HIV/AIDS Behavioral Surveillance Among Angolan Military Men

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2007 Jul 21

PMID 17641966

Citations 15

Authors

Eric G Bing

Daniel J Ortiz

Ricardo E Ovalle-Bahamon

Karen G Cheng

Fannie H Huang

Francisco Ernesto

Naihua Duan

Affiliations

Soon will be listed here.

Abstract

To assess HIV-related risk behavior among military men in a post-conflict sub-Saharan African country with low HIV prevalence this study evaluated sexual risk taking and related behaviors among a stratified random sample of 1,710 military personnel in four regions of Angola. Over 90% were sexually active and 60% had two or more sexual partners within the past year. Condom use varied depending on partner type, from a low of 10% to a high of 54%. Factors independently predicting the number of sexual partners included younger age, younger age of sexual debut, being away from home, being in the eastern part of the country, higher military rank, higher education, alcohol before sex, and problem alcohol use. Independent predictors of sexually transmitted infection symptoms included age of sexual debut, lower education, higher rank, and having had sex with a casual partner or a commercial sex worker in the previous 12 months. These findings indicate high rates of HIV risk-taking behaviors among military personnel and the need for aggressive prevention campaigns to reduce HIV risk among military personnel and the populations they serve.

Citing Articles

Sexual Networks and Behavioral Characteristics of HIV-Positive Male Military Members, Female Sex Workers, and Male Civilians.

Grillo M, Saylors K, Tran B, Brown N, Tripathi O, Killion J AIDS Behav. 2025; 29(3):993-1003.

PMID: 39806186 PMC: 11830637. DOI: 10.1007/s10461-024-04580-z.

Alcohol use and sexual risk behaviors in the Armed Forces of the Democratic Republic of the Congo.

Tran B, Davis A, Sloan M, Macera C, Mbuyi A, Kabanda G BMC Public Health. 2019; 19(1):1394.

PMID: 31660935 PMC: 6819617. DOI: 10.1186/s12889-019-7794-x.

Alcohol use and its association with sexual risk behaviors in the Armed Forces of the Republic of the Congo.

Tran B, Glass N, Tripathi O, Kalombo O, Ibata P, Mpassi R PLoS One. 2019; 14(10):e0223322.

PMID: 31577815 PMC: 6774508. DOI: 10.1371/journal.pone.0223322.

Lessons learned from twelve years of HIV Seroprevalence and Behavioral Epidemiology Risk Survey (SABERS) development and implementation among foreign militaries.

Endres-Dighe S, Farris T, Courtney L PLoS One. 2018; 13(9):e0203718.

PMID: 30192862 PMC: 6128635. DOI: 10.1371/journal.pone.0203718.

A comprehensive review of HIV/STI prevention and sexual and reproductive health services among sex Workers in Conflict-Affected Settings: call for an evidence- and rights-based approach in the humanitarian response.

Ferguson A, Shannon K, Butler J, Goldenberg S Confl Health. 2017; 11:25.

PMID: 29213302 PMC: 5713057. DOI: 10.1186/s13031-017-0124-y.

References

Celentano D, Nelson K, Suprasert S, Wright N, Matanasarawoot A, Eiumtrakul S . Behavioral and sociodemographic risks for frequent visits to commercial sex workers among northern Thai men. AIDS. 1993; 7(12):1647-52. DOI: 10.1097/00002030-199312000-00016. View

Whitehead P, Carpenter D . Explaining unsafe sexual behaviour: cultural definitions and health in the military. Cult Health Sex. 2002; 1(4):303-15. DOI: 10.1080/136910599300905. View

Kuntolbutra S, Celentano D, Suprasert S, Eiumtrakol S, Wright N, Nelson K . Factors related to inconsistent condom use with commercial sex workers in northern Thailand. AIDS. 1996; 10(5):556-8. DOI: 10.1097/00002030-199605000-00023. View

. Mortality attributable to HIV infection/AIDS--United States, 1981-1990. MMWR Morb Mortal Wkly Rep. 1991; 40(3):41-4. View

. AIDS epidemic update: December 1999. AIDS Anal Afr. 2002; 10(5):2. View

Sinharay S, Stern H, Russell D . The use of multiple imputation for the analysis of missing data. Psychol Methods. 2002; 6(4):317-29. View

Saunders J, Aasland O, Babor T, De la Fuente J, Grant M . Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x. View

Saunders J, Aasland O, Amundsen A, Grant M . Alcohol consumption and related problems among primary health care patients: WHO collaborative project on early detection of persons with harmful alcohol consumption--I. Addiction. 1993; 88(3):349-62. DOI: 10.1111/j.1360-0443.1993.tb00822.x. View

Bianchi G, Popper M . Interaction of substance use and risks to sexual health in the Slovak army: general, sociocultural and individual behaviour patterns. AIDS Care. 2001; 12(6):757-65. DOI: 10.1080/09540120020014309. View

10.

MacQueen K, Nopkesorn T, Sweat M, Sawaengdee Y, Mastro T, Weniger B . Alcohol consumption, brothel attendance, and condom use: normative expectations among Thai military conscripts. Med Anthropol Q. 1996; 10(3):402-23. DOI: 10.1525/maq.1996.10.3.02a00070. View

11.

Jenkins R, Jenkins P, Nannis E, McKee Jr K, Temoshok L . Correlates of human immunodeficiency virus infection risk behavior in male attendees of a clinic for sexually transmitted disease. Clin Infect Dis. 2000; 30(4):723-9. DOI: 10.1086/313744. View

12.

Szwarcwald C, Carvalho M, Barbosa Junior A, Barreira D, Speranza F, Castilho E . Temporal trends of HIV-related risk behavior among Brazilian military conscripts, 1997-2002. Clinics (Sao Paulo). 2005; 60(5):367-74. DOI: 10.1590/s1807-59322005000500004. View

13.

Ortiz D, Bing E, Boyer C, Russak S, De Deus F, Ernesto F . Evidence-based recommendations for prevention of human immunodeficiency virus and sexually transmitted infections in the Angolan Armed Forces: challenges and opportunities at the end of 30 years of war. Mil Med. 2005; 170(4):327-32. DOI: 10.7205/milmed.170.4.327. View