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Article ; Online: Lifetime violence and suicidal ideation among young women (18-24 years) in Uganda: Results from a population-based survey.

Kisaakye, Peter / Kafuko, Agatha / Bukuluki, Paul

Frontiers in global women's health

2023 Volume 4, Page(s) 1063846

Abstract: Introduction: Violence is a major global public health issue that threatens the physical and mental health of victims. Of particular concern is the increasing evidence which suggests that violence is strongly associated with suicidal behavior including ... ...

Abstract	Introduction: Violence is a major global public health issue that threatens the physical and mental health of victims. Of particular concern is the increasing evidence which suggests that violence is strongly associated with suicidal behavior including ideation. Methods: This study uses data from the 2015 Violence Against Children Survey (VACS). This study seeks to highlight the relationship between lifetime violence and suicidal ideation using a nationally representative sample of 1,795 young women (18-24 years) in Uganda. Results: Results indicate that respondents who experienced lifetime sexual violence (aOR = 1.726; 95%CI = 1.304-2.287), physical violence (aOR = 1.930; 95%CI = 1.293-2.882) or emotional violence (aOR = 2.623; 95%CI = 1.988-3.459) were more likely to experience suicidal ideation. Respondents who were not married (aOR = 1.607; 95%CI = 1.040-2.484), not having too much trust with community members (aOR = 1.542; 95%CI = 1.024-2.320) or not having a close relationship with biological parents (aOR = 1.614; 95%CI = 1.230-2.119) were more likely to experience suicidal ideation. Respondents who did not engage in work in the past 12 months prior to the survey (aOR = 0.629; 95%CI = 0.433-0.913) were less likely to experience suicidal ideation. Conclusion: The results can be used to inform policy and programming and for integration of mental health and psychosocial support in programming for prevention and response to violence against young women.
Language	English
Publishing date	2023-04-17
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-5059
ISSN (online)	2673-5059
DOI	10.3389/fgwh.2023.1063846
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Decision to Wear a Face Mask as a Protective Behavioral Measure Against COVID-19: Survey Results From Greater Kampala Metropolitan Area, Uganda.

Bukuluki, Paul M / Kisaakye, Peter

Frontiers in public health

2021 Volume 9, Page(s) 675734

Abstract: The use of face masks is one of the behavioral measures used to prevent COVID-19 infection. Despite the positive contribution of face masks, there is uncertainty surrounding face mask wearing in low-income countries. Using data from 1,054 respondents in ... ...

Abstract	The use of face masks is one of the behavioral measures used to prevent COVID-19 infection. Despite the positive contribution of face masks, there is uncertainty surrounding face mask wearing in low-income countries. Using data from 1,054 respondents in Greater Kampala Metropolitan area, we investigate the variation in face mask wearing inside and outside public spaces. Results indicate that more than three quarters of the respondents wore a face mask always outside public spaces and slightly more than half wore a face mask sometimes inside public spaces. Irrespective of location (inside or outside public spaces), respondents were more likely to wear facemasks sometimes or always to prevent COVID-19 infection. There is need to raise awareness about face mask wearing and its efficacy to prevent COVID-19 infection.
MeSH term(s)	COVID-19 ; Humans ; Masks ; SARS-CoV-2 ; Surveys and Questionnaires ; Uganda/epidemiology
Language	English
Publishing date	2021-10-21
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2021.675734
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Article ; Online: Life Satisfaction Factors, Stress, and Depressive Symptoms among Young Women Living in Urban Kampala: Findings from the TOPOWA Project Pilot Studies.

Culbreth, Rachel E / Nielsen, Karen E / Mobley, Kate / Palmier, Jane / Bukuluki, Paul / Swahn, Monica H

International journal of environmental research and public health

2024 Volume 21, Issue 2

Abstract: Young women living in Kampala, Uganda, often face adversities related to Social Determinants of Mental Health (SDoMH) including poverty, food scarcity, environmental stressors such as high levels of community violence, and lack of adequate healthcare ... ...

