Multiple Behaviors Associated With HIV Risk Among Female Sex Workers and Men Who Have Sex With Men: Results From Pooled Respondent-driven Sampling (RDS) Surveys - Uganda, 2021-2023.

Details

• Alternative Title:
  AIDS and Behavior, 2025, v. 29, no. 5: Multiple Behaviors Associated With HIV Risk Among Female Sex Workers and Men Who Have Sex With Men: Results From Pooled Respondent-driven Sampling (RDS) Surveys - Uganda, 2021-2023.
• Journal Article:
  AIDS and Behavior
• Personal Author:
  Chapman, Kelly S. ; Tumusinze, George ; Gutreuter, Steve ; Arons, Melissa ; Ogwal, Moses ; Aluzimbi, George ; Mutunzi, Ronald ; Nakabugo, Fiona ; Fitzmaurice, Arthur G. ; Musinguzi, Geoffrey ; Hladik, Wolfgang
• Description:
  Key populations (KP), such as female sex workers (FSW) and men who have sex with men (MSM) can engage in multiple behaviors associated with HIV risk, but they are typically categorized by a single defining behavior, i.e., selling sex and sex with a man, respectively. We estimated the prevalence of engaging in multiple KP defining behaviors such as buying/selling sex, receptive anal sex, and injection drug use (IDU) among KP in Uganda. Data were collected at survey offices in four sites (Kampala, Jinja, Mbarara, and Masaka) through respondent-driven sampling. Data across multiple sites were combined and reweighted based on the combined sample size for each population. We fitted weighted multinomial logistic models for additional KP defining behaviors using demographics as predictors, and the simplest plausible model was identified for each KP using the Bayesian Information Criterion. Among FSW and sexually exploited minors under 18 years of age, 21.8% (CI: 20.1-23.5%) ever engaged in anal sex and 12.0% (CI: 10.6-13.3%) ever engaged in IDU in our model. Among MSM, 54.8% (CI: 52.0-57.7%) ever engaged in buying/selling sex and 11.0% (CI: 9.3-12.8%) ever engaged in IDU in the model. While KP are generally viewed as independent groups, our findings demonstrate that KP defining behaviors such as buying/selling sex, anal sex with a man, and IDU are shared across populations, with buying/selling sex particularly common among MSM. Consideration of comprehensive behaviors by outreach and service providers may better inform HIV risk reduction and prevention services for key populations.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Sex Workers
  • Male
  • HIV Infections
  • Homosexuality, Male
  • Adult
  • Female
  • Young Adult
  • Risk-Taking
  • Adolescent
  More +
• Keywords:
  • HIV
  • Uganda
  • Key Populations
  • Sex work
  • Anal sex
  • Injection drug use
• Source:
  AIDS and Behavior, 2025, v. 29, no. 5
• DOI:
  https://doi.org/10.1007/s10461-025-04637-7
• ISSN:
  1090-7165 ; 1573-3254
• Pubmed ID:
  39998792
• Pubmed Central ID:
  PMC12033073
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; CGH-UGDA-11/3/20-24c1a/U.S. President's Emergency Plan for AIDS Relief/
• Genre:
  Journal Article
• Place as Subject:
  Uganda
• Pages in Document:
  1681-1691 (18 pdf pages)
• Volume:
  29
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/261650/cdc_261650_DS1.pdf
• File Type:
  [PDF - 431.46 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:7b8f6a6a9f4b3fbaeb5fe876e24889cc2e98ca6d62b2c8373c5d37663e33fb3fc8f6d08a5579f3f58a7e0234001809d23b21f9d4cf0c346f939f44bdb1ea5729