HIV Seroprevalence, Associated Risk Behavior, and Alcohol Use Among Male Rwanda Defense Forces Military Personnel
Abstract
A cross-sectional study was conducted among active-duty male soldiers, > 21 years old, in the Rwanda Defense Forces (RDF) and included an anonymous behavioral survey and HIV rapid testing to determine risk factors associated with HIV seroprevalence. Overall prevalence was 2.6% (95% CI 1.84 3.66); personnel who were higher ranking, served >6 years, never deployed, divorced, separated or widowed, uncircumcised, reported STI symptoms, had >6 lifetime sex partners, or screened positive for a drinking problem (via Alcohol Use Disorders Identification Test) had higher HIV prevalence. Ever being divorced/separated/widowed (OR 29.8, 95%CI 5.5 159.9), and STI symptoms (OR 3.4, 95%CI 1.5 7.6) were significantly associated with infection after multivariable adjustment while circumcision was protective (OR 0.4, 95% CI 0.2 0.9). Despite mobility and other factors that uniquely influence HIV transmission in militaries, RDF prevalence was similar to the general population. A reason for this finding may be conservative sexual behavior combined with effective leadership-supported prevention programs. Data suggest a concentrated rather than generalized epidemic with targets identified for intervention.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 2013
- Accession Number
- ADA618093
Entities
People
- Charles Murego
- Eugene Zimulinda
- Judith Harbertson
- Marcellin Sebagabo
- Maria G. Araneta
- Michael Grillo
- Richard Shaffer
- Stephanie Brodine
- Susanne May
- Terry Cronan
Organizations
- Naval Health Research Center