Vulnerability to high risk sexual behaviour (HRSB) following exposure to war trauma as seen in post-conflict communities in eastern uganda: a qualitative study
Identifieur interne : 002018 ( Pmc/Checkpoint ); précédent : 002017; suivant : 002019Vulnerability to high risk sexual behaviour (HRSB) following exposure to war trauma as seen in post-conflict communities in eastern uganda: a qualitative study
Auteurs : Wilson Winstons Muhwezi [Ouganda] ; Eugene Kinyanda [Ouganda] ; Margaret Mungherera [Ouganda] ; Patrick Onyango [Ouganda] ; Emmanuel Ngabirano [Ouganda] ; Julius Muron [Ouganda] ; Johnson Kagugube [Ouganda] ; Rehema Kajungu [Ouganda]Source :
- Conflict and Health [ 1752-1505 ] ; 2011.
Abstract
Much of the literature on the relationship between conflict-related trauma and high risk sexual behaviour (HRSB) often focuses on refugees and not mass in-country displaced people due to armed conflicts. There is paucity of research about contexts underlying HRSB and HIV/AIDS in conflict and post-conflict communities in Uganda. Understanding factors that underpin vulnerability to HRSB in post-conflict communities is vital in designing HIV/AIDS prevention interventions. We explored the socio-cultural factors, social interactions, socio-cultural practices, social norms and social network structures that underlie war trauma and vulnerability to HRSB in a post-conflict population.
We did a cross-sectional qualitative study of 3 sub-counties in
The commonly identified HRSB behaviours include; transactional sex, sexual predation, multiple partners, early marriages and forced marriages. Breakdown of the social structure due to conflict had resulted in economic destruction and a perceived soaring of vulnerable people whose propensity to HRSB is high. Dishonour of sexual sanctity through transactional sex and practices like incest mirrored the consequence of exposure to conflict. HRSB was associated with concentration of people in camps where idleness and unemployment were the norm. Reports of girls and women who had been victims of rape and defilement by men with guns were common. Many people were known to have started to display persistent worries, hopelessness, and suicidal ideas and to abuse alcohol.
The study demonstrated that conflicts disrupt the socio-cultural set up of communities and destroy sources of people's livelihood. Post-conflict socio-economic reconstruction needs to encompass programmes that restructure people's morals and values through counselling. HIV/AIDS prevention programming in post-conflict communities should deal with socio-cultural disruptions that emerged during conflicts. Some of the disruptions if not dealt with, could become normalized yet they are predisposing factors to HRSB. Socio-economic vulnerability as a consequence of conflict seemed to be associated with HRSB through alterations in sexual morality. To pursue safer sexual health choices, people in post-conflict communities need life skills.
Url:
DOI: 10.1186/1752-1505-5-22
PubMed: 22011647
PubMed Central: 3213062
Affiliations:
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<author><name sortKey="Kajungu, Rehema" sort="Kajungu, Rehema" uniqKey="Kajungu R" first="Rehema" last="Kajungu">Rehema Kajungu</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Vulnerability to high risk sexual behaviour (HRSB) following exposure to war trauma as seen in post-conflict communities in eastern uganda: a qualitative study</title>
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<author><name sortKey="Kinyanda, Eugene" sort="Kinyanda, Eugene" uniqKey="Kinyanda E" first="Eugene" last="Kinyanda">Eugene Kinyanda</name>
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<author><name sortKey="Onyango, Patrick" sort="Onyango, Patrick" uniqKey="Onyango P" first="Patrick" last="Onyango">Patrick Onyango</name>
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<author><name sortKey="Ngabirano, Emmanuel" sort="Ngabirano, Emmanuel" uniqKey="Ngabirano E" first="Emmanuel" last="Ngabirano">Emmanuel Ngabirano</name>
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<author><name sortKey="Muron, Julius" sort="Muron, Julius" uniqKey="Muron J" first="Julius" last="Muron">Julius Muron</name>
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<author><name sortKey="Kajungu, Rehema" sort="Kajungu, Rehema" uniqKey="Kajungu R" first="Rehema" last="Kajungu">Rehema Kajungu</name>
