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1994-08-20
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Document 0563
DOCN M9480563
TI The impact of AIDS in a rural Ugandan community.
DT 9410
AU Konde-Lule JK; Sebina AJ; Institute of Public Health, Makerere
University, Kampala, Uganda.
SO East Afr Med J. 1993 Nov;70(11):725-9. Unique Identifier : AIDSLINE
MED/94307131
AB Three AIDS related surveys have been conducted on a community based
cohort in the Kasangati defined area, Uganda, during 1987, 1990 and
1992. The 1987 baseline survey recruited 1990 adults, and in addition to
assessing levels of knowledge, attitudes and practices, HIV serology was
done on all the study participants. During the 1992 survey, our
objectives were threefold: (i) to assess the attitudes and behaviours
relevant to AIDS and to evaluate the magnitude of any changes since
1987, (ii) to assess the socioeconomic impact of AIDS and, (iii) to
assess the effect of AIDS on the mortality trends in the area. It was
found that the percentage of people who had ever used a condom increased
from 4% in 1987 to 10% in 1992, but those who used condoms frequently
remained the same at 1%. Sexual partner change was measured over a six
month period and the percentage of people who had two or more sexual
partners in this period was found to be 7% in 1992 compared to 26.4% in
1987. The five year mortality rate among the persons initially HIV
positive was 44.7% compared to 8.7% among those initially sero-negative.
AIDS has substantially increased the mortality rate in this community
leading to reduced incomes for the families of persons dying from the
disease, increased expenditure on medical treatment, and a new breed of
orphans. The overall five year mortality rate was 10.6% (128/1204) but
if the persons reported to have died from AIDS are excluded it is only
6.1% (73/1204).
DE Adult Cause of Death Condoms/UTILIZATION *Cost of Illness Female
Follow-Up Studies Health Expenditures Health Surveys Human HIV
Infections/ECONOMICS/*EPIDEMIOLOGY/*PREVENTION & CONTROL Income
*Knowledge, Attitudes, Practice Male *Population Surveillance Risk
Factors *Rural Health Sexual Partners Socioeconomic Factors Support,
Non-U.S. Gov't Support, U.S. Gov't, Non-P.H.S. Uganda/EPIDEMIOLOGY
JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).