Commercial sex and HIV transmission in mature epidemics: a study of five African countries.
Identifieur interne : 000533 ( PubMed/Corpus ); précédent : 000532; suivant : 000534Commercial sex and HIV transmission in mature epidemics: a study of five African countries.
Auteurs : P M Leclerc ; M. GarenneSource :
- International journal of STD & AIDS [ 0956-4624 ] ; 2008.
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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Garenne</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18824616</idno><idno type="pmid">18824616</idno><idno type="doi">10.1258/ijsa.2008.008099</idno><idno type="wicri:Area/PubMed/Corpus">000533</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000533</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">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><nlm:affiliation>Institut Pasteur, Epidémiologie des Maladies Emergentes, Paris, France. leclerc@pasteur.fr</nlm:affiliation></affiliation></author><author><name sortKey="Garenne, M" sort="Garenne, M" uniqKey="Garenne M" first="M" last="Garenne">M. Garenne</name></author></analytic><series><title level="j">International journal of STD & AIDS</title><idno type="ISSN">0956-4624</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Africa South of the Sahara (epidemiology)</term><term>Disease Outbreaks</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (transmission)</term><term>HIV Infections (virology)</term><term>HIV-1</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Risk Factors</term><term>Sex Work</term><term>Sexual Behavior</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Africa South of the Sahara</term><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Disease Outbreaks</term><term>HIV-1</term><term>Health Surveys</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Risk Factors</term><term>Sex Work</term><term>Sexual Behavior</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18824616</PMID><DateCreated><Year>2008</Year><Month>09</Month><Day>30</Day></DateCreated><DateCompleted><Year>2008</Year><Month>12</Month><Day>10</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0956-4624</ISSN><JournalIssue CitedMedium="Print"><Volume>19</Volume><Issue>10</Issue><PubDate><Year>2008</Year><Month>Oct</Month></PubDate></JournalIssue><Title>International journal of STD & AIDS</Title><ISOAbbreviation>Int J STD AIDS</ISOAbbreviation></Journal><ArticleTitle>Commercial sex and HIV transmission in mature epidemics: a study of five African countries.</ArticleTitle><Pagination><MedlinePgn>660-4</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1258/ijsa.2008.008099</ELocationID><Abstract><AbstractText>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%). 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