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<series><title level="j">Conflict and Health</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Much of the literature on the relationship between conflict-related trauma and high risk sexual behaviour (HRSB) often focuses on refugees and not mass in-country displaced people due to armed conflicts. There is paucity of research about contexts underlying HRSB and HIV/AIDS in conflict and post-conflict communities in Uganda. Understanding factors that underpin vulnerability to HRSB in post-conflict communities is vital in designing HIV/AIDS prevention interventions. We explored the socio-cultural factors, social interactions, socio-cultural practices, social norms and social network structures that underlie war trauma and vulnerability to HRSB in a post-conflict population.</p>
</sec>
<sec><title>Methods</title>
<p>We did a cross-sectional qualitative study of 3 sub-counties in <italic>Katakwi </italic>
district and 1 in <italic>Amuria </italic>
in Uganda between March and May 2009. We collected data using 8 FGDs, 32 key informant interviews and 16 in-depth interviews. We tape-recorded and transcribed the data. We followed thematic analysis principles to manage, analyse and interpret the data. We constantly identified and compared themes and sub-themes in the dataset as we read the transcripts. We used illuminating verbatim quotations to illustrate major findings.</p>
</sec>
<sec><title>Results</title>
<p>The commonly identified HRSB behaviours include; transactional sex, sexual predation, multiple partners, early marriages and forced marriages. Breakdown of the social structure due to conflict had resulted in economic destruction and a perceived soaring of vulnerable people whose propensity to HRSB is high. Dishonour of sexual sanctity through transactional sex and practices like incest mirrored the consequence of exposure to conflict. HRSB was associated with concentration of people in camps where idleness and unemployment were the norm. Reports of girls and women who had been victims of rape and defilement by men with guns were common. Many people were known to have started to display persistent worries, hopelessness, and suicidal ideas and to abuse alcohol.</p>
</sec>
<sec><title>Conclusions</title>
<p>The study demonstrated that conflicts disrupt the socio-cultural set up of communities and destroy sources of people's livelihood. Post-conflict socio-economic reconstruction needs to encompass programmes that restructure people's morals and values through counselling. HIV/AIDS prevention programming in post-conflict communities should deal with socio-cultural disruptions that emerged during conflicts. Some of the disruptions if not dealt with, could become normalized yet they are predisposing factors to HRSB. Socio-economic vulnerability as a consequence of conflict seemed to be associated with HRSB through alterations in sexual morality. To pursue safer sexual health choices, people in post-conflict communities need life skills.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Samarasinghe, S" uniqKey="Samarasinghe S">S Samarasinghe</name>
</author>
<author><name sortKey="Donaldson, B" uniqKey="Donaldson B">B Donaldson</name>
</author>
<author><name sortKey="Mcginn, C" uniqKey="Mcginn C">C McGinn</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Ba, O" uniqKey="Ba O">O Ba</name>
</author>
<author><name sortKey="O Regan, C" uniqKey="O Regan C">C O'Regan</name>
</author>
<author><name sortKey="Nachega, J" uniqKey="Nachega J">J Nachega</name>
</author>
<author><name sortKey="Cooper, C" uniqKey="Cooper C">C Cooper</name>
</author>
<author><name sortKey="Anema, A" uniqKey="Anema A">A Anema</name>
</author>
<author><name sortKey="Rachlis, B" uniqKey="Rachlis B">B Rachlis</name>
</author>
<author><name sortKey="Mills, Ej" uniqKey="Mills E">EJ Mills</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bukuluki, P" uniqKey="Bukuluki P">P Bukuluki</name>
</author>
<author><name sortKey="Mugumya, F" uniqKey="Mugumya F">F Mugumya</name>
</author>
<author><name sortKey="Neema, S" uniqKey="Neema S">S Neema</name>
</author>
<author><name sortKey="Ochen, Ea" uniqKey="Ochen E">EA Ochen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ciantia, F" uniqKey="Ciantia F">F Ciantia</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Rujumba, J" uniqKey="Rujumba J">J Rujumba</name>
</author>
<author><name sortKey="Kwiringira, J" uniqKey="Kwiringira J">J Kwiringira</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Gow, J" uniqKey="Gow J">J Gow</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Spiegel, Pb" uniqKey="Spiegel P">PB Spiegel</name>
</author>
<author><name sortKey="Bennedsen, Ar" uniqKey="Bennedsen A">AR Bennedsen</name>
