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Khanakwa Sarah, Khanakwas@tasouganda . tasouganda

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Khanakwa Sarah, Khanakwas@tasouganda . tasouganda

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  1. Gendered sexual risk patterns and polygamy among HIV sero-discordant couples in UgandaSarah Khanakwa,1 Moses Ngolobe, 2,3David Moore, 4 Robert Mwesigwa, 4 Josephine Birungi, 5 Rachel King, 2,3 Kate Shannon 1 The AIDS Support Organisation, Jinja, Uganda; 2 British Columbia Centre for Excellence in HIV/AIDS, Vancouver, Canada; 3 Faculty of Medicine; University of British Columbia, Vancouver, Canada; 4 The AIDS Support Organisation, Kampala, Uganda; 5 University of California, San Francisco Background: Multiple sexual partnerships and HIV sero-discordant relationships are among the most at-risk for HIV transmission Polygamy is a common form of multiple-partnered relationships in Eastern Uganda ABST No: THPDC105 Khanakwa Sarah, Khanakwas@tasouganda.org. http://www.tasouganda.org

  2. ABST No: THPDC105 2 Khanakwa Sarah, Khanakwas@tasouganda.org. http://www.tasouganda.org Study objective: We investigated the association between HIV risk patterns and polygamy among HIV sero-discordant couples at The AIDS Support Organization in Jinja, Uganda Methods Participants were enrollees in a prospective cohort of HIV sero-discordant couples, the Highly Active Antiretroviral therapy as Prevention (HAARP) Study at TASO Jinja Descriptive and bivariate analyses to compare sexual risk patterns among HIV sero-discordant men; in polygamous as compared to single-spouse relationship

  3. RESULTS: Polygamous Vs Single-spouse couples Khanakwa Sarah, Khanakwas@tasouganda.org. http://www.tasouganda.org

  4. Conclusion Khanakwa Sarah, Khanakwas@tasouganda.org. http://www.tasouganda.org • This study demonstrates continued gendered risks for women in HIV sero-discordant relationships in sub-Saharan Africa. • In particular, men with 2 or more wives are more likely to make decisions about when to have sex or when to use a condom. • However, we found no differences in condom use at last sex by polygamy status

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