Table 3.
Results from bivariate Poisson and logistic regression models examining associations between commitment savings, problematic alcohol use, and risky sexual behaviors among fisherfolk on Lake Victoria, Uganda
| Number of risky unprotected sex acts IRR 95% CI | p value | Number of unprotected sex acts with casual partners/clients/CSWs IRR 95% CI | p value | Met sex partner at alcohol venue OR 95% CI | p value | |
|---|---|---|---|---|---|---|
| Uses commitment savings a | ||||||
| Yes | 1.85 (1.64–2.08) | p<0.001 | 2.00 (1.75–2.28) | p<0.001 | 0.43 (0.25–0.76) | p=0.004 |
| No | Ref | Ref. | Ref. | |||
| Problematic alcohol use b | p<0.001 | p<0.001 | p<0.001 | |||
| Yes | 2.85 (2.55–3.19) | 3.03 (2.69=3.42) | 3.02 (1.62–5.61) | |||
| No | Ref. | Ref. | Ref. | |||
| HIV status | p<0.001 | p<0.001 | p=0.002 | |||
| HIV positive | 1.03 (0.90–1.18) | 0.98 (0.85–1.13) | 2.41 (1.26–4.61) | |||
| Unknown status | 0.63 (0.52–0.76) | 0.69 (0.59–0.82) | 0.53 (0.23–1.22) | |||
| HIV negative | Ref. | Ref. | Ref. | |||
| Gender | p<0.001 | p<0.001 | p=0.742 | |||
| Female | 2.49 (2.19–2.83) | 1.68 (1.45–1.94) | 0.91 (0.52–1.59) | |||
| Male | Ref. | Ref. | Ref. | |||
| Primary source of income | p<0.001 | p<0.001 | p=0.186 | |||
| Working in a bar or restaurant | 0.52 (0.41–0.65) | 1.05 (0.72–1.52) | 2.42 (1.07–5.43) | |||
| CSW | 3.77 (3.25–4.38) | 4.26 (3.16–5.73) | 1.46 (0.62–3.42) | |||
| Fishing | 0.55 (0.44–0.69) | 2.30 (1.66–3.18) | 1.58 (0.68–3.67) | |||
| Selling fish | Ref. | Ref. | Ref. | |||
| Income | p<0.001 | p<0.001 | p=0.772 | |||
| ≥$100 | 3.00 (2.43–3.71) | 3.11 (2.37–4.10) | 1.06 (0.49–2.28) | |||
| $50-<$100 | 5.13 (4.17–6.32) | 4.87 (3.72–6.37) | 0.71 (0.30–1.72) | |||
| $20-<$50 | 1.11 (0.86–1.43) | 0.77 (0.55–1.07) | 1.07 (0.49–2.37) | |||
| <$20 | Ref. | Ref. | Ref. | |||
| Income insecurity | p<0.001 | p=0.547 | p=0.080 | |||
| Yes | 1.43 (1.28–1.60) | 0.96 (0.85–1.09) | 1.67 (0.94–2.95) | |||
| No | Ref. | Ref. | Ref. | |||
| Education | p<0.001 | p=0.011 | p=0.177 | |||
| Secondary or > | 0.74 (0.65–0.84) | 0.83 (0.72–0.96) | 0.66 (0.35–1.21) | |||
| Primary or less | Ref. | Ref. | Ref. | |||
| Marital status | p<0.001 | p<0.001 | p=0.200 | |||
| Married | 0.44 (0.39–0.50) | 0.42 (0.34–0.51) | 0.69 (0.39–1.22) | |||
| Unmarried | Ref. | Ref. | Ref. | |||
| Age | p<0.001 | p<0.001 | p=0.928 | |||
| ≥45 | 0.42 (0.30–0.57) | 0.73 (044–1.19) | 1.22 (0.40–3.70) | |||
| 35–44 | 0.71 (0.58–0.87) | 1.02 (0.81–1.29) | 1.35 (0.55–3.32) | |||
| 25–34 | 1.43 (1.24–1.66) | 1.58 (1.35–1.84) | 1.24 (0.58–2.65) | |||
| 18–24 | Ref. | Ref. | Ref. |
Note: IRR = Incident rate ratio; OR=Odds ratio; CI=95% Confidence Interval. CSW: commercial sex work.
a
Saves money in a bank or savings cooperative or via mobile money.
b
Problematic alcohol use refers to problematic drinking (AUDIT ≥ 7 for women, ≥ 8 for men) or potential alcohol use disorder (AUDADIS ≥ 3 criteria in prior 12 months)