</author>
<author><name sortKey="Claass, J" uniqKey="Claass J">J Claass</name>
</author>
<author><name sortKey="Bruns, L" uniqKey="Bruns L">L Bruns</name>
</author>
<author><name sortKey="Patterson, N" uniqKey="Patterson N">N Patterson</name>
</author>
<author><name sortKey="Yiweza, D" uniqKey="Yiweza D">D Yiweza</name>
</author>
<author><name sortKey="Schilperoord, M" uniqKey="Schilperoord M">M Schilperoord</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ntozi, Jp" uniqKey="Ntozi J">JP Ntozi</name>
</author>
<author><name sortKey="Najjumba, Im" uniqKey="Najjumba I">IM Najjumba</name>
</author>
<author><name sortKey="Ahimbisibwe, F" uniqKey="Ahimbisibwe F">F Ahimbisibwe</name>
</author>
<author><name sortKey="Ayiga, N" uniqKey="Ayiga N">N Ayiga</name>
</author>
<author><name sortKey="Odwee, J" uniqKey="Odwee J">J Odwee</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Barnett, T" uniqKey="Barnett T">T Barnett</name>
</author>
<author><name sortKey="Whiteside, A" uniqKey="Whiteside A">A Whiteside</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Foster, G" uniqKey="Foster G">G Foster</name>
</author>
<author><name sortKey="Williamson, J" uniqKey="Williamson J">J Williamson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Khaw, Aj" uniqKey="Khaw A">AJ Khaw</name>
</author>
<author><name sortKey="Salama, P" uniqKey="Salama P">P Salama</name>
</author>
<author><name sortKey="Burkholder, B" uniqKey="Burkholder B">B Burkholder</name>
</author>
<author><name sortKey="Dondero, Tj" uniqKey="Dondero T">TJ Dondero</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Salama, P" uniqKey="Salama P">P Salama</name>
</author>
<author><name sortKey="Dondero, Tj" uniqKey="Dondero T">TJ Dondero</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bronfenbrenner, U" uniqKey="Bronfenbrenner U">U Bronfenbrenner</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Decosas, J" uniqKey="Decosas J">J Decosas</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Jack, Ea" uniqKey="Jack E">EA Jack</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Kinyanda, E" uniqKey="Kinyanda E">E Kinyanda</name>
</author>
<author><name sortKey="Musisi, S" uniqKey="Musisi S">S Musisi</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Allen, T" uniqKey="Allen T">T Allen</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pham, Pn" uniqKey="Pham P">PN Pham</name>
</author>
<author><name sortKey="Vinck, P" uniqKey="Vinck P">P Vinck</name>
</author>
<author><name sortKey="Stover, E" uniqKey="Stover E">E Stover</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mukasa, H" uniqKey="Mukasa H">H Mukasa</name>
</author>
<author><name sortKey="Odomel, J" uniqKey="Odomel J">J Odomel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Pope, C" uniqKey="Pope C">C Pope</name>
</author>
<author><name sortKey="Mays, N" uniqKey="Mays N">N Mays</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Guest, G" uniqKey="Guest G">G Guest</name>
</author>
<author><name sortKey="Bunce, A" uniqKey="Bunce A">A Bunce</name>
</author>
<author><name sortKey="Johnson, L" uniqKey="Johnson L">L Johnson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Braun, V" uniqKey="Braun V">V Braun</name>
</author>
<author><name sortKey="Clarke, V" uniqKey="Clarke V">V Clarke</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ryan, Gw" uniqKey="Ryan G">GW Ryan</name>
</author>
<author><name sortKey="Bernard, Hr" uniqKey="Bernard H">HR Bernard</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Marshall, Mn" uniqKey="Marshall M">MN Marshall</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Groleau, D" uniqKey="Groleau D">D Groleau</name>
</author>
<author><name sortKey="Young, A" uniqKey="Young A">A Young</name>
</author>
<author><name sortKey="Kirmayer, Lj" uniqKey="Kirmayer L">LJ Kirmayer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Lapadat, Jc" uniqKey="Lapadat J">JC Lapadat</name>
</author>
<author><name sortKey="Lindsay, Ac" uniqKey="Lindsay A">AC Lindsay</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mclellan, M" uniqKey="Mclellan M">M McLellan</name>
</author>
<author><name sortKey="Macqueen, Km" uniqKey="Macqueen K">KM MacQueen</name>
</author>
<author><name sortKey="Neidig, Jl" uniqKey="Neidig J">JL Neidig</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Boyatzis, R" uniqKey="Boyatzis R">R Boyatzis</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Strauss, A" uniqKey="Strauss A">A Strauss</name>
</author>
