Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study

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Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study. / Lundberg, Patric; Rukundo, Godfrey; Ashaba, Schola; Thorson, Anna; Allebeck, Peter; Östergren, Per-Olof; Cantor-Graae, Elizabeth.

In: BMC Public Health, Vol. 11, 2011.

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Lundberg, Patric ; Rukundo, Godfrey ; Ashaba, Schola ; Thorson, Anna ; Allebeck, Peter ; Östergren, Per-Olof ; Cantor-Graae, Elizabeth. / Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study. In: BMC Public Health. 2011 ; Vol. 11.

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TY - JOUR

T1 - Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study

AU - Lundberg, Patric

AU - Rukundo, Godfrey

AU - Ashaba, Schola

AU - Thorson, Anna

AU - Allebeck, Peter

AU - Östergren, Per-Olof

AU - Cantor-Graae, Elizabeth

PY - 2011

Y1 - 2011

N2 - Background: 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. Method: 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. Results: 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. Conclusion: 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.

AB - Background: 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. Method: 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. Results: 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. Conclusion: 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.

U2 - 10.1186/1471-2458-11-125

DO - 10.1186/1471-2458-11-125

M3 - Article

VL - 11

JO - BMC Public Health

T2 - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

ER -