Declining HIV rates in Uganda: due to cleaner needles, not abstinence or condoms.
Public health and political authorities have ascribed the apparent decline in Ugandan HIV or AIDS rates to increased rates of sexual abstinence or condom use. However, what appears to be special about Uganda is that in the middle to late 1980s there was a growing public awareness of health care risks. Given the lack of evidence for transmission of HIV to healthy persons by penile-vaginal intercourse, the improvement in injection safety is the best candidate for declining HIV and AIDS rates.
Brody
Stuart
S
Institute of Medical Psychology and Behavioural Neurobiology, University of Tübingen, Germany. stuartbrody@hotmailcom
D017848:Blood-Borne Pathogens; D017280:Condoms; D004866:Equipment Contamination / Q000517:prevention & control*; D017743:Equipment Reuse; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D006801:Humans; D007267:Injections / Q000009:adverse effects; D016485:Needle Sharing / Q000009:adverse effects; D009339:Needles / Q000592:standards / Q000821:virology*; D012746:Sexual Abstinence; D014454:Uganda / Q000453:epidemiology