Le SIDA au Ghana (serveur d'exploration)

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Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra

Identifieur interne : 000043 ( PascalFrancis/Curation ); précédent : 000042; suivant : 000044

Hiv 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. Hill

Source :

RBID : Pascal:05-0403960

Descripteurs français

English descriptors

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.
pA  
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A03   1    @0 Am. j. trop. med. hyg.
A05       @2 73
A06       @2 1
A08 01  1  ENG  @1 Hiv prevalence and risk factors in women of Accra, Ghana : Results from the women's health study of Accra
A11 01  1    @1 DUDA (Rosemary B.)
A11 02  1    @1 DARKO (Rudolph)
A11 03  1    @1 ADANU (Richard M. K.)
A11 04  1    @1 SEFFAH (Joseph)
A11 05  1    @1 ANARFI (John K.)
A11 06  1    @1 GAUTAM (Shiva)
A11 07  1    @1 HILL (Allan G.)
A14 01      @1 Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School @2 Boston, Massachusetts @3 USA
A14 02      @1 Department of Surgery, Korle Bu Teaching Hospital, University of Ghana @2 Accra @3 GHA
A14 03      @1 Department of Obstetrics and Gynaecology, Korle Bit Teaching Hospital, University of Ghana @2 Accra @3 GHA
A14 04      @1 Institute for Statistical, Social and Economic Research, University of Ghana @2 Accra @3 GHA
A14 05      @1 Department of Population and International Health, Harvard School of Public Health @2 Boston, Massachusetts @3 USA
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A21       @1 2005
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A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 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.
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C03 01  X  FRE  @0 SIDA @5 01
C03 01  X  ENG  @0 AIDS @5 01
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C03 02  X  FRE  @0 Prévalence @5 10
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C03 02  X  SPA  @0 Prevalencia @5 10
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C03 03  X  ENG  @0 Risk factor @5 11
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C03 04  X  ENG  @0 Woman @5 12
C03 04  X  SPA  @0 Mujer @5 12
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C03 08  X  FRE  @0 Epidémiologie @5 17
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C03 08  X  SPA  @0 Epidemiología @5 17
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 Homme
C07 03  X  ENG  @0 Human
C07 03  X  SPA  @0 Hombre
C07 04  X  FRE  @0 Afrique @2 NG
C07 04  X  ENG  @0 Africa @2 NG
C07 04  X  SPA  @0 Africa @2 NG
C07 05  X  FRE  @0 Immunodéficit @5 37
C07 05  X  ENG  @0 Immune deficiency @5 37
C07 05  X  SPA  @0 Inmunodeficiencia @5 37
C07 06  X  FRE  @0 Immunopathologie @5 39
C07 06  X  ENG  @0 Immunopathology @5 39
C07 06  X  SPA  @0 Inmunopatología @5 39
N21       @1 283

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<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>
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</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Salud pública</s0>
<s5>15</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Médecine tropicale</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Tropical medicine</s0>
<s5>16</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Medicina tropical</s0>
<s5>16</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Epidémiologie</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Epidemiology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Epidemiología</s0>
<s5>17</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Virose</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Viral disease</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Virosis</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Infection</s0>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Infección</s0>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Afrique</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Africa</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Africa</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Immunodéficit</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Immune deficiency</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Inmunodeficiencia</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Immunopathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Immunopathology</s0>
<s5>39</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Inmunopatología</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>283</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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