Male-Female Differences in Sexual Behaviors and HIV Sero Prevalence among Workers in Socializing Places: Results from PLACE Survey, Uganda

Background: Compared to the traditionally defined special populations, little is known about the sexual behaviors and HIV prevalence of workers in socializing places like bars, lodges e.t.c., yet they constitute a subgroup with likely vulnerability and risk of HIV infection. Our aims were to investigate into and compare behavioral characteristics and HIV prevalence among female and male workers of socializing places. Methods: The data used in this study are part of a large survey conducted in Uganda between 2013 and 2014 using a descriptive cross sectional study design. A total of 3830 workers from 736 socializing places from 29 districts of Uganda were interviewed and tested for HIV. The study employed descriptive univariate analysis. Results: The burden of HIV was found to be highest among the female workers (11%) although male workers reported more risky sexual behaviors such as multiple sexual partnerships and high sexual partner acquisition. The prevalence of HIV was particularly very high among three categories of female workers namely; 1) those who reported having met a sexual partner on site, 2) those who reported any STI symptoms, and 3) those who reported being divorced/separated or widowed. Conclusion: Despite the noted differences and similarities in the sexual behaviors and HIV prevalence of the male and female workers of socializing places, HIV prevention interventions must target both male and female workers because of the high sexual mixing prevalent at socializing sites.