PMID- 29617423 OWN - NLM STAT- MEDLINE DCOM- 20180730 LR - 20181114 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 4 DP - 2018 TI - HIV prevalence by ethnic group covaries with prevalence of herpes simplex virus-2 and high-risk sex in Uganda: An ecological study. PG - e0195431 LID - 10.1371/journal.pone.0195431 [doi] LID - e0195431 AB - BACKGROUND: HIV prevalence varies from 1.7% to 14.8% between ethnic groups in Uganda. Understanding the factors responsible for this heterogeneity in HIV spread may guide prevention efforts. METHODS: We evaluated the relationship between HIV prevalence by ethnic group and a range of risk factors as well as the prevalence of herpes simplex virus-2 (HSV-2), syphilis and symptomatic STIs in the 2004/2005 Uganda HIV/AIDS Sero-Behavioural Survey-a two stage, nationally representative, population based survey of 15-59-year-olds. Spearman's correlation was used to assess the relationship between HIV prevalence and each variable. RESULTS: There was a positive association between HIV prevalence and HSV-2, symptomatic STIs and high-risk sex (sex with a non-cohabiting, non-marital partner) for women. Non-significant positive associations were present between HIV and high-risk sex for men and lifetime number of partners for men and women. CONCLUSION: Variation in sexual behavior may contribute to the variations in HIV, HSV-2 and other STI prevalence by ethnic group in Uganda. Further work is necessary to delineate which combinations of risk factors determine differential STI spread in Uganda. FAU - Kenyon, Chris R AU - Kenyon CR AUID- ORCID: 0000-0002-2557-8998 AD - HIV/STI Unit, Institute of Tropical Medicine, Antwerp, Belgium. AD - Division of Infectious Diseases and HIV Medicine, University of Cape Town, Cape Town, South Africa. LA - eng PT - Journal Article DEP - 20180404 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adolescent MH - Adult MH - Circumcision, Male/ethnology MH - Female MH - HIV Infections/*ethnology MH - Herpes Simplex/*ethnology MH - *Herpesvirus 2, Human MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Risk Factors MH - Sex Factors MH - Syphilis/ethnology MH - Uganda/epidemiology MH - Unsafe Sex/*ethnology MH - Young Adult PMC - PMC5884562 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2018/04/05 06:00 MHDA- 2018/07/31 06:00 PMCR- 2018/04/04 CRDT- 2018/04/05 06:00 PHST- 2017/05/24 00:00 [received] PHST- 2018/03/22 00:00 [accepted] PHST- 2018/04/05 06:00 [entrez] PHST- 2018/04/05 06:00 [pubmed] PHST- 2018/07/31 06:00 [medline] PHST- 2018/04/04 00:00 [pmc-release] AID - PONE-D-17-19933 [pii] AID - 10.1371/journal.pone.0195431 [doi] PST - epublish SO - PLoS One. 2018 Apr 4;13(4):e0195431. doi: 10.1371/journal.pone.0195431. eCollection 2018.