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Access to social capital and risk of HIV infectionin Bukoba urban district, Kagera region, Tanzania
Department of Development Studies, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Clinical Sciences, Social Medicine and Global Health, Lund University, Malmö.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0003-0108-4237
Department of Biostatistics and Epidemiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
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2014 (English)In: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 72, no 1, 1-11 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Kagera is one of the 22 regions of Tanzania mainland, which has witnessed a decline in HIV prevalence during the past two decades; decreasing from 24% in 1987 to 4.7 in 2009 in the urban district of Bukoba. Access to social capital, both structural and cognitive, might have played a role in this development. The aim was to examine the association between individual structural and cognitive social capital and socio-economic characteristics and the likelihood of being HIV infected.

METHODS:

We conducted a population-based cross-sectional study of 3586 participants, of which 3423 (95%) agreed to test for HIV following pre-test counseling. The HIV testing was performed using enzyme-linked immunosorbent assay (ELISA) antibody detection tests. Multiple logistic regression analysis was applied to estimate the impact of socio-economic factors, individual structural and cognitive social capital and HIV sero-status.

RESULTS:

Individuals who had access to low levels of both structural and cognitive individual social capital were four and three times more likely to be HIV positive compared to individuals who had access to high levels. The associations remained statistically significant for both individual structural and cognitive social capital after adjusting for potential confounding factors such as age, sex, marital status, occupation, level of education and wealth index (OR =8.6, CI: 5.7-13.0 and OR =2.4, CI: 1.6-3.5 for individual structural and cognitive social capital respectively). For both women and men access to high levels of individual structural and cognitive social capital decreased the risk of being HIV infected. This study confirms previous qualitative studies indicating that access to structural and cognitive social capital is protective to HIV infection.

CONCLUSIONS:

We suggest that policy makers and programme managers of HIV interventions may consider strengthening and facilitating access to social capital as a way of promoting HIV preventive information and interventions in order to reduce new HIV infections in Tanzania.

Place, publisher, year, edition, pages
2014. Vol. 72, no 1, 1-11 p.
Keyword [en]
Structural, Cognitive social capital, HIV prevalence, Tanzania
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-98147DOI: 10.1186/2049-3258-72-38PubMedID: 25671111OAI: oai:DiVA.org:umu-98147DiVA: diva2:782169
Available from: 2015-01-20 Created: 2015-01-20 Last updated: 2017-12-05Bibliographically approved

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Publisher's full textPubMedhttp://www.archpublichealth.com/content/72/1/38

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