In this section
@article{Morris:2024:10.1371/journal.pgph.0003194,
author = {Morris, R and Gregson, S and Maswera, R and Moorhouse, L and Dadirai, T and Mandizvidza, P and Moyo, B and Mugurungi, O and Nyamukapa, C},
doi = {10.1371/journal.pgph.0003194},
journal = {PLOS Global Public Health},
title = {The impact of COVID-19 on sexual risk behaviour for HIV acquisition in east Zimbabwe: an observational study},
url = {http://dx.doi.org/10.1371/journal.pgph.0003194},
volume = {4},
year = {2024}
}
TY - JOUR
AB - The Covid-19 pandemic and associated restrictions have the potential to alter sexual risk behaviours for HIV acquisition with important implications for HIV prevention programmes in sub-Saharan Africa. To date, no large-scale data have been published to substantiate hypothesised changes in sexual risk behaviours. We used longitudinal survey data to assess the impact of Covid-19 on sexual risk behaviours in east Zimbabwe. Data on sexual behaviours in HIV-negative adults aged 15-54 years were collected in two rounds of a general population open-cohort survey conducted in Manicaland, Zimbabwe shortly before (July 2018 to December 2019; N = 7316) and several months into the Covid-19 epidemic (February to July 2021; N = 6356). Descriptive statistics and logistic regression models of serial cross-sectional and prospective cohort data were used to assess changes in sexual risk behaviours. The proportion of females aged 15-19 years reporting sexual debut declined from 29.7% before Covid-19 to 20.3% during Covid-19 (adjusted odds ratio (AOR) = 0.49, 95% confidence interval (95% CI), 0.38-0.63). Fewer sexually-active females reported multiple sexual partners during Covid-19 (3.35% versus 6.07%; AOR = 0.55, 95% CI, 0.43-0.72). No population-level changes in male behaviour between survey rounds were recorded but the cohort analysis revealed a complex pattern of behaviour change with HIV risk behaviours increasing for some individuals and decreasing for others. Overall HIV risk behaviours remained high in a sub-Saharan African population with a generalised HIV epidemic over a period of Covid-19 lockdowns when movements and social contacts were restricted.
AU - Morris,R
AU - Gregson,S
AU - Maswera,R
AU - Moorhouse,L
AU - Dadirai,T
AU - Mandizvidza,P
AU - Moyo,B
AU - Mugurungi,O
AU - Nyamukapa,C
DO - 10.1371/journal.pgph.0003194
PY - 2024///
SN - 2767-3375
TI - The impact of COVID-19 on sexual risk behaviour for HIV acquisition in east Zimbabwe: an observational study
T2 - PLOS Global Public Health
UR - http://dx.doi.org/10.1371/journal.pgph.0003194
UR - https://www.ncbi.nlm.nih.gov/pubmed/39018312
UR - https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0003194
UR - http://hdl.handle.net/10044/1/113358
VL - 4
ER -
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