<author><name sortKey="Corbin, J" uniqKey="Corbin J">J Corbin</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Spiegel, Pb" uniqKey="Spiegel P">PB Spiegel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mcinnes, C" uniqKey="Mcinnes C">C McInnes</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kinyanda, E" uniqKey="Kinyanda E">E Kinyanda</name>
</author>
<author><name sortKey="Musisi, S" uniqKey="Musisi S">S Musisi</name>
</author>
<author><name sortKey="Walugembe, J" uniqKey="Walugembe J">J Walugembe</name>
</author>
<author><name sortKey="Oboke, H" uniqKey="Oboke H">H Oboke</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Samuels, F" uniqKey="Samuels F">F Samuels</name>
</author>
<author><name sortKey="Proudlock, F" uniqKey="Proudlock F">F Proudlock</name>
</author>
<author><name sortKey="Harvey, P" uniqKey="Harvey P">P Harvey</name>
</author>
<author><name sortKey="Bergmann, T" uniqKey="Bergmann T">T Bergmann</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Liebling, H" uniqKey="Liebling H">H Liebling</name>
</author>
<author><name sortKey="Kiziri Mayengo, R" uniqKey="Kiziri Mayengo R">R Kiziri-Mayengo</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Liebling Kalifani, H" uniqKey="Liebling Kalifani H">H Liebling-Kalifani</name>
</author>
<author><name sortKey="Marshall, A" uniqKey="Marshall A">A Marshall</name>
</author>
<author><name sortKey="Ojiambo Ochieng, R" uniqKey="Ojiambo Ochieng R">R Ojiambo-Ochieng</name>
</author>
<author><name sortKey="Kakembo, Nm" uniqKey="Kakembo N">NM Kakembo</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Neuner, F" uniqKey="Neuner F">F Neuner</name>
</author>
<author><name sortKey="Schauer, M" uniqKey="Schauer M">M Schauer</name>
</author>
<author><name sortKey="Karunakara, U" uniqKey="Karunakara U">U Karunakara</name>
</author>
<author><name sortKey="Klaschik, C" uniqKey="Klaschik C">C Klaschik</name>
</author>
<author><name sortKey="Robert, C" uniqKey="Robert C">C Robert</name>
</author>
<author><name sortKey="Elbert, T" uniqKey="Elbert T">T Elbert</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Ostergard, Rl" uniqKey="Ostergard R">RL Ostergard</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Smallman Raynor, Mr" uniqKey="Smallman Raynor M">MR Smallman-Raynor</name>
</author>
<author><name sortKey="Cliff, Ad" uniqKey="Cliff A">AD Cliff</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tarantola, D" uniqKey="Tarantola D">D Tarantola</name>
</author>
<author><name sortKey="Manu, J" uniqKey="Manu J">J Manu</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Zwi, Ab" uniqKey="Zwi A">AB Zwi</name>
</author>
<author><name sortKey="Cabral, Aj" uniqKey="Cabral A">AJ Cabral</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mbulaiteye, Sm" uniqKey="Mbulaiteye S">SM Mbulaiteye</name>
</author>
<author><name sortKey="Mahe, C" uniqKey="Mahe C">C Mahe</name>
</author>
<author><name sortKey="Whitworth, Jag" uniqKey="Whitworth J">JAG Whitworth</name>
</author>
<author><name sortKey="Ruberantwari, A" uniqKey="Ruberantwari A">A Ruberantwari</name>
</author>
<author><name sortKey="Nakiyingi, Js" uniqKey="Nakiyingi J">JS Nakiyingi</name>
</author>
<author><name sortKey="Ojwiya, A" uniqKey="Ojwiya A">A Ojwiya</name>
</author>
<author><name sortKey="Kamali, A" uniqKey="Kamali A">A Kamali</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Roberts, B" uniqKey="Roberts B">B Roberts</name>
</author>
<author><name sortKey="Odong, Vn" uniqKey="Odong V">VN Odong</name>
</author>
<author><name sortKey="Browne, J" uniqKey="Browne J">J Browne</name>
</author>
<author><name sortKey="Ocaka, Kf" uniqKey="Ocaka K">KF Ocaka</name>
</author>
<author><name sortKey="Geissler, W" uniqKey="Geissler W">W Geissler</name>
</author>
<author><name sortKey="Sondorp, E" uniqKey="Sondorp E">E Sondorp</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Derluyn, I" uniqKey="Derluyn I">I Derluyn</name>
</author>
<author><name sortKey="Broekaert, E" uniqKey="Broekaert E">E Broekaert</name>
</author>
<author><name sortKey="Schuyten, G" uniqKey="Schuyten G">G Schuyten</name>
</author>
<author><name sortKey="Temmerman, Ed" uniqKey="Temmerman E">ED Temmerman</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Amone P Olak, K" uniqKey="Amone P Olak K">K Amone-P'Olak</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Musisi, S" uniqKey="Musisi S">S Musisi</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Dutton, Ma" uniqKey="Dutton M">MA Dutton</name>
</author>
<author><name sortKey="Green, Bl" uniqKey="Green B">BL Green</name>
</author>
<author><name sortKey="Kaltman, Si" uniqKey="Kaltman S">SI Kaltman</name>
</author>