Abstract	Young women living in Kampala, Uganda, often face adversities related to Social Determinants of Mental Health (SDoMH) including poverty, food scarcity, environmental stressors such as high levels of community violence, and lack of adequate healthcare access. Two consecutive pilot studies were conducted to assess the feasibility and acceptability of survey questions, wearable fitness trackers, and daily diaries before launching a larger prospective cohort study. Preliminary associations between SDoMH factors with depressive symptoms, stress levels, and life satisfaction were examined among the total sample of 60 women across two pilot studies. A total of 32.2% of respondents (out of
MeSH term(s)	Humans ; Female ; Depression/epidemiology ; Depression/psychology ; Prospective Studies ; Pilot Projects ; Uganda/epidemiology ; Personal Satisfaction
Language	English
Publishing date	2024-02-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph21020184
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Article ; Online: The Decision to Wear a Face Mask as a Protective Behavioral Measure Against COVID-19

Paul M. Bukuluki / Peter Kisaakye

Frontiers in Public Health, Vol

Survey Results From Greater Kampala Metropolitan Area, Uganda

2021 Volume 9

Abstract	The use of face masks is one of the behavioral measures used to prevent COVID-19 infection. Despite the positive contribution of face masks, there is uncertainty surrounding face mask wearing in low-income countries. Using data from 1,054 respondents in Greater Kampala Metropolitan area, we investigate the variation in face mask wearing inside and outside public spaces. Results indicate that more than three quarters of the respondents wore a face mask always outside public spaces and slightly more than half wore a face mask sometimes inside public spaces. Irrespective of location (inside or outside public spaces), respondents were more likely to wear facemasks sometimes or always to prevent COVID-19 infection. There is need to raise awareness about face mask wearing and its efficacy to prevent COVID-19 infection.
Keywords	COVID-19 ; face masks ; greater Kampala metropolitan area ; Uganda perspectives ; Uganda ; Public aspects of medicine ; RA1-1270
Language	English
Publishing date	2021-10-01T00:00:00Z
Publisher	Frontiers Media S.A.
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Help-Seeking Within the Context of Patriarchy for Domestic Violence in Urban Uganda.

Gardsbane, Diane / Bukuluki, Paul / Musuya, Tina

Violence against women

2021 Volume 28, Issue 1, Page(s) 232–254

Abstract: This study in urban Kampala contributes to a growing evidence base about the complex contexts within which women make decisions about reporting domestic violence. Based on an intersecting theoretical lens of structural violence, power, and the body, ... ...

Abstract	This study in urban Kampala contributes to a growing evidence base about the complex contexts within which women make decisions about reporting domestic violence. Based on an intersecting theoretical lens of structural violence, power, and the body, findings suggested that women reported to formal structures primarily for severe physical or economic abuse. Women did not report less severe abuse, and often abandoned reporting even severe abuse, because of the overarching structural patriarchy and violence that exists, as well as women's
MeSH term(s)	Domestic Violence ; Family Characteristics ; Female ; Humans ; Social Norms ; Uganda
Language	English
Publishing date	2021-01-29
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2031375-5
ISSN	1552-8448 ; 1077-8012
ISSN (online)	1552-8448
ISSN	1077-8012
DOI	10.1177/1077801220985943
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Article ; Online: Adolescent sexual behaviour in a refugee setting in Uganda.

Bukuluki, Paul / Kisaakye, Peter / Mwenyango, Hadijah / Palattiyil, George

Reproductive health

2021 Volume 18, Issue 1, Page(s) 131

Abstract: Background: Children under 18 years old constituted more than half (52%) of the refugee population in 2017. Adolescent Sexual and reproductive health is an essential component of primary health care. Yet, not every refugee adolescent is able to access ... ...

Abstract	Background: Children under 18 years old constituted more than half (52%) of the refugee population in 2017. Adolescent Sexual and reproductive health is an essential component of primary health care. Yet, not every refugee adolescent is able to access sexual and reproductive health services. Methods: Using quantitative data from 356 refugee adolescents and qualitative data (17 in-depth interviews and nine key informant interviews), we examine refugee adolescent sexual behaviour in Bidibidi settlement-the largest refugee settlement in Uganda using a binary logistic regression model. Results: The results show that 25% of refugee adolescents in Bidibidi refugee settlement had ever had sex. After controlling for all factors, results show that refugee adolescents aged 16-18 years (OR = 3.47; 95% CI = 1.09-10.94), males (OR = 17.59; 95% CI = 4.48-69.07), not in school (OR = 14.57; 95% CI = 2.20-96.35) were more likely to engage in sexual behaviour than their counterparts. Refugee adolescents who do not agree that a girl cannot get pregnant if she has sex while standing up (knowledge about getting pregnant) were significantly less associated with sexual behaviour (OR = 0.30; 95% CI = 0.10-0.85). Conclusions: Results from this study show that keeping refugee adolescents in school and providing sexual and reproductive health information are likely to delay refugee adolescents' engagement in sexual behaviour. Therefore, there is need to promote keeping refugee adolescents in school in order to improve sexual and reproductive health of adolescent refugees living in low-income countries such as Uganda.
MeSH term(s)	Adolescent ; Adolescent Behavior ; Female ; Humans ; Interviews as Topic ; Male ; Pregnancy ; Qualitative Research ; Refugees/psychology ; Reproductive Health ; Reproductive Rights ; Sexual Behavior ; Sexual Health ; Transients and Migrants ; Uganda
Language	English
Publishing date	2021-06-24
Publishing country	England
Document type	Journal Article
ISSN	1742-4755
ISSN (online)	1742-4755
DOI	10.1186/s12978-021-01181-0
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Article ; Online: COVID-19 vaccine acceptance among refugees in Bidibidi refugee settlement, Northern Uganda

Peter Kisaakye / Paul Bukuluki / Joseph KB Matovu

Journal of Global Health Reports, Vol

2022 Volume 6

Abstract: Background We investigated the factors associated with people’s acceptability to get the COVID-19 vaccine if made available among refugees in Bidibidi refugee settlement. # Methods Face-to-face interviews were used to collect data between 6 March and 9 ...

Abstract	# Background We investigated the factors associated with people’s acceptability to get the COVID-19 vaccine if made available among refugees in Bidibidi refugee settlement. # Methods Face-to-face interviews were used to collect data between 6 March and 9 April 2021. A binary logistic regression was fitted to examine the factors that determine acceptability of the COVID-19 vaccine. # Results Majority of respondents (78%) accepted to get the COVID-19 vaccine. Results from the binary logistic regression model show that respondents that were uncertain whether the COVID-19 vaccine would stop transmissions were less likely to get the vaccine (adjusted odds ratio, aOR = 0.70; 95% confidence interval, CI = 0.51–0.96) than respondents that were not uncertain. Respondents who do not want to go to health facilities (aOR = 0.61; 95% CI = 0.44–0.84) were less likely accept the COVID-19 vaccine than their counterparts who want to go to health facilities. The odds to get a COVID-19 vaccine among respondents who put on a face mask sometimes (aOR = 1.77; 95% CI = 1.26–2.49) are more than respondents who put on a face mask always. # Conclusions The results inform planning and implementation of COVID-19 vaccine promotion campaigns in humanitarian settings particularly in LMICs in Africa that embody the similar characteristics, contexts and health systems challenges like those in northern Uganda.
Keywords	Public aspects of medicine ; RA1-1270
Subject code	310
Language	English
Publishing date	2022-03-01T00:00:00Z
Publisher	Inishmore Laser Scientific Publishing Ltd
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Suicidal Ideations and Attempts Among Adolescents in Kampala Urban Settlements in Uganda: A Case Study of Adolescents Receiving Care From the Uganda Youth Development Link.

Bukuluki, Paul / Wandiembe, Symon / Kisaakye, Peter / Besigwa, Samuel / Kasirye, Rogers

Frontiers in sociology

2021 Volume 6, Page(s) 646854

Abstract: There is an increasing recognition that suicidal ideation is a major public health concern in sub-Saharan Africa. We employed a case study design, taking a case study of adolescents currently under the care of Uganda Youth Development Link (UYDEL). The ... ...

Abstract	There is an increasing recognition that suicidal ideation is a major public health concern in sub-Saharan Africa. We employed a case study design, taking a case study of adolescents currently under the care of Uganda Youth Development Link (UYDEL). The data analyzed were collected from 219 female and male adolescents (13-19 years) recruited through UYDEL in Kampala, Uganda. A Poisson regression model with robust variance was used to assess the risk factors associated with suicidality. The prevalence of suicidal ideation in the past 4 weeks and attempt within the past 6 months among adolescents was 30.6% (95% CI: 24.8, 38.0%) and 24.2% (95% CI: 18.7, 30.4%), respectively. The most stressful precursors of suicidal ideation or attempt included financial difficulties (59.5%), family breakdown or conflicts (37.4%), and trauma (23.1%). Suicidal ideation in the past 1 week preceding the survey was as high as 13.3% (95% CI: 9.0, 18.6%), of which 75.0% (95% CI: 55.1%, 89.3%) had a suicide plan. Prevalence of suicidal ideation in the past 4 weeks was significantly higher among respondents with moderate psychological distress [Prevalence Ratio (PRR) = 2.74; 95% CI: 0.96, 7.84] and severe psychological distress (PRR = 4.75; 95% CI: 1.72, 13.08) but lower among adolescents who knew where to obtain professional psychological care (PRR = 0.51; 95% CI: 0.30, 0.87). Similarly, suicidal attempt was significantly higher among respondents with moderate psychological distress (PRR = 4.72; 95% CI: 1.01, 12.03) and severe psychological distress (PRR = 11.8; 95% CI: 4.66, 32.37), and who abuse drugs or substances (PRR = 2.13; 95% CI: 1.13, 4.01). Therefore, suicidal ideation is a major public health issue among adolescents living in poor urban settlements in Kampala, Uganda. Psychological distress due to financial difficulties, unemployment, and family breakdown are major facilitators of suicidality among adolescents in urban poor settlements in Kampala. Interventions aimed at preventing suicide among vulnerable adolescents in urban settlements in Kampala, Uganda should incorporate this unique risk factor profile.
Language	English
Publishing date	2021-07-21
Publishing country	Switzerland
Document type	Journal Article
ISSN	2297-7775
ISSN (online)	2297-7775
DOI	10.3389/fsoc.2021.646854
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Article ; Online: How social norms contribute to physical violence among ever-partnered women in Uganda: A qualitative study.

