HIV Prevalence in Uganda Drops 70% Since Early 1990s Because of Public HIV/AIDS Prevention Campaign, Study Says
April 30, 2004
HIV prevalence in Uganda has dropped 70% since the early 1990s primarily because of a "successful" public HIV/AIDS prevention campaign that encourages avoiding "casual" sexual activity, according to a study published in the April 30 issue of the journal Science, BBC News reports (BBC News, 4/30). Drs. Rand Stoneburner and Daniel Low-Beer of University of Cambridge in the United Kingdom analyzed population-level HIV and behavioral data from Uganda and neighboring countries -- including Kenya, Malawi and Zambia -- to assess the validity and determinants of declines in HIV prevalence and examine the potential influences of prevention interventions. The researchers found that "important" behavioral changes occurred among the Ugandan population between 1989 and 1995, including an increase in the age of first sexual intercourse, a decrease in indicators of casual or nonregular sexual partners and an increase in condom use with both casual and regular sexual partners, according to the study. In addition, an "important and perhaps overlooked" measure of behavior change during this time was a 60% reduction in the number of people in both rural and urban areas who reported casual sexual relationships over the previous year, according to the study. The study suggests that a reduction in the number of sexual partners in the general population and a delay in onset of sexual activity among unmarried youth, especially in urban areas and among males, are the "relevant factors in reducing HIV incidence" (Stoneburner/Low-Beer, Science, 4/30). Although condom use in neighboring countries was just as common as in Uganda, condom use may not be sufficient to cut HIV incidence without a reduction in casual sex as well, according to the study, Reuters Health reports (Reuters Health, 4/29). Stoneburner and Low-Beer also suggest that communication about HIV/AIDS through social networks and personal contact with HIV-positive people or people who have died of AIDS-related causes also helped to lower HIV prevalence in Uganda.
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Reprinted with permission from kaisernetwork.org. You can view the entire Kaiser Daily HIV/AIDS Report, search the archives, or sign up for email delivery at www.kaisernetwork.org/dailyreports/hiv. The Kaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service of the Kaiser Family Foundation, by The Advisory Board Company. © 2004 by The Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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