Commercial sex and HIV transmission in mature epidemics: a study of five African countries.
Identifieur interne : 000303 ( Ncbi/Curation ); précédent : 000302; suivant : 000304Commercial sex and HIV transmission in mature epidemics: a study of five African countries.
Auteurs : P M Leclerc [France] ; M. GarenneSource :
- International journal of STD & AIDS [ 0956-4624 ] ; 2008.
Descripteurs français
- KwdFr :
- Adolescent, Afrique subsaharienne (épidémiologie), Comportement sexuel, Enquêtes de santé, Facteurs de risque, Flambées de maladies, Humains, Infections à VIH (transmission), Infections à VIH (virologie), Infections à VIH (épidémiologie), Jeune adulte, Mâle, Prostitution, Prévalence, VIH-1 (Virus de l'Immunodéficience Humaine de type 1).
- MESH :
English descriptors
- KwdEn :
- MESH :
- epidemiology : Africa South of the Sahara, HIV Infections.
- transmission : HIV Infections.
- virology : HIV Infections.
- Adolescent, Disease Outbreaks, HIV-1, Health Surveys, Humans, Male, Prevalence, Risk Factors, Sex Work, Sexual Behavior, Young Adult.
Abstract
The 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.
DOI: 10.1258/ijsa.2008.008099
PubMed: 18824616
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pubmed:18824616Le document en format XML
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<term>Facteurs de risque</term>
<term>Flambées de maladies</term>
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<front><div type="abstract" xml:lang="en">The 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>
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