"Such Behaviors Are Not in My Home Village, I Got Them Here": A Qualitative Study of the Influence of Contextual Factors on Alcohol and HIV Risk Behaviors in a Fishing Community on Lake Victoria, Uganda.
In Uganda, elevated HIV prevalence in fishing communities along Lake Victoria have been attributed in part to heavy alcohol use, but qualitative research is needed to understand the contextual factors influencing alcohol and sexual risk. Eight focus group discussions were conducted (n = 50; 23 male, 27 female) in Gerenge, Uganda with five occupational groups: fishermen, fishmongers, alcohol-sellers, commercial sex workers, and restaurant owners. Data was analyzed using content analysis. Alcohol use was prevalent and said to influence risky sex. Sex-related alcohol expectancies and occupational factors influenced individuals to drink during sex and structural factors related to the built environment, economy, and policy were identified as key contributors to both alcohol use and sexual risk in general. The findings highlight alcohol reduction as an important component of HIV/AIDS prevention and suggest structural interventions should be prioritized in this context.
Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182, USA.
Katelyn M
KM
Sileo
Wakiso Integrated Rural Development Association, Entebbe, Uganda.
Michael
M
Kintu
Department of Community Medicine and Health Care, University of Connecticut Health Center, Farmington, CT, USA.
Paola
P
Chanes-Mora
Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182, USA. susankiene@gmail.com.|Department of Community Medicine and Health Care, University of Connecticut Health Center, Farmington, CT, USA. susankiene@gmail.com.|Alcohol Research Center on HIV, Brown University School of Public Health, Providence, RI, USA. susankiene@gmail.com.
Susan M
SM
Kiene
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D005260:Female; D005398:Fisheries; D017144:Focus Groups; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009790:Occupations / Q000706:statistics & numerical data; D015995:Prevalence; D036301:Qualitative Research; D012111:Residence Characteristics; D012309:Risk-Taking; D011477:Sex Work; D060386:Sex Workers / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners; D014454:Uganda / Q000453:epidemiology; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D000078329:Workforce; D055815:Young Adult
Alcohol; Commercial sex workers; Fisherfolk; HIV/AIDS; Qualitative; Social ecology