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

Lundberg, Patric LU ; Rukundo, Godfrey; Ashaba, Schola; Thorson, Anna; Allebeck, Peter; Östergren, Per-Olof LU and Cantor-Graae, Elizabeth LU (2011) In BMC Public Health 11.
Abstract
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... (More)
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. (Less)
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published
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in
BMC Public Health
volume
11
publisher
BioMed Central
external identifiers
  • wos:000288332400001
  • scopus:79951718297
ISSN
1471-2458
DOI
10.1186/1471-2458-11-125
language
English
LU publication?
yes
id
9c82ffa2-e13c-4cfd-a19d-13b0c57fd15d (old id 1936340)
date added to LUP
2011-05-02 07:53:40
date last changed
2017-10-29 03:53:40
@article{9c82ffa2-e13c-4cfd-a19d-13b0c57fd15d,
  abstract     = {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.},
  author       = {Lundberg, Patric and Rukundo, Godfrey and Ashaba, Schola and Thorson, Anna and Allebeck, Peter and Östergren, Per-Olof and Cantor-Graae, Elizabeth},
  issn         = {1471-2458},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Public Health},
  title        = {Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study},
  url          = {http://dx.doi.org/10.1186/1471-2458-11-125},
  volume       = {11},
  year         = {2011},
}