{"id":35,"date":"2005-02-24T12:32:23","date_gmt":"2005-02-24T17:32:23","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/politicshiv\/2005\/02\/24\/new-study-ugandas-hiv-incidence-d"},"modified":"2005-02-24T12:32:23","modified_gmt":"2005-02-24T17:32:23","slug":"new-study-ugandas-hiv-incidence-drops-due-to-condoms-not-abstinence","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/2005\/02\/24\/new-study-ugandas-hiv-incidence-drops-due-to-condoms-not-abstinence\/","title":{"rendered":"New Study: Uganda&#8217;s HIV incidence drops due to condoms, not abstinence or faithfulness"},"content":{"rendered":"<p><a name='a55'><\/a><\/p>\n<p>From the <a href=\"http:\/\/www.sfgate.com\/cgi-bin\/article.cgi?file=\/c\/a\/2005\/02\/24\/MNG2PBG3VF1.DTL\">San Francisco Chronicle<\/a>:<\/p>\n<div style=\"margin-left: 40px;\">\n<p><font size=\"2\">In the Rakai district &#8230; researchers found that abstinence and<br \/>\nfidelity have actually been declining, but the expected rise in HIV infections<br \/>\nstemming from such behavior has not occurred.<br \/>\n<\/font><\/p>\n<p><font size=\"2\">&#8220;Condom use may be offsetting other high-risk behaviors,&#8221; said Maria<br \/>\nWawer, a professor at Columbia University&#8217;s Mailman School of Public Health,<br \/>\nwho presented the study at a session of the 12th Annual Retrovirus Conference<br \/>\nin Boston.<br \/>\n<\/font><\/p>\n<p><font size=\"2\">Ominously, Uganda is now in the midst of an acute condom shortage,<br \/>\naccording Wawer, who conducts research in the Rakai district, one of the<br \/>\nearliest locations of the AIDS epidemic in Africa.<br \/>\n<\/font><\/p>\n<\/div>\n<p>Researchers from John Hopkins, Columbia and Ugandan institutions<br \/>\nreturned to the very studied southern Rakai district on Lake Victoria,<br \/>\nfollowing the same cohort of approximately 10,000 study participants<br \/>\nover a 10 year period, collecting self reported behaviors and biologic<br \/>\nsamples of urine and blood.&nbsp; \n<\/p>\n<p>The report also has implications for longstanding family planning<br \/>\nprograms.&nbsp; There is an interesting carry-over from the pre-HIV era<br \/>\nof continued hormonal contraceptive methods.&nbsp; Zimbabwe for<br \/>\ninstance began a family planning effort in 1967 and the continued use<br \/>\nof the pill and a low condom use rate today is due in part to those<br \/>\nearly programming decisions.&nbsp; In the era of HIV, late-coming<br \/>\nnational family planning programs are benefiting from a surge in<br \/>\nbarrier methods promotion.&nbsp; Uganda&#8217;s contraceptive prevalence data<br \/>\nbear this up: less than 3% of married women 15-49 years old used any<br \/>\nmodern contraceptive method in 1988.&nbsp; By 2001, that proportion had<br \/>\nrisen to 18.2%.&nbsp; The dual benefits are plain to see; although<br \/>\nUganda&#8217;s total fertility remains very high, it has fallen from 7.4 to<br \/>\n6.9 children per woman and HIV incidence rate has dropped to under 10%<br \/>\nper year from over 30% 15 years ago.&nbsp; <\/p>\n","protected":false},"excerpt":{"rendered":"<p>From the San Francisco Chronicle: In the Rakai district &#8230; researchers found that abstinence and fidelity have actually been declining, but the expected rise in HIV infections stemming from such behavior has not occurred. &#8220;Condom use may be offsetting other high-risk behaviors,&#8221; said Maria Wawer, a professor at Columbia University&#8217;s Mailman School of Public Health, [&hellip;]<\/p>\n","protected":false},"author":709,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1106],"tags":[],"class_list":["post-35","post","type-post","status-publish","format-standard","hentry","category-epidemiology"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/35","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/users\/709"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/comments?post=35"}],"version-history":[{"count":0,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/35\/revisions"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/media?parent=35"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/categories?post=35"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/tags?post=35"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}