Department of Community Health
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Research Articles [348]
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Recent Submissions
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The benefits of care: treated HIV infection and health-related quality of life among older-aged people in Uganda
(Aging & Mental Health, 2023)Objectives: The objective of this study is to explore how HIV care affects health-related quality of life (HRQoL) among older people in Uganda. Methods: We enrolled older-aged (≥49 years) people with HIV receiving HIV ... -
Determinants of health-related quality of life in people with Human Immunodeficiency Virus, failing first-line treatment in Africa
(Health and Quality of Life Outcomes, 2023)Background: Antiretroviral treatment improves health related quality of life (HRQoL) of people with human immunodeficiency virus (PWH). However, one third initiating first-line treatment experience virological failure and ... -
Patient’s Perceptions of Anti-Cancer Chemotherapy Side Effects and Adherence on Treatment at Mbarara Regional Referral Hospital
(Student's Journal of Health Research Africa, 2023)Background: Chemotherapy is one of the most common treatment modalities for cancer. However, despite the benefits of indicated chemotherapy, the side effects and toxicities of the treatment frequently affect the patient’s ... -
Outcomes of WHO defined severe respiratory distress without shock in adults in sub- Saharan Africa
(American Journal of Respiratory and Critical Care Medicine, 2023)Sepsis is the leading cause of global mortality, and is most often attributed to lower respiratory tract infections and subsequent acute respiratory distress syndrome (ARDS) (1). The greatest burden of sepsis rests on ... -
Implementation of Hepatitis B Screening Into Routine Antenatal Care to Prevent Mother-to-Child Transmission in Rural Western Uganda
(In Open Forum Infectious Diseases, 2023)In rural Uganda where birth dose vaccination for hepatitis B is not routine, we implemented a pilot program for preventing mother-to-child transmission that effectively identified women with high-risk hepatitis B virus ... -
Health System Responsiveness for Persons with HIV and Disability in South Western Uganda
(HIV/AIDS-Research and Palliative Care, 2023)Background: Inequitable access to Human Immunodeficiency Virus/Acquired Immune Syndrome (HIV/AIDS) Treatment and Care Services (HATCS) for People with Disabilities (PWD) is a hurdle to ending the pandemic by 2030. The aim ... -
Development and Validation of the Soweto Coping Scale: A Mixed-Methods, Population-Based Study of Adults Living in Soweto, South Africa
(Journal of Affective Disorders, 2022)Mental health disorders are among the leading contributors to the burden of disease and need to be prioritised in policy making and program implementation. In the absence of mental healthcare, people often navigate their ... -
Linkage to HIV Care Following HIV Self‑testing Among Men: Systematic Review of Quantitative and Qualitative Studies from Six Countries in Sub‑Saharan Africa
(AIDS and Behavior, 2023)Gender disparities are pervasive throughout the HIV care continuum in sub-Saharan Africa, with men testing, receiving treatment, and achieving viral suppression at lower rates, and experiencing mortality at higher rates, ... -
Systematic Review of mHealth Interventions for Adolescent and Young Adult HIV Prevention and the Adolescent HIV Continuum of Care in Low to Middle Income Countries
(AIDS and Behavior, 2023)Adolescents and young adults (AYA) in low to middle income countries (LMIC) have poorer outcomes along each step in the HIV continuum of prevention and care compared to younger children or older adults. The use of mHealth ... -
Effect of the COVID-19 lockdown on the HIV care continuum in Southwestern Uganda: A time series analysis
(Plos one, 2023)Introduction: In Uganda, COVID-19 lockdown policies curbed the spread of SARS-CoV-2, but their effect on HIV care is poorly understood. Objectives: We examined the effects of COVID-19 lockdown policies on ART initiation, ... -
A rare presentation of a giant malignant melanoma in a 67 year old female Ugandan: A case report
(International Journal of Surgery Case Reports, 2023)Introduction and importance: Malignant melanoma (MM) is a skin cancer whose incidence is alarmingly increasing globally. However, the public, especially among the black population, still has very little knowledge about ... -
Understanding Patients’ Experiences with a Brief Alcohol Reduction Intervention among People Living with HIV in Uganda: A Qualitative Study
(Substance Use & Misuse, 2023)Background: Brief alcohol reduction interventions for people living with HIV (PLWH) have resulted in mixed findings with some studies showing null or limited treatment effects. To better understand factors that may contribute ... -
Ease of marital communication and depressive symptom severity among men and women in rural Uganda: cross-sectional, whole-population study
(Social psychiatry and psychiatric epidemiology, 2022)Purpose: Depression is a major contributor to the global burden of disease. The extent to which marital communication may influence depression in contexts with little mental health support is unknown. Methods: We conducted ... -
Cigarette smoking and misperceived norms among adults in rural Uganda: a population-based study
(Tobacco Control, 2021)Background: Little is known about perceived norms about cigarette smoking in Uganda or the extent to which perceptions drive personal cigarette smoking behavior. Methods: We conducted a cross-sectional study in 2016–2018 ... -
Willingness of caregivers to donate a kidney to a patient with end-stage renal disease: Findings from four dialysis providing health facilities in Uganda
(PLOS Glob Public Health, 2022)Most patients with end-stage renal disease (ESRD) benefit from a kidney transplant but there is limited information from developing countries like Uganda about the willingness of caregivers for patients with end-stage ... -
Who’s slipping through the cracks? A comprehensive individual, clinical, and health system characterization of people with virologic failure on first-line HIV treatment in Uganda and South Africa
(HIV medicine, 2022)Objective: HIV virological failure remains a major threat to programme success in sub-Saharan Africa. While HIV drug resistance (HIVDR) and inadequate adherence are the main drivers of virological failure, the individual, ... -
Perceptions about local ART adherence norms and personal adherence behavior among adults living with HIV in rural Uganda
(AIDS and Behavior, 2022)Although misperceived norms often drive personal health behaviors, we do not know about this phenomenon in the context of antiretroviral therapy (ART) adherence. We conducted a cross-sectional study including all persons ... -
Perceived and misperceived norms about khat and/or cannabis use among adults in southwest Uganda
(International Journal of Drug Policy, 2022)Background: Studies from high-income contexts have found evidence that norms about substance use are misperceived. The accuracy of perceived norms about khat and cannabis use in Uganda have not previously been described. Methods: ... -
Multicenter analysis of attrition from the pediatric TB infection care cascade in Boston
(The Journal of Pediatrics, 2023)Objectives: Characterizing losses from the pediatric tuberculosis (TB) infection care cascade is important to identify ways to improve TB infection care delivery. Study design: We conducted a retrospective cohort study ... -
Bar Attendance and Alcohol Use Before and After COVID-19 Related Restrictions Among HIV-infected Adults in South-Western Uganda
(AIDS and Behavior, 2023)Alcohol use is especially problematic for people living with HIV (PLWH) and was likely to be impacted by the coronavi¬rus disease (COVID-19) pandemic and its restrictions. In a study of PLWH with latent tuberculosis ...
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