Nnyombi, Aloysious / Bukuluki, Paul / Besigwa, Samuel / Ocaya-Irama, Jane / Namara, Charity / Cislaghi, Beniamino

Frontiers in sociology

2022 Volume 7, Page(s) 867024

Abstract: This paper contributes to the literature that studies how social norms sustain undesirable behavior. It establishes how norms contribute to intimate partner physical violence against women. First, norms organize physical violence as a domestic and ... ...

Abstract	This paper contributes to the literature that studies how social norms sustain undesirable behavior. It establishes how norms contribute to intimate partner physical violence against women. First, norms organize physical violence as a domestic and private matter. Second, they organize physical violence as a constituent part of women's lives, thereby normalizing women's experience of abuse. Third, norms define appropriate boundaries within which male partners perpetrate violence. The findings draw essential information for social change interventions that target improvement in women's and girls' wellbeing. For social and behavioral programmes to change harmful norms, they have to deconstruct physical violence as a private matter, advance the de-normalization of physical violence, and dismantle acceptable boundaries within which violence happens.
Language	English
Publishing date	2022-09-01
Publishing country	Switzerland
Document type	Journal Article
ISSN	2297-7775
ISSN (online)	2297-7775
DOI	10.3389/fsoc.2022.867024
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Article ; Online: A Comparative Analysis of Gender Discrepancy Stress, Attitudes toward Intimate Partner Violence, and Perpetration among Young Adults in the USA and Uganda.

Lyons, Matthew J / Swahn, Monica H / Culbreth, Rachel / Reidy, Dennis / Musuya, Tina / Bukuluki, Paul

International journal of environmental research and public health

2022 Volume 19, Issue 20

Abstract: Background: There is a dearth of data on the modifiable factors that contribute to violence in low- and middle-income countries, including attitudes regarding intimate partner violence (IPV) and perceptions of gender identity. We examined these factors ... ...

Abstract	Background: There is a dearth of data on the modifiable factors that contribute to violence in low- and middle-income countries, including attitudes regarding intimate partner violence (IPV) and perceptions of gender identity. We examined these factors using a cross-cultural comparison between young adults in Uganda and the United States. Methods: A cross-sectional survey was distributed to young adults aged 18 to 25 in Uganda (n = 300) and the U.S. (n = 300). Survey questions assessed demographics, attitudes toward IPV, IPV victimization and perpetration, gender discrepancy, discrepancy stress, and alcohol use. We conducted chi-square tests, as well as bivariable and multivariable logistic regression analyses, separately for participants in each country. Results: The prevalence of IPV perpetration differed significantly by country for men (58.06% in the U.S. vs. 42.73% in Uganda; Conclusions: Permissive IPV attitudes were associated with IPV perpetration among Ugandan participants, while likely AUD was associated with perpetration in U.S. Participants: Overall, IPV perpetration was significantly higher for U.S. males compared with Ugandan males. These findings indicate that cultural adaptations to global IPV interventions may be necessary to respond to differing needs in different countries.
MeSH term(s)	Young Adult ; Female ; Male ; Humans ; United States/epidemiology ; Gender Identity ; Uganda/epidemiology ; Cross-Sectional Studies ; Intimate Partner Violence ; Crime Victims ; Risk Factors
Language	English
Publishing date	2022-10-17
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192013373
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