Table 4.
Results from multivariable 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 AdjIRR 95% CI | p value | Number of unprotected sex acts with casual partners/clients/CSWs AdjIRR 95% CI | p value | Met sex partner at alcohol venue Ad.jOR 95% CI | p value | |
|---|---|---|---|---|---|---|
| Uses commitment savings a | ||||||
| Yes | 0.68 (0.48–0.96) | p=0.029 | 0.38 (0.17–0.85) | p=0.017 | 0.43 (0.24–0.78) | p=0.006 |
| No | Ref | Ref. | Ref. | |||
| Problematic alcohol use b | p<0.001 | p<0.001 | p=0.003 | |||
| Yes | 6.08 (4.30–8.60) | 4.90 (3.09–7.78) | 2.84 (1.46–5.51) | |||
| No | Ref. | Ref. | Ref. | |||
| HIV status | p<0.001 | p<0.001 | p=0.003 | |||
| HIV positive | 0.72 (0.63–0.84) | 0.71 (0.60–0.83) | 1.99 (1.01–3.95) | |||
| Unknown status | 0.73 (0.60–0.90) | 0.91 (0.74–1.11) | 0.39 (0.16–0.92) | |||
| HIV negative | Ref. | Ref. | Ref. | |||
| Gender | p=0.001 | p<0.001 | ||||
| Female | 0.42 (0.29–0.62) | 0.29 (0.15–0.57) | ||||
| Male | Ref. | Ref. | ||||
| Primary source of income | p<0.001 | p<0.001 | ||||
| Working in a bar or restaurant | 0.97 (0.73–1.29) | 4.09 (2.45–6.82) | ||||
| CSW | 4.25 (3.20–5.64) | 6.25 (3.94–9.92) | ||||
| Fishing | 0.34 (0.26–0.44) | 1.75 (1.14–2.68) | ||||
| Selling fish | Ref. | Ref. | ||||
| Income | p<0.001 | |||||
| ≥$100 | 2.48 (1.97–3.12) | |||||
| $50-<$100 | 3.93 (3.13–4.93) | |||||
| $20-<S50 | 1.02 (0.78–1.32) | |||||
| <$20 | Ref. | |||||
| Income insecurity | p<0.001 | |||||
| Yes | 1.25 (1.10–1.41) | |||||
| No | Ref. | |||||
| Education | p<0.001 | |||||
| Secondary or > | 1.69 (1.38–2.06) | |||||
| Primary or less | Ref. | |||||
| Marital status | p<0.001 | |||||
| Married | 1.54 (1.23–1.94) | |||||
| Unmarried | Ref. | |||||
| Age | p<0.001 | p=0.072 | ||||
| ≥45 | 0.41 (0.29–0.58) | 1.83 (0.99–3.40) | ||||
| 35–44 | 0.56 (0.44–0.70) | 0.90 (0.68–1.19) | ||||
| 25–34 | 0.86 (0.73–1.01) | 0.89 (0.74–1.07) | ||||
| 18–24 | Ref. | Ref. | ||||
| Interactions | ||||||
| Alcohol × commitment savings | 0.81 (0.51–1.29) | p=0.372 | 0.33 (0.14–0.79) | p=0.013 | ||
| Commitment savings × gender | 4.82 (3.23–7.18) | p<0.001 | 6.82 (3.39–13.70) | p<0.001 | ||
| Alcohol × gender | 0.66 (0.42–1.02) | p=0.059 | 2.47 (1.22–4.99) | p=0.012 | ||
| Commitment savings × alcohol × gender | 0.50 (0.29–0.89) | p=0.019 | 0.28 (0.08–0.95) | p=0.041 |
Note: AdjIRR = Adjusted incident ratio ratio. AdjOR=Adjusted Odds Ratio; 95% 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 hazardous/harmful drinking (AUDIT ≥ 7 for women, ≥ 8 for men) or potential alcohol use disorder (AUDADIS ≥ 3 criteria in prior 12 months).