<author><name sortKey="Roesch, Dm" uniqKey="Roesch D">DM Roesch</name>
</author>
<author><name sortKey="Zeffiro, Tz" uniqKey="Zeffiro T">TZ Zeffiro</name>
</author>
<author><name sortKey="Krause, Ed" uniqKey="Krause E">ED Krause</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Muhwezi, Ww" uniqKey="Muhwezi W">WW Muhwezi</name>
</author>
<author><name sortKey="Okello, Es" uniqKey="Okello E">ES Okello</name>
</author>
<author><name sortKey="Neema, S" uniqKey="Neema S">S Neema</name>
</author>
<author><name sortKey="Musisi, S" uniqKey="Musisi S">S Musisi</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Okello, Es" uniqKey="Okello E">ES Okello</name>
</author>
<author><name sortKey="Ekblad, S" uniqKey="Ekblad S">S Ekblad</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mock, Nb" uniqKey="Mock N">NB Mock</name>
</author>
<author><name sortKey="Duale, S" uniqKey="Duale S">S Duale</name>
</author>
<author><name sortKey="Brown, Lf" uniqKey="Brown L">LF Brown</name>
</author>
<author><name sortKey="Mathys, E" uniqKey="Mathys E">E Mathys</name>
</author>
<author><name sortKey="O Maonaigh, Hc" uniqKey="O Maonaigh H">HC O'Maonaigh</name>
</author>
<author><name sortKey="Abul Husn, Nk" uniqKey="Abul Husn N">NK Abul-Husn</name>
</author>
<author><name sortKey="Elliott, S" uniqKey="Elliott S">S Elliott</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
</listBibl>
</div1>
</back>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Confl Health</journal-id>
<journal-title-group><journal-title>Conflict and Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1752-1505</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22011647</article-id>
<article-id pub-id-type="pmc">3213062</article-id>
<article-id pub-id-type="publisher-id">1752-1505-5-22</article-id>
<article-id pub-id-type="doi">10.1186/1752-1505-5-22</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Vulnerability to high risk sexual behaviour (HRSB) following exposure to war trauma as seen in post-conflict communities in eastern uganda: a qualitative study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Muhwezi</surname>
<given-names>Wilson Winstons</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>w.muhwezi@yahoo.com</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A2"><name><surname>Kinyanda</surname>
<given-names>Eugene</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>Eugene.Kinyanda@mrcuganda.org</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A3"><name><surname>Mungherera</surname>
<given-names>Margaret</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>mmungherera@yahoo.co.uk</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A4"><name><surname>Onyango</surname>
<given-names>Patrick</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>ponyango@tpoug.org</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A5"><name><surname>Ngabirano</surname>
<given-names>Emmanuel</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>engabirano@tpoug.org</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A6"><name><surname>Muron</surname>
<given-names>Julius</given-names>
</name>
<xref ref-type="aff" rid="I5">5</xref>
<email>julius.muron@gmail.com</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A7"><name><surname>Kagugube</surname>
<given-names>Johnson</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>johnson.kagugube@ubos.org</email>
</contrib>
<contrib contrib-type="author" equal-contrib="yes" id="A8"><name><surname>Kajungu</surname>
<given-names>Rehema</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>rkajungu@tpoug.org</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Makerere University College of Health Sciences, School of Medicine, Department of Psychiatry, P. O. Box 7072, Kampala, Uganda</aff>
<aff id="I2"><label>2</label>
Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), P. O. Box 49, Entebbe, Uganda</aff>
<aff id="I3"><label>3</label>
Transcultural Psychosocial Organization Uganda (TPO-Uganda), Plot 3271 Kansanga off Ggaba Road, P.O. Box 21646 Kampala, Uganda</aff>
<aff id="I4"><label>4</label>
Uganda Bureau of Statistics (UBOS), P.O. Box 7186, Kampala, Uganda</aff>
<aff id="I5"><label>5</label>
Butabika National Referral Mental Hospital, Plot 2, Block 237-238, Butabika Road, Kampala, Uganda</aff>
<pub-date pub-type="collection"><year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>19</day>
<month>10</month>
<year>2011</year>
</pub-date>
<volume>5</volume>
<fpage>22</fpage>
<lpage>22</lpage>
<history><date date-type="received"><day>18</day>
<month>3</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>19</day>
