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Commercial sex and HIV transmission in mature epidemics : a study of five African countries

Identifieur interne : 000067 ( PascalFrancis/Corpus ); précédent : 000066; suivant : 000068

Commercial sex and HIV transmission in mature epidemics : a study of five African countries

Auteurs : P. M. Leclerc ; M. Garenne

Source :

RBID : Pascal:08-0524898

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0956-4624
A03   1    @0 Int. j. STD AIDS
A05       @2 19
A06       @2 10
A08 01  1  ENG  @1 Commercial sex and HIV transmission in mature epidemics : a study of five African countries
A11 01  1    @1 LECLERC (P. M.)
A11 02  1    @1 GARENNE (M.)
A14 01      @1 Institut Pasteur, Epidémiologie des Maladies Emergentes @3 FRA @Z 1 aut. @Z 2 aut.
A14 02      @1 Université Paris VI @3 FRA @Z 1 aut.
A14 03      @1 Institut de Recherche pour le Développement @2 Paris @3 FRA @Z 2 aut.
A20       @1 660-664
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 22891 @5 354000184453880030
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 42 ref.
A47 01  1    @0 08-0524898
A60       @1 P
A61       @0 A
A64 01  1    @0 International journal of STD & AIDS
A66 01      @0 GBR
C01 01    ENG  @0 ["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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C02 03  X    @0 002B05A02
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C03 01  X  SPA  @0 SIDA @5 01
C03 02  X  FRE  @0 Maladie sexuellement transmissible @5 03
C03 02  X  ENG  @0 Sexually transmitted disease @5 03
C03 02  X  SPA  @0 Enfermedad de transmisión sexual @5 03
C03 03  X  FRE  @0 Prostitution @5 07
C03 03  X  ENG  @0 Prostitution @5 07
C03 03  X  SPA  @0 Prostitución @5 07
C03 04  X  FRE  @0 Transmission @5 08
C03 04  X  ENG  @0 Transmission @5 08
C03 04  X  SPA  @0 Transmisión @5 08
C03 05  X  FRE  @0 Facteur risque @5 09
C03 05  X  ENG  @0 Risk factor @5 09
C03 05  X  SPA  @0 Factor riesgo @5 09
C03 06  X  FRE  @0 Enquête @5 13
C03 06  X  ENG  @0 Survey @5 13
C03 06  X  SPA  @0 Encuesta @5 13
C03 07  X  FRE  @0 Afrique subsaharienne @2 NG @5 14
C03 07  X  ENG  @0 Sub-Saharan Africa @2 NG @5 14
C03 07  X  SPA  @0 Africa subsahariana @2 NG @5 14
C03 08  X  FRE  @0 Médecine @5 15
C03 08  X  ENG  @0 Medicine @5 15
C03 08  X  SPA  @0 Medicina @5 15
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Afrique @2 NG
C07 03  X  ENG  @0 Africa @2 NG
C07 03  X  SPA  @0 Africa @2 NG
C07 04  X  FRE  @0 Immunodéficit @5 37
C07 04  X  ENG  @0 Immune deficiency @5 37
C07 04  X  SPA  @0 Inmunodeficiencia @5 37
C07 05  X  FRE  @0 Immunopathologie @5 39
C07 05  X  ENG  @0 Immunopathology @5 39
C07 05  X  SPA  @0 Inmunopatología @5 39
N21       @1 343
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0524898 INIST
ET : Commercial sex and HIV transmission in mature epidemics : a study of five African countries
AU : LECLERC (P. M.); GARENNE (M.)
AF : Institut Pasteur, Epidémiologie des Maladies Emergentes/France (1 aut., 2 aut.); Université Paris VI/France (1 aut.); Institut de Recherche pour le Développement/Paris/France (2 aut.)
DT : Publication en série; Niveau analytique
SO : International journal of STD & AIDS; ISSN 0956-4624; Royaume-Uni; Da. 2008; Vol. 19; No. 10; Pp. 660-664; Bibl. 42 ref.
LA : Anglais
EA : ["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.
CC : 002B01; 002B05C02D; 002B05A02
FD : SIDA; Maladie sexuellement transmissible; Prostitution; Transmission; Facteur risque; Enquête; Afrique subsaharienne; Médecine
FG : Virose; Infection; Afrique; Immunodéficit; Immunopathologie
ED : AIDS; Sexually transmitted disease; Prostitution; Transmission; Risk factor; Survey; Sub-Saharan Africa; Medicine
EG : Viral disease; Infection; Africa; Immune deficiency; Immunopathology
SD : SIDA; Enfermedad de transmisión sexual; Prostitución; Transmisión; Factor riesgo; Encuesta; Africa subsahariana; Medicina
LO : INIST-22891.354000184453880030
ID : 08-0524898

Links to Exploration step

Pascal:08-0524898

Le document en format XML

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<AF>Institut Pasteur, Epidémiologie des Maladies Emergentes/France (1 aut., 2 aut.); Université Paris VI/France (1 aut.); Institut de Recherche pour le Développement/Paris/France (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>International journal of STD & AIDS; ISSN 0956-4624; Royaume-Uni; Da. 2008; Vol. 19; No. 10; Pp. 660-664; Bibl. 42 ref.</SO>
<LA>Anglais</LA>
<EA>["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.</EA>
<CC>002B01; 002B05C02D; 002B05A02</CC>
<FD>SIDA; Maladie sexuellement transmissible; Prostitution; Transmission; Facteur risque; Enquête; Afrique subsaharienne; Médecine</FD>
<FG>Virose; Infection; Afrique; Immunodéficit; Immunopathologie</FG>
<ED>AIDS; Sexually transmitted disease; Prostitution; Transmission; Risk factor; Survey; Sub-Saharan Africa; Medicine</ED>
<EG>Viral disease; Infection; Africa; Immune deficiency; Immunopathology</EG>
<SD>SIDA; Enfermedad de transmisión sexual; Prostitución; Transmisión; Factor riesgo; Encuesta; Africa subsahariana; Medicina</SD>
<LO>INIST-22891.354000184453880030</LO>
<ID>08-0524898</ID>
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