Correlates of unprotected receptive anal intercourse among gay and bisexual men in Kampala, Uganda

Published: August 1, 2008

Correlates of unprotected receptive anal intercourse among gay and bisexual men in Kampala, Uganda

Background: Recently a few studies have been published that describe populations of men who have sex with men(MSM) in African cities. Beyond describing these populations, information on behaviors that put MSM at risk for HIV infection are needed.

Methods: We conducted a respondent-driven sampling survey to measure demographic characteristics and HIV risk behavior among self-identified gay and bisexual in Kampala, Uganda. We used RDSAT statistical software to produce population estimates for measures by adjusting for network size and recruitment patterns.

Results: In adjusted analyses of 215 respondents, 60% identified as gay and 40% as bisexual. Fifty percent had completed secondary school or higher, and 92% were Ugandan nationals. Only 9% reported being unemployed. Twenty-four percent reported having tested for HIV in the past six months, but only 12.2% perceived themselves to be at high risk for HIV infection. Twenty-one percent reported any unprotected receptive anal intercourse(URAI) in the past six months and 39% reported ever having an STD. Unprotected receptive anal intercourse was not associated with condom availability but rather was associated with dislike of condoms, identifying as gay and the disinhibiting effects of being in the "heat of the moment" during sex. Finally, perceptions of being at low risk for HIV infection were also associated with unprotected receptive anal intercourse.

Conclusions: In the midst of a generalized HIV epidemic in Uganda and in the face of overwhelming evidence of severe epidemics among gay and bisexual men in other countries, programs addressing the risk of HIV infection need to include messages on the risk of infection through male-male sexual behavior. These messages will best serve the needs of this population if they are designed in collaboration with men who have sex with men and their providers.

-Abstract available at link below-

-Abstract available at link below-

Leave a Reply