<month>10</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright ©2011 Muhwezi et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2011</copyright-year>
<copyright-holder>Muhwezi et al; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.conflictandhealth.com/content/5/1/22"></self-uri>
<abstract><sec><title>Background</title>
<p>Much of the literature on the relationship between conflict-related trauma and high risk sexual behaviour (HRSB) often focuses on refugees and not mass in-country displaced people due to armed conflicts. There is paucity of research about contexts underlying HRSB and HIV/AIDS in conflict and post-conflict communities in Uganda. Understanding factors that underpin vulnerability to HRSB in post-conflict communities is vital in designing HIV/AIDS prevention interventions. We explored the socio-cultural factors, social interactions, socio-cultural practices, social norms and social network structures that underlie war trauma and vulnerability to HRSB in a post-conflict population.</p>
</sec>
<sec><title>Methods</title>
<p>We did a cross-sectional qualitative study of 3 sub-counties in <italic>Katakwi </italic>
district and 1 in <italic>Amuria </italic>
in Uganda between March and May 2009. We collected data using 8 FGDs, 32 key informant interviews and 16 in-depth interviews. We tape-recorded and transcribed the data. We followed thematic analysis principles to manage, analyse and interpret the data. We constantly identified and compared themes and sub-themes in the dataset as we read the transcripts. We used illuminating verbatim quotations to illustrate major findings.</p>
</sec>
<sec><title>Results</title>
<p>The commonly identified HRSB behaviours include; transactional sex, sexual predation, multiple partners, early marriages and forced marriages. Breakdown of the social structure due to conflict had resulted in economic destruction and a perceived soaring of vulnerable people whose propensity to HRSB is high. Dishonour of sexual sanctity through transactional sex and practices like incest mirrored the consequence of exposure to conflict. HRSB was associated with concentration of people in camps where idleness and unemployment were the norm. Reports of girls and women who had been victims of rape and defilement by men with guns were common. Many people were known to have started to display persistent worries, hopelessness, and suicidal ideas and to abuse alcohol.</p>
</sec>
<sec><title>Conclusions</title>
<p>The study demonstrated that conflicts disrupt the socio-cultural set up of communities and destroy sources of people's livelihood. Post-conflict socio-economic reconstruction needs to encompass programmes that restructure people's morals and values through counselling. HIV/AIDS prevention programming in post-conflict communities should deal with socio-cultural disruptions that emerged during conflicts. Some of the disruptions if not dealt with, could become normalized yet they are predisposing factors to HRSB. Socio-economic vulnerability as a consequence of conflict seemed to be associated with HRSB through alterations in sexual morality. To pursue safer sexual health choices, people in post-conflict communities need life skills.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Ouganda</li>
</country>
</list>
<tree><country name="Ouganda"><noRegion><name sortKey="Muhwezi, Wilson Winstons" sort="Muhwezi, Wilson Winstons" uniqKey="Muhwezi W" first="Wilson Winstons" last="Muhwezi">Wilson Winstons Muhwezi</name>
</noRegion>
<name sortKey="Kagugube, Johnson" sort="Kagugube, Johnson" uniqKey="Kagugube J" first="Johnson" last="Kagugube">Johnson Kagugube</name>
<name sortKey="Kajungu, Rehema" sort="Kajungu, Rehema" uniqKey="Kajungu R" first="Rehema" last="Kajungu">Rehema Kajungu</name>
<name sortKey="Kinyanda, Eugene" sort="Kinyanda, Eugene" uniqKey="Kinyanda E" first="Eugene" last="Kinyanda">Eugene Kinyanda</name>
<name sortKey="Mungherera, Margaret" sort="Mungherera, Margaret" uniqKey="Mungherera M" first="Margaret" last="Mungherera">Margaret Mungherera</name>
<name sortKey="Muron, Julius" sort="Muron, Julius" uniqKey="Muron J" first="Julius" last="Muron">Julius Muron</name>
<name sortKey="Ngabirano, Emmanuel" sort="Ngabirano, Emmanuel" uniqKey="Ngabirano E" first="Emmanuel" last="Ngabirano">Emmanuel Ngabirano</name>
<name sortKey="Onyango, Patrick" sort="Onyango, Patrick" uniqKey="Onyango P" first="Patrick" last="Onyango">Patrick Onyango</name>
</country>
</tree>
</affiliations>
</record>
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