Factors associated with acquisition of new sexual partners and HIV among married men in Rakai District, Uganda
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A study was carried out with an objective to identify the factors associated with acquisition of new sexual partners and HIV among married men in Rakai, Uganda. In this study Interviews were conducted and HIV testing done among consenting adults aged 15-49 years and HIV test results returned through community resident HIV counselors. Data for this analysis are drawn from a survey conducted 2002/3, where married men identified during this survey were followed up in the subsequent 2003/4 survey to find out if they acquired a new sexual partner or not. Acquisition of a new sexual partner was categorized into –“Acquired new sexual partner”, or “Did not acquire new sexual partner”. This analysis used a complementary log-log regression to estimate relative risk (RR) of acquisition of a new sexual partner versus non-acquisition of a new sexual partner, adjusting for man’s age, occupation, education level of the man vis-à-vis that of his wife, household socio-economic status, household size, domestic violence, duration in this sexual relationship and man younger than his wife. A total of 1013 married men were analyzed. New sexual partners’ acquisition among married men from households with good socio-economic status was found to be 1.314 of those with poor socio-economic status. New sexual partners’ acquisition among married men who were younger than their wives was found to be 1.832 of those not younger than their wives. New sexual partners’ acquisition among married men who reported being physically or sexually violent to their wives was found to be 1.294 of those who did not report being violent to their wives. New sexual partners’ acquisition among married men who were aged 30 years and above were found to be 0.534 of those aged less than 30 years. New sexual partners’ acquisition among men who were agriculturalists was found to be 0.737 of those who were not agriculturalists In conclusion, man’s age, occupation, household socio-economic status, man reporting being physically or sexually violent to wife and man being younger than wife are associated with man’s acquisition of new sexual partners. The government of Uganda through the Ministry of Health (MoH) has many HIV prevention programs targeting HIV negative people but from these findings the researcher recommends that MoH should evaluate the existing programs and re-design them to focus on married people bearing in mind the factors associated with sexual behavior like socio-economic status, sexual and physical violence among couples.