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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lack of Evidence for Frequent Heterosexual Transmission of Human Herpesvirus 8 in Zimbabwe</title>
<author><name sortKey="Campbell, Thomas B" sort="Campbell, Thomas B" uniqKey="Campbell T" first="Thomas B." last="Campbell">Thomas B. Campbell</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Borok, Margaret" sort="Borok, Margaret" uniqKey="Borok M" first="Margaret" last="Borok">Margaret Borok</name>
<affiliation><nlm:aff id="A3"> Departments of Medicine, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ndemera, Buxton" sort="Ndemera, Buxton" uniqKey="Ndemera B" first="Buxton" last="Ndemera">Buxton Ndemera</name>
<affiliation><nlm:aff id="A3"> Departments of Medicine, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fiorillo, Suzanne" