HIV Seroprevalence, Associated Risk Behavior, and Alcohol Use Among Male Rwanda Defense Forces Military Personnel
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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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 divorcedseparatedwidowed OR 29.8, 95CI 5.5 159.9, and STI symptoms OR 3.4, 95CI 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.
- Medicine and Medical Research