Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra
Identifieur interne : 000F15 ( Main/Exploration ); précédent : 000F14; suivant : 000F16Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra
Auteurs : Rosemary B. Duda [États-Unis, Ghana] ; Rudolph Darko ; Richard M. K. Adanu ; Joseph Seffah ; John K. Anarfi ; Shiva Gautam ; Allan G. HillSource :
- The American journal of tropical medicine and hygiene [ 0002-9637 ] ; 2005.
Descripteurs français
- KwdFr :
- MESH :
- tendances : Séroprévalence du VIH.
- épidémiologie : Ghana, Infections à VIH.
- Pascal (Inist)
- Wicri :
- geographic : Ghana.
- topic : Femme, Santé publique.
English descriptors
- KwdEn :
- AIDS, Adolescent, Adult, Aged, Cross-Sectional Studies, Epidemiology, Female, Ghana, Ghana (epidemiology), HIV Infections (epidemiology), HIV Infections (transmission), HIV Seroprevalence (trends), Health Status, Humans, Middle Aged, Prevalence, Public health, Risk Factors, Risk factor, Tropical medicine, Woman.
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections.
- transmission : HIV Infections.
- trends : HIV Seroprevalence.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Health Status, Humans, Middle Aged, Prevalence, Risk Factors.
Abstract
The Women's Health Study of Accra is a cross-sectional study designed to measure the burden of communicable and noncommunicable diseases in adult women residing in Accra, Ghana. This study assessed the prevalence rate of HIV and risk factors associated with HIV infection in 1,328 women age 18 years and older. The weighted overall HIV prevalence rate for women residing in Accra is 3.1%. The highest prevalence rate of HIV infections was identified in women age 25 to 29 years at 8.3%, OR (95%CI) 3.8 (1.68-8.33), P = 001. In addition to young age, other significant risk factors included sexually transmitted infection (STI) symptoms (OR 1.81 [1.14-2.87], P = 0.012) and mean number of lifetime sexual partners (P < 0.001). All HIV-positive women were sexually active. Other findings significantly associated with HIV-positive status included chills, oral lesions, tuberculosis, bloody sputum production, and intestinal parasite infections. There was a significant association with HIV-positive status and locality of residence in the city. There was no association with reported use of condoms, blood transfusions, surgery, reproductive health history including pregnancy or number of sexual partners, symptoms suggestive of AIDS, or self-perception of health. There was also no association with education level, religion, ethnicity, marital status, or socioeconomic level. This community-based study confirms the need to target young, sexually active women for HIV educational and preventive initiatives. A strong Ghanaian public health initiative to increase awareness of the risks of HIV and the link to STIs is critical at this time to prevent the further increase in HIV prevalence and the resultant HIV-associated illnesses.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000102
- to stream PascalFrancis, to step Curation: 000043
- to stream PascalFrancis, to step Checkpoint: 000090
- to stream Main, to step Merge: 000F60
- to stream PubMed, to step Corpus: 000443
- to stream PubMed, to step Curation: 000443
- to stream PubMed, to step Checkpoint: 000443
- to stream Ncbi, to step Merge: 000177
- to stream Ncbi, to step Curation: 000177
- to stream Ncbi, to step Checkpoint: 000177
- to stream Main, to step Merge: 000F09
- to stream Main, to step Curation: 000F15
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra</title><author><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Surgery, Korle Bu Teaching Hospital, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Obstetrics and Gynaecology, Korle Bit Teaching Hospital, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Institute for Statistical, Social and Economic Research, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Population and International Health, Harvard School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Darko, Rudolph" sort="Darko, Rudolph" uniqKey="Darko R" first="Rudolph" last="Darko">Rudolph Darko</name></author><author><name sortKey="Adanu, Richard M K" sort="Adanu, Richard M K" uniqKey="Adanu R" first="Richard M. K." last="Adanu">Richard M. K. Adanu</name></author><author><name sortKey="Seffah, Joseph" sort="Seffah, Joseph" uniqKey="Seffah J" first="Joseph" last="Seffah">Joseph Seffah</name></author><author><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K." last="Anarfi">John K. Anarfi</name></author><author><name sortKey="Gautam, Shiva" sort="Gautam, Shiva" uniqKey="Gautam S" first="Shiva" last="Gautam">Shiva Gautam</name></author><author><name sortKey="Hill, Allan G" sort="Hill, Allan G" uniqKey="Hill A" first="Allan G." last="Hill">Allan G. Hill</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">05-0403960</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 05-0403960 INIST</idno><idno type="RBID">Pascal:05-0403960</idno><idno type="wicri:Area/PascalFrancis/Corpus">000102</idno><idno type="wicri:Area/PascalFrancis/Curation">000043</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000090</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000090</idno><idno type="wicri:doubleKey">0002-9637:2005:Duda R:hiv:prevalence:and</idno><idno type="wicri:Area/Main/Merge">000F60</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:16014834</idno><idno type="wicri:Area/PubMed/Corpus">000443</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000443</idno><idno type="wicri:Area/PubMed/Curation">000443</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000443</idno><idno type="wicri:Area/PubMed/Checkpoint">000443</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000443</idno><idno type="wicri:Area/Ncbi/Merge">000177</idno><idno type="wicri:Area/Ncbi/Curation">000177</idno><idno type="wicri:Area/Ncbi/Checkpoint">000177</idno><idno type="wicri:doubleKey">0002-9637:2005:Duda R:hiv:prevalence:and</idno><idno type="wicri:Area/Main/Merge">000F09</idno><idno type="wicri:Area/Main/Curation">000F15</idno><idno type="wicri:Area/Main/Exploration">000F15</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra</title><author><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School</s1><s2>Boston, Massachusetts</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Surgery, Korle