SidaSubSaharaV1, Main, Exploration, bibRecord, 003F35

HIV, HSV-2 and syphilis among married couples in India: patterns of discordance and concordance

Identifieur interne : 003F35 ( Main/Exploration ); précédent : 003F34; suivant : 003F36

HIV, HSV-2 and syphilis among married couples in India: patterns of discordance and concordance

Auteurs : Paul Arora [Canada] ; Nico Nagelkerke [Émirats arabes unis, Pays-Bas] ; Sema K. Sgaier [Canada, Inde] ; Rajesh Kumar [Inde] ; Neeraj Dhingra [Inde] ; Prabhat Jha [Canada]

Source :

Sexually Transmitted Infections [ 1368-4973 ] ; 2011-10.

RBID : ISTEX:CA52942F181A16D0F41CB9E0823542188C457A43

Descripteurs français

Wicri :
- topic : Santé publique.

English descriptors

Abstract

Objectives Differences in sexual networks probably explain the disparity in the scale of HIV epidemics in sub-Saharan Africa and India. HIV and sexually transmitted infection (STI) discordant couple studies provide insights into important aspects of these sexual networks. The authors quantify the role of male sexual behaviour in HIV transmission in married couples in India. Methods The authors analysed patterns of HIV and STI discordance in married couples from two community surveys in India: the National Family Health Study-3 for HIV-1 and the Centre for Global Health Research health check-up for HSV-2 and syphilis. A statistical model was used to estimate the fraction of infections introduced by each of the two partners. Results Only 0.8%, 16.0% and 3.5% of couples were infected (either partner or both) with HIV-1, HSV-2 and syphilis, respectively. A large proportion of infected couples were discordant (73.0%, 56.3% and 84.2% for HIV-1, HSV-2 and syphilis, respectively). This model estimated that, among couples with any STI, the male partner introduced the infection the majority of the time (HIV-1: 85.4%, HSV-2: 64.1%, syphilis: 75.0%). Conclusions Male sexual activity outside of marriage appears to be a driving force for the Indian HIV/STI epidemic. Male client and female sex worker contacts should remain a primary target of the National AIDS Control Program in India.

Url:

https://api.istex.fr/document/CA52942F181A16D0F41CB9E0823542188C457A43/fulltext/pdf

DOI: 10.1136/sextrans-2011-050203

Affiliations:

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Le document en format XML

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<term>Cghr health</term>
<term>Cohabitating couples</term>
<term>Concordant</term>
<term>Concordant couples</term>
<term>Discordance</term>
<term>Discordant</term>
<term>Discordant couples</term>
<term>Divorce rates</term>
<term>Epidemiology table</term>
<term>Excess mortality</term>
<term>General population</term>
<term>Global health research</term>
<term>Health family welfare</term>
<term>Herpes simplex virus</term>
<term>Herpes simplex virus type</term>
<term>High prevalence</term>
<term>Infection</term>
<term>International institute</term>
<term>Large proportion</term>
<term>Male partner</term>
<term>Medical education</term>
<term>National aids control organization</term>
<term>National family health</term>
<term>National family health survey</term>
<term>National intelligence council</term>
<term>Network structure</term>
<term>Nonregular partners</term>
<term>Population sciences</term>
<term>Prevalence</term>
<term>Prevalence states</term>
<term>Prevention programme</term>
<term>Public health</term>
<term>Rural areas</term>
<term>Sexual activity</term>
<term>Sexual networks</term>
<term>Shing knowledge institute</term>
<term>Southern india</term>
<term>Stable partnerships</term>
<term>Statistical analyses</term>
<term>Statistical model</term>
<term>Syphilis</term>
<term>Syphilis data</term>
<term>Syphilis infections</term>
<term>Tanzanian couples</term>
<term>Transm</term>
<term>Transmission networks</term>
<term>Transmission risk</term>
<term>Transmission risks</term>
<term>Uninfected partners</term>
<term>Voluntary counselling</term>
<term>Worker contacts</term>
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<front><div type="abstract">Objectives Differences in sexual networks probably explain the disparity in the scale of HIV epidemics in sub-Saharan Africa and India. HIV and sexually transmitted infection (STI) discordant couple studies provide insights into important aspects of these sexual networks. The authors quantify the role of male sexual behaviour in HIV transmission in married couples in India. Methods The authors analysed patterns of HIV and STI discordance in married couples from two community surveys in India: the National Family Health Study-3 for HIV-1 and the Centre for Global Health Research health check-up for HSV-2 and syphilis. A statistical model was used to estimate the fraction of infections introduced by each of the two partners. Results Only 0.8%, 16.0% and 3.5% of couples were infected (either partner or both) with HIV-1, HSV-2 and syphilis, respectively. A large proportion of infected couples were discordant (73.0%, 56.3% and 84.2% for HIV-1, HSV-2 and syphilis, respectively). This model estimated that, among couples with any STI, the male partner introduced the infection the majority of the time (HIV-1: 85.4%, HSV-2: 64.1%, syphilis: 75.0%). Conclusions Male sexual activity outside of marriage appears to be a driving force for the Indian HIV/STI epidemic. Male client and female sex worker contacts should remain a primary target of the National AIDS Control Program in India.</div>
</front>
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HIV, HSV-2 and syphilis among married couples in India: patterns of discordance and concordance

HIV, HSV-2 and syphilis among married couples in India: patterns of discordance and concordance

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri