Stein</name></author><author><name sortKey="Williams, Dr" uniqKey="Williams D">DR Williams</name></author><author><name sortKey="Myer, L" uniqKey="Myer L">L Myer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fritz, K" uniqKey="Fritz K">K Fritz</name></author><author><name sortKey="Morojele, N" uniqKey="Morojele N">N Morojele</name></author><author><name sortKey="Kalichman, S" uniqKey="Kalichman S">S Kalichman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wright, J" uniqKey="Wright J">J Wright</name></author><author><name sortKey="Lubben, F" uniqKey="Lubben F">F Lubben</name></author><author><name sortKey="Mkandawire, Mb" uniqKey="Mkandawire M">MB Mkandawire</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ouganda</li><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Lundberg, Patric" sort="Lundberg, Patric" uniqKey="Lundberg P" first="Patric" last="Lundberg">Patric Lundberg</name></region><name sortKey="Allebeck, Peter" sort="Allebeck, Peter" uniqKey="Allebeck P" first="Peter" last="Allebeck">Peter Allebeck</name><name sortKey="Cantor Graae, Elizabeth" sort="Cantor Graae, Elizabeth" uniqKey="Cantor Graae E" first="Elizabeth" last="Cantor-Graae">Elizabeth Cantor-Graae</name><name sortKey="Lundberg, Patric" sort="Lundberg, Patric" uniqKey="Lundberg P" first="Patric" last="Lundberg">Patric Lundberg</name><name sortKey="Ostergren, Per Olof" sort="Ostergren, Per Olof" uniqKey="Ostergren P" first="Per-Olof" last="Östergren">Per-Olof Östergren</name><name sortKey="Thorson, Anna" sort="Thorson, Anna" uniqKey="Thorson A" first="Anna" last="Thorson">Anna Thorson</name></country><country name="Ouganda"><noRegion><name sortKey="Rukundo, Godfrey" sort="Rukundo, Godfrey" uniqKey="Rukundo G" first="Godfrey" last="Rukundo">Godfrey Rukundo</name></noRegion><name sortKey="Ashaba, Schola" sort="Ashaba, Schola" uniqKey="Ashaba S" first="Schola" last="Ashaba">Schola Ashaba</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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