The price of development: HIV infection in a semiurban community of Ghana.
Identifieur interne : 000708 ( PubMed/Checkpoint ); précédent : 000707; suivant : 000709The price of development: HIV infection in a semiurban community of Ghana.
Auteurs : Nadine Sauvé [Canada] ; Agnes Dzokoto ; Bernard Opare ; Edmund Ekow Kaitoo ; Nzambi Khonde ; Myrto Mondor ; Veronika Bekoe ; Jacques PépinSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2002.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Complications de la grossesse et maladies infectieuses (épidémiologie), Facteurs de risque, Facteurs socioéconomiques, Femelle, Ghana (épidémiologie), Grossesse, Humains, Infections à VIH (transmission), Infections à VIH (épidémiologie), Modèles logistiques, Population urbaine, Prévalence.
- MESH :
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections, Pregnancy Complications, Infectious.
- transmission : HIV Infections.
- Adolescent, Adult, Female, Humans, Logistic Models, Middle Aged, Pregnancy, Prevalence, Risk Factors, Socioeconomic Factors, Urban Population.
Abstract
To describe the epidemiology of HIV infection in the Manya Krobo District, Ghana, and its potential link to the building of the Akosombo dam.
PubMed: 11917246
Affiliations:
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E" first="Edmund Ekow" last="Kaitoo">Edmund Ekow Kaitoo</name></author><author><name sortKey="Khonde, Nzambi" sort="Khonde, Nzambi" uniqKey="Khonde N" first="Nzambi" last="Khonde">Nzambi Khonde</name></author><author><name sortKey="Mondor, Myrto" sort="Mondor, Myrto" uniqKey="Mondor M" first="Myrto" last="Mondor">Myrto Mondor</name></author><author><name sortKey="Bekoe, Veronika" sort="Bekoe, Veronika" uniqKey="Bekoe V" first="Veronika" last="Bekoe">Veronika Bekoe</name></author><author><name sortKey="Pepin, Jacques" sort="Pepin, Jacques" uniqKey="Pepin J" first="Jacques" last="Pépin">Jacques Pépin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:11917246</idno><idno type="pmid">11917246</idno><idno type="wicri:Area/PubMed/Corpus">000354</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000354</idno><idno 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first="Agnes" last="Dzokoto">Agnes Dzokoto</name></author><author><name sortKey="Opare, Bernard" sort="Opare, Bernard" uniqKey="Opare B" first="Bernard" last="Opare">Bernard Opare</name></author><author><name sortKey="Kaitoo, Edmund Ekow" sort="Kaitoo, Edmund Ekow" uniqKey="Kaitoo E" first="Edmund Ekow" last="Kaitoo">Edmund Ekow Kaitoo</name></author><author><name sortKey="Khonde, Nzambi" sort="Khonde, Nzambi" uniqKey="Khonde N" first="Nzambi" last="Khonde">Nzambi Khonde</name></author><author><name sortKey="Mondor, Myrto" sort="Mondor, Myrto" uniqKey="Mondor M" first="Myrto" last="Mondor">Myrto Mondor</name></author><author><name sortKey="Bekoe, Veronika" sort="Bekoe, Veronika" uniqKey="Bekoe V" first="Veronika" last="Bekoe">Veronika Bekoe</name></author><author><name sortKey="Pepin, Jacques" sort="Pepin, Jacques" uniqKey="Pepin J" first="Jacques" last="Pépin">Jacques Pépin</name></author></analytic><series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title><idno type="ISSN">1525-4135</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (transmission)</term><term>Humans</term><term>Logistic Models</term><term>Middle Aged</term><term>Pregnancy</term><term>Pregnancy Complications, Infectious (epidemiology)</term><term>Prevalence</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Urban Population</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications de la grossesse et maladies infectieuses (épidémiologie)</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH (transmission)</term><term>Infections à VIH (épidémiologie)</term><term>Modèles logistiques</term><term>Population urbaine</term><term>Prévalence</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications de la grossesse et maladies infectieuses</term><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Logistic Models</term><term>Middle Aged</term><term>Pregnancy</term><term>Prevalence</term><term>Risk Factors</term><term>Socioeconomic Factors</term><term>Urban Population</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Modèles logistiques</term><term>Population urbaine</term><term>Prévalence</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To describe the epidemiology of HIV infection in the Manya Krobo District, Ghana, and its potential link to the building of the Akosombo dam.