Bu Teaching Hospital, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Obstetrics and Gynaecology, Korle Bit Teaching Hospital, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Institute for Statistical, Social and Economic Research, University of Ghana</s1><s2>Accra</s2><s3>GHA</s3></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName><orgName type="university">Université du Ghana</orgName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Department of Population and International Health, Harvard School of Public Health</s1><s2>Boston, Massachusetts</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Darko, Rudolph" sort="Darko, Rudolph" uniqKey="Darko R" first="Rudolph" last="Darko">Rudolph Darko</name></author><author><name sortKey="Adanu, Richard M K" sort="Adanu, Richard M K" uniqKey="Adanu R" first="Richard M. K." last="Adanu">Richard M. K. Adanu</name></author><author><name sortKey="Seffah, Joseph" sort="Seffah, Joseph" uniqKey="Seffah J" first="Joseph" last="Seffah">Joseph Seffah</name></author><author><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K." last="Anarfi">John K. Anarfi</name></author><author><name sortKey="Gautam, Shiva" sort="Gautam, Shiva" uniqKey="Gautam S" first="Shiva" last="Gautam">Shiva Gautam</name></author><author><name sortKey="Hill, Allan G" sort="Hill, Allan G" uniqKey="Hill A" first="Allan G." last="Hill">Allan G. Hill</name></author></analytic><series><title level="j" type="main">The American journal of tropical medicine and hygiene</title><title level="j" type="abbreviated">Am. j. trop. med. hyg.</title><idno type="ISSN">0002-9637</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American journal of tropical medicine and hygiene</title><title level="j" type="abbreviated">Am. j. trop. med. hyg.</title><idno type="ISSN">0002-9637</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Epidemiology</term><term>Female</term><term>Ghana</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (transmission)</term><term>HIV Seroprevalence (trends)</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Prevalence</term><term>Public health</term><term>Risk Factors</term><term>Risk factor</term><term>Tropical medicine</term><term>Woman</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH (transmission)</term><term>Infections à VIH (épidémiologie)</term><term>Prévalence</term><term>Sujet âgé</term><term>Séroprévalence du VIH (tendances)</term><term>État de santé</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Séroprévalence du VIH</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>HIV Seroprevalence</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Prévalence</term><term>SIDA</term><term>Prévalence</term><term>Facteur risque</term><term>Femme</term><term>Ghana</term><term>Santé publique</term><term>Médecine tropicale</term><term>Epidémiologie</term><term>Sujet âgé</term><term>État de santé</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Femme</term><term>Santé publique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Women's Health Study of Accra is a cross-sectional study designed to measure the burden of communicable and noncommunicable diseases in adult women residing in Accra, Ghana. This study assessed the prevalence rate of HIV and risk factors associated with HIV infection in 1,328 women age 18 years and older. The weighted overall HIV prevalence rate for women residing in Accra is 3.1%. The highest prevalence rate of HIV infections was identified in women age 25 to 29 years at 8.3%, OR (95%CI) 3.8 (1.68-8.33), P = 001. In addition to young age, other significant risk factors included sexually transmitted infection (STI) symptoms (OR 1.81 [1.14-2.87], P = 0.012) and mean number of lifetime sexual partners (P < 0.001). All HIV-positive women were sexually active. Other findings significantly associated with HIV-positive status included chills, oral lesions, tuberculosis, bloody sputum production, and intestinal parasite infections. There was a significant association with HIV-positive status and locality of residence in the city. There was no association with reported use of condoms, blood transfusions, surgery, reproductive health history including pregnancy or number of sexual partners, symptoms suggestive of AIDS, or self-perception of health. There was also no association with education level, religion, ethnicity, marital status, or socioeconomic level. This community-based study confirms the need to target young, sexually active women for HIV educational and preventive initiatives. A strong Ghanaian public health initiative to increase awareness of the risks of HIV and the link to STIs is critical at this time to prevent the further increase in HIV prevalence and the resultant HIV-associated illnesses.</div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Massachusetts</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><noCountry><name sortKey="Adanu, Richard M K" sort="Adanu, Richard M K" uniqKey="Adanu R" first="Richard M. K." last="Adanu">Richard M. K. Adanu</name><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K." last="Anarfi">John K. Anarfi</name><name sortKey="Darko, Rudolph" sort="Darko, Rudolph" uniqKey="Darko R" first="Rudolph" last="Darko">Rudolph Darko</name><name sortKey="Gautam, Shiva" sort="Gautam, Shiva" uniqKey="Gautam S" first="Shiva" last="Gautam">Shiva Gautam</name><name sortKey="Hill, Allan G" sort="Hill, Allan G" uniqKey="Hill A" first="Allan G." last="Hill">Allan G. Hill</name><name sortKey="Seffah, Joseph" sort="Seffah, Joseph" uniqKey="Seffah J" first="Joseph" last="Seffah">Joseph Seffah</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name></region><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name></region><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B." last="Duda">Rosemary B. Duda</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000F15 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000F15 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= Pascal:05-0403960
|texte= Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra
}}
| This area was generated with Dilib version V0.6.31. |  |