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AIDS Research and Treatment
Volume 2016 (2016), Article ID 5360180, 8 pages
Research Article

Prevalence of HIV and Associated Risks of Sex Work among Youth in the Slums of Kampala

1School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302-3995, USA
2Uganda Youth Development Link, P.O. Box 12659, Kampala, Uganda
3London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK

Received 8 March 2016; Accepted 3 April 2016

Academic Editor: Glenda Gray

Copyright © 2016 Monica H. Swahn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. The purpose of this study is to examine the prevalence of and risk factors for engaging in sex work among youth living in Kampala, Uganda. Methods. Analyses are based on a cross-sectional study (N = 1,134) of youth aged 12-18 years, living in the slums of Kampala, conducted in Spring of 2014. The analytic sample consisted of only sexually active youth (n = 590). Youth who reported engaging in sex work were compared to youth who did not report sex work. Multivariable analyses were conducted to examine factors associated with sex work. Results. Among the youth who had ever had sexual intercourse (n = 590), 13.7% (n = 81) reported engaging in sex work. Self-reported HIV prevalence was 13.9% among the total sample (n = 81) and 22.5% (n = 18) among youth engaged in sex work. Engaging in sex work was associated with being female (AOR 10.4; 95% CI: 3.9, 27.4), being an orphan (AOR 3.8; 95% CI: 1.7, 8.4), ever drinking alcohol (AOR 8.3; 95% CI 3.7, 19.0), and experiencing any rape (AOR 5.3; 95% CI: 2.9, 9.5). Discussion. The reported prevalence of sex work is high among youth in the slums of Kampala and is associated with high HIV prevalence, ever drinking alcohol, previously being raped, and being an orphan.