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11917246</PMID><DateCreated><Year>2002</Year><Month>03</Month><Day>27</Day></DateCreated><DateCompleted><Year>2002</Year><Month>04</Month><Day>23</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1525-4135</ISSN><JournalIssue CitedMedium="Print"><Volume>29</Volume><Issue>4</Issue><PubDate><Year>2002</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of acquired immune deficiency syndromes (1999)</Title><ISOAbbreviation>J. Acquir. Immune Defic. Syndr.</ISOAbbreviation></Journal><ArticleTitle>The price of development: HIV infection in a semiurban community of Ghana.</ArticleTitle><Pagination><MedlinePgn>402-8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe the epidemiology of HIV infection in the Manya Krobo District, Ghana, and its potential link to the building of the Akosombo dam.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A questionnaire and a blood sample were collected among 1228 consecutive pregnant women seen at the prenatal clinics of the two major hospitals of the district.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, prevalence of HIV and of serologically confirmed syphilis were 14.9% and 0.7%, respectively. HIV infection was more prevalent among the Krobo ethnic group (137 of 742 [18.5%]) than among other ethnic groups (46 of 486 [9.5%]; p <.001). Two distinct patterns of HIV distribution were identified. Among the Krobos, HIV was common among all age groups, reached a plateau (21.9%) in the 30- to 34-year-old group and was associated strongly with having lived in Côte d'Ivoire and with having received only primary school education. Among the other ethnic groups, prevalence decreased with age, from 17.2% in the 13- to 19-year-old age group to 1.4% among women aged 35 years or older, and HIV infection was associated with having had first sexual intercourse before the age of 17 years. In logistic regression analysis, the independent risk factors for HIV infection were age, schooling, age at first sexual intercourse; having lived in Côte d'Ivoire; age and schooling showed significant interactions with ethnic group.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The high HIV prevalence documented in this part of Ghana seems to be, to some extent, a consequence of construction of the Akosombo dam in the 1960s. The flooding of the land, the failures of the resettlement program and the ensuing poverty prompted economically driven migration, specially to Côte d'Ivoire, where many migrants became infected with HIV. Local transmission followed. This illustrates that HIV can disseminate widely in a society where most men are circumcised and where genital ulcerative diseases are uncommon and should be an indication for less complacency about HIV control in West Africa.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sauvé</LastName><ForeName>Nadine</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Centre for International Health, University of Sherbrooke, Sherbrooke, Québec, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dzokoto</LastName><ForeName>Agnes</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Opare</LastName><ForeName>Bernard</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Kaitoo</LastName><ForeName>Edmund Ekow</ForeName><Initials>EE</Initials></Author><Author ValidYN="Y"><LastName>Khonde</LastName><ForeName>Nzambi</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Mondor</LastName><ForeName>Myrto</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Bekoe</LastName><ForeName>Veronika</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Pépin</LastName><ForeName>Jacques</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Acquir Immune Defic Syndr</MedlineTA><NlmUniqueID>100892005</NlmUniqueID><ISSNLinking>1525-4135</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" 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sortKey="Mondor, Myrto" sort="Mondor, Myrto" uniqKey="Mondor M" first="Myrto" last="Mondor">Myrto Mondor</name><name sortKey="Opare, Bernard" sort="Opare, Bernard" uniqKey="Opare B" first="Bernard" last="Opare">Bernard Opare</name><name sortKey="Pepin, Jacques" sort="Pepin, Jacques" uniqKey="Pepin J" first="Jacques" last="Pépin">Jacques Pépin</name></noCountry><country name="Canada"><noRegion><name sortKey="Sauve, Nadine" sort="Sauve, Nadine" uniqKey="Sauve N" first="Nadine" last="Sauvé">Nadine Sauvé</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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