Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study
Identifieur interne : 002220 ( Pmc/Curation ); précédent : 002219; suivant : 002221Poor 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
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<author><name sortKey="Rukundo, Godfrey" sort="Rukundo, Godfrey" uniqKey="Rukundo G" first="Godfrey" last="Rukundo">Godfrey Rukundo</name>
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<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. 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.</p>
</sec>
</div>
</front>
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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">BMC Public Health</journal-id>
<journal-title-group><journal-title>BMC Public Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2458</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21338500</article-id>
<article-id pub-id-type="pmc">3056745</article-id>
<article-id pub-id-type="publisher-id">1471-2458-11-125</article-id>
<article-id pub-id-type="doi">10.1186/1471-2458-11-125</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Lundberg</surname>
<given-names>Patric</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<xref ref-type="aff" rid="I2">2</xref>
<email>patric.lundberg@ki.se</email>
</contrib>
<contrib contrib-type="author" id="A2"><name><surname>Rukundo</surname>
<given-names>Godfrey</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>gzrukundo@hotmail.com</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Ashaba</surname>
<given-names>Schola</given-names>
</name>
<xref ref-type="aff" rid="I3">3</xref>
<email>scholaashaba@yahoo.com</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Thorson</surname>
<given-names>Anna</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>anna.thorson@ki.se</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Allebeck</surname>
<given-names>Peter</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>peter.allebeck@ki.se</email>
</contrib>
<contrib contrib-type="author" id="A6"><name><surname>Östergren</surname>
<given-names>Per-Olof</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>per-olof.ostergren@med.lu.se</email>
</contrib>
<contrib contrib-type="author" id="A7"><name><surname>Cantor-Graae</surname>
<given-names>Elizabeth</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<email>elizabeth.cantor-graae@med.lu.se</email>
</contrib>
</contrib-group>
<aff id="I1"><label>1</label>
Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden</aff>
<aff id="I2"><label>2</label>
Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden</aff>
<aff id="I3"><label>3</label>
Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda</aff>
<aff id="I4"><label>4</label>
Division of Global Health (IHCAR), Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden</aff>
<pub-date pub-type="collection"><year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>2</month>
<year>2011</year>
</pub-date>
<volume>11</volume>
<fpage>125</fpage>
<lpage>125</lpage>
<history><date date-type="received"><day>2</day>
<month>11</month>
<year>2010</year>
</date>
<date date-type="accepted"><day>21</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>Copyright ©2011 Lundberg et al; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2011</copyright-year>
<copyright-holder>Lundberg 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.biomedcentral.com/1471-2458/11/125"></self-uri>
<abstract><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. 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.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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