Commercial sex and HIV transmission in mature epidemics : a study of five African countries
Identifieur interne : 000C49 ( Main/Merge ); précédent : 000C48; suivant : 000C50Commercial sex and HIV transmission in mature epidemics : a study of five African countries
Auteurs : P. M. Leclerc [France] ; M. Garenne [France]Source :
- International journal of STD & AIDS [ 0956-4624 ] ; 2008.
Descripteurs français
- Pascal (Inist)
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English descriptors
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Abstract
["he study compares the association between using the services of commercial sex workers and male HIV seroprevalence in five African countries: Ghana, Kenya, Lesotho, Malawi and Rwanda. The HIV seroprevalence among men who 'ever paid for sex' was compared with controls who 'never paid for sex'. Results were based on 12,929 eligible men, aged 15-59 years, interviewed in Demographic and Health Surveys. The odds ratio of HIV seroprevalence associated with ever paying for sex was 1.89 (95% confidence interval = 1.57-2.28), with only minor differences by country. The results were stable in multivariate analysis after controlling for available potential cofactors (data on non-sexual routes of transmission were not available). Given the relatively small proportion of men involved, the risk attributable to 'ever paying for sex' remained low: 7.1% in univariate analysis and 4.4% after adjustment, and it varied among countries (range 1.3-9.4%). These results match previous observations that commercial sex seems to play a minor role in the spread of HIV in mature epidemics.
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Leclerc</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institut Pasteur, Epidémiologie des Maladies Emergentes</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Epidémiologie des Maladies Emergentes</wicri:noRegion><wicri:noRegion>Institut Pasteur, Epidémiologie des Maladies Emergentes</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Université Paris VI</s1><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Université Paris VI</wicri:noRegion><wicri:noRegion>Université Paris VI</wicri:noRegion></affiliation></author><author><name sortKey="Garenne, M" sort="Garenne, M" uniqKey="Garenne M" first="M." last="Garenne">M. Garenne</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institut Pasteur, Epidémiologie des Maladies Emergentes</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Epidémiologie des Maladies Emergentes</wicri:noRegion><wicri:noRegion>Institut Pasteur, Epidémiologie des Maladies Emergentes</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Institut de Recherche pour le Développement</s1><s2>Paris</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0524898</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0524898 INIST</idno><idno type="RBID">Pascal:08-0524898</idno><idno type="wicri:Area/PascalFrancis/Corpus">000067</idno><idno type="wicri:Area/PascalFrancis/Curation">000074</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000062</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000062</idno><idno type="wicri:doubleKey">0956-4624:2008:Leclerc P:commercial:sex:and</idno><idno type="wicri:Area/Main/Merge">000C49</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Commercial sex and HIV transmission in mature epidemics : a study of five African countries</title><author><name sortKey="Leclerc, P M" sort="Leclerc, P M" uniqKey="Leclerc P" first="P. M." last="Leclerc">P. M. Leclerc</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institut Pasteur, Epidémiologie des Maladies Emergentes</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Epidémiologie des Maladies Emergentes</wicri:noRegion><wicri:noRegion>Institut Pasteur, Epidémiologie des Maladies Emergentes</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Université Paris VI</s1><s3>FRA</s3><sZ>1 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Université Paris VI</wicri:noRegion><wicri:noRegion>Université Paris VI</wicri:noRegion></affiliation></author><author><name sortKey="Garenne, M" sort="Garenne, M" uniqKey="Garenne M" first="M." last="Garenne">M. Garenne</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Institut Pasteur, Epidémiologie des Maladies Emergentes</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Epidémiologie des Maladies Emergentes</wicri:noRegion><wicri:noRegion>Institut Pasteur, Epidémiologie des Maladies Emergentes</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Institut de Recherche pour le Développement</s1><s2>Paris</s2><s3>FRA</s3><sZ>2 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of STD & AIDS</title><title level="j" type="abbreviated">Int. j. STD AIDS</title><idno type="ISSN">0956-4624</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of STD & AIDS</title><title level="j" type="abbreviated">Int. j. STD AIDS</title><idno type="ISSN">0956-4624</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Medicine</term><term>Prostitution</term><term>Risk factor</term><term>Sexually transmitted disease</term><term>Sub-Saharan Africa</term><term>Survey</term><term>Transmission</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>SIDA</term><term>Maladie sexuellement transmissible</term><term>Prostitution</term><term>Transmission</term><term>Facteur risque</term><term>Enquête</term><term>Afrique subsaharienne</term><term>Médecine</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie sexuellement transmissible</term><term>Prostitution</term><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">["he study compares the association between using the services of commercial sex workers and male HIV seroprevalence in five African countries: Ghana, Kenya, Lesotho, Malawi and Rwanda. The HIV seroprevalence among men who 'ever paid for sex' was compared with controls who 'never paid for sex'. Results were based on 12,929 eligible men, aged 15-59 years, interviewed in Demographic and Health Surveys. The odds ratio of HIV seroprevalence associated with ever paying for sex was 1.89 (95% confidence interval = 1.57-2.28), with only minor differences by country. The results were stable in multivariate analysis after controlling for available potential cofactors (data on non-sexual routes of transmission were not available). Given the relatively small proportion of men involved, the risk attributable to 'ever paying for sex' remained low: 7.1% in univariate analysis and 4.4% after adjustment, and it varied among countries (range 1.3-9.4%). These results match previous observations that commercial sex seems to play a minor role in the spread of HIV in mature epidemics.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><noRegion><name sortKey="Leclerc, P M" sort="Leclerc, P M" uniqKey="Leclerc P" first="P. M." last="Leclerc">P. M. Leclerc</name></noRegion><name sortKey="Garenne, M" sort="Garenne, M" uniqKey="Garenne M" first="M." last="Garenne">M. Garenne</name><name sortKey="Garenne, M" sort="Garenne, M" uniqKey="Garenne M" first="M." last="Garenne">M. Garenne</name><name sortKey="Leclerc, P M" sort="Leclerc, P M" uniqKey="Leclerc P" first="P. M." last="Leclerc">P. M. Leclerc</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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