Round 27

SUMMARY OF ROUND 27: Demographic and Health/Medical Surveillance
Round (Period)ItemsNotes
Round 27 (2021-2024)Protocol TitleHIV epidemiology, non-communicable disease risk factors and the impact of COVID-19 disease: a population-based survey among adults in rural Uganda
Objectives in summary
  • To determine the prevalence of HIV and associated demographic and behavioral risk factors among adults in rural Uganda.
  • To assess the prevalence of non-communicable disease (NCD) risk factors and examine the impact of the COVID-19 pandemic on health outcomes in this population.
Summary of the house-to-house Census
CharacteristicPopulation(Male + Female)FemalesMales
Start and end dateDec 2021 – Feb 2024  
#Households at end of round1,006  
#Residents at end of round24,05412,523 (52.1%)11,531 (47.9%)
    
#Residents at start of round22,80411,895 (52.2%)10,909 (47.8%)
#New births1,105553 (50.0%)552 (60.0%)
#In-migrants6,5633,490 (53.2%)3,073 (46.8%)
#Out-migrants3,2861,791 (54.5%)1,495 (45.5%)
#Deaths223105 (47.1%)118 (52.9%)
#Loss to follow-up   
    
Age range (in years)0-1100-1020-110
Figure 1: Overall population pyramid (age-sex distribution, counts and percent)
Summary of the adult medical survey
GPC Residents
CharacteristicPopulation(Male + Female)FemalesMales
Start and end dateJan 2022-Feb 2024  
Eligibility criteria   
#Eligible for medical survey*   
#Households (participation % – % of all HHs with eligible participants that attended medical survey)921 (88.3%)  
#participants (participation % – % of all eligible participants)7,4144,604 (62.1%)2,810 (37.9%)
    
Age range (in years)15-1116-9718-111
HIV prevalence (95% CI) n=5,489627 (11.4%)436 (12.3%)191 (9.8%)
HPV vaccination (n=812) 430 (53.0%) 
Sexual activity (n=812) 448 (55.2%) 
COVID-19 vaccination5,7443,686 (64.2)2,058 (35.8%)
How old were you when you first had sex? (Median (IQR)) 17 (16;18) 
Current use of tobacco639 (8.6%)186 (4.0%)453 (16.1%)
Daily use of tobacco (n=638)491 (77.0%)115 (62.2%)376 (83.0%)
Alcohol consumption in the past 12 months2,106 (79.3%)959 (73.8%)1,147 (84.5%)
    
Medical history- Have you been diagnosed or had any of the following conditions? (n=7,406)   
Hypertension601 (8.1%)429 (9.3%)172 (6.1%)
Stroke/ heart disease / Angina32 (0.4%)18 (0.4%)14 (0.5%)
Kidney failure20 (0.3%)7 (0.1%)13 (0.5%)
ART use518 (7.0%)361 (7.8%)157 (5.6%)
Tuberculosis104 (1.4%)54 (1.2%)50 (1.8%)
Malaria3,685 (49.8%)2,357 (51.3%)1,328 (47.3%)
Low/ high cholesterol39 (0.5%)29 (0.6%)10 (0.4%)
Hepatitis B29 (0.4%)15 (0.3%)14 (0.5%)
Leg ulcer180 (2.4%)104 (2.3%)76 (2.7%)
Have you been operated on or had surgery before?926 (12.5%)751 (16.3%)175 (6.2%)
    
Physical activity   
Does your work involve activity that causes large increases in breathing or heart rate like carrying or lifting heavy loads, very brisk walking, digging or construction work for at least 10 minutes continuously?4,028 (54.35)2,260 (49.1%)1,768 (62.9%)
Do you ever walk or use a bicycle for at least 10 minutes continuously to get to and from places?4,561 (61.5%)2,736 (59.4%)1,825 (64.9%)
    
Diet   
In a typical week, on how many days do you eat fruit, such as pineapple, mango, jackfruit, and passion fruit? (Median (IQR))3 (2; 5)3 (2; 5)3 (2; 5)
In a typical week, on how many days do you eat vegetables such as tomato, cabbage, greens, carrots, and eggplant? (Median (IQR))3 (2; 7)4 (2; 7)3 (2; 7)
In a typical week, on how many days do you eat starchy staples, such as posho, cassava, sweet potato and rice? (Median (IQR))7 (5; 7)7 (5; 7)7 (5; 7)
In a typical week, how often did you drink sugary drinks (e.g. soda, fruit juices, squashes, Obushera, Minute Maid) or sweetened tea or coffee? (Median (IQR))7 (4; 7)7 (4; 7)7 (3; 7)