SidaGhanaV1, Main, Exploration, bibRecord, 001067

HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the eastern Region of Ghana, West Africa

Identifieur interne : 001067 ( Main/Exploration ); précédent : 001066; suivant : 001068

HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the eastern Region of Ghana, West Africa

Auteurs : Larry W. Chang [États-Unis] ; Muberak Osei-Kwasi [Ghana] ; Daniel Boakye [Ghana] ; Simeon Aidoo [Ghana] ; Angela Hagy [États-Unis] ; James W. Curran [États-Unis] ; Sten H. Vermund [États-Unis]

Source :

Journal of acquired immune deficiency syndromes : (1999) [ 1525-4135 ] ; 2002.

RBID : Pascal:02-0434458

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Anticorps anti-VIH (sang), Facteurs de risque, Femelle, Ghana (épidémiologie), Humains, Hôpitaux, Infections à VIH (épidémiologie), Mâle, Patients en consultation externe, Séroprévalence du VIH, VIH-1 (Virus de l'Immunodéficience Humaine de type 1) (immunologie), VIH-2 (Virus de l'Immunodéficience Humaine de type 2) (immunologie), Études séroépidémiologiques, Études transversales.
MESH :
- immunologie : VIH-1 (Virus de l'Immunodéficience Humaine de type 1), VIH-2 (Virus de l'Immunodéficience Humaine de type 2).
- sang : Anticorps anti-VIH.
- épidémiologie : Ghana, Infections à VIH.
Pascal (Inist)
- Adolescent, Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Hôpitaux, Mâle, Patients en consultation externe, Séroprévalence du VIH, Virus HIV1, Virus HIV2, Homme, SIDA, Epidémiologie, Facteur risque, Surveillance sanitaire, Ghana, Études séroépidémiologiques, Études transversales.
Wicri :
- geographic : Ghana.
- topic : Homme.

English descriptors

KwdEn :
- AIDS, Adolescent, Adult, Cross-Sectional Studies, Epidemiology, Female, Ghana, Ghana (epidemiology), HIV Antibodies (blood), HIV Infections (epidemiology), HIV Seroprevalence, HIV-1 (immunology), HIV-1 virus, HIV-2 (immunology), HIV-2 virus, Hospitals, Human, Humans, Male, Middle Aged, Outpatients, Risk Factors, Risk factor, Sanitary surveillance, Seroepidemiologic Studies.
MESH :
- chemical , blood : HIV Antibodies.
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections.
- immunology : HIV-1, HIV-2.
- Adolescent, Adult, Cross-Sectional Studies, Female, HIV Seroprevalence, Hospitals, Humans, Male, Middle Aged, Outpatients, Risk Factors, Seroepidemiologic Studies.

Abstract

A cross-sectional study of 854 outpatients seen at three hospitals in the Eastern Region of Ghana, West Africa assessed HIV-1 and HIV-2 seroprevalence rates and associated risk factors. During mid-1999, patients were tested in an anonymous study linked to a questionnaire and abstracted record data in three distinct communities with differing levels of urbanization. Combined HIV seroprevalence rates were 19.2% for Agomanya, the most rural community, 5.1% for Akwatia, and 3.4% for Nkawkaw, the most urbanized community. HIV-1 infection alone accounted for 84.5% of cases, compared with 9.5% and 6.0% for HIV-2 and dual infection, respectively. In a multivariable model, the Agomanya location was significantly associated with HIV status (odds ratio [OR], 7.7; 95% confidence interval [CI], 2.9-20.1; p <.0001). Employed people were also more likely to be infected (OR, 4.3; 95% CI, 1.02-18.3; p =.047). Among prenatal patients, those from Agomanya were more likely to report no live-in partner or spouse compared with Nkawkaw and Akwatia (p <.0001). These findings suggest sexual partner exchange patterns may be more useful in explaining HIV seroprevalence rates than level of community urbanization. Intervention programs directed at these high risk populations for HIV infection in Ghana are urgently needed.

Affiliations:

Le document en format XML

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<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Ghana (épidémiologie)</term>
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<term>VIH-2 (Virus de l'Immunodéficience Humaine de type 2) (immunologie)</term>
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<term>Facteurs de risque</term>
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<term>Humains</term>
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<front><div type="abstract" xml:lang="en">A cross-sectional study of 854 outpatients seen at three hospitals in the Eastern Region of Ghana, West Africa assessed HIV-1 and HIV-2 seroprevalence rates and associated risk factors. During mid-1999, patients were tested in an anonymous study linked to a questionnaire and abstracted record data in three distinct communities with differing levels of urbanization. Combined HIV seroprevalence rates were 19.2% for Agomanya, the most rural community, 5.1% for Akwatia, and 3.4% for Nkawkaw, the most urbanized community. HIV-1 infection alone accounted for 84.5% of cases, compared with 9.5% and 6.0% for HIV-2 and dual infection, respectively. In a multivariable model, the Agomanya location was significantly associated with HIV status (odds ratio [OR], 7.7; 95% confidence interval [CI], 2.9-20.1; p <.0001). Employed people were also more likely to be infected (OR, 4.3; 95% CI, 1.02-18.3; p =.047). Among prenatal patients, those from Agomanya were more likely to report no live-in partner or spouse compared with Nkawkaw and Akwatia (p <.0001). These findings suggest sexual partner exchange patterns may be more useful in explaining HIV seroprevalence rates than level of community urbanization. Intervention programs directed at these high risk populations for HIV infection in Ghana are urgently needed.</div>
</front>
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<li>États-Unis</li>
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<region><li>Alabama</li>
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<tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Chang, Larry W" sort="Chang, Larry W" uniqKey="Chang L" first="Larry W." last="Chang">Larry W. Chang</name>
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<name sortKey="Chang, Larry W" sort="Chang, Larry W" uniqKey="Chang L" first="Larry W." last="Chang">Larry W. Chang</name>
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<name sortKey="Hagy, Angela" sort="Hagy, Angela" uniqKey="Hagy A" first="Angela" last="Hagy">Angela Hagy</name>
<name sortKey="Vermund, Sten H" sort="Vermund, Sten H" uniqKey="Vermund S" first="Sten H." last="Vermund">Sten H. Vermund</name>
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<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Osei Kwasi, Muberak" sort="Osei Kwasi, Muberak" uniqKey="Osei Kwasi M" first="Muberak" last="Osei-Kwasi">Muberak Osei-Kwasi</name>
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</country>
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   |texte=   HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the eastern Region of Ghana, West Africa
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Le SIDA au Ghana (serveur d'exploration)

HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the eastern Region of Ghana, West Africa

HIV-1 and HIV-2 seroprevalence and risk factors among hospital outpatients in the eastern Region of Ghana, West Africa

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	Le SIDA au Ghana (serveur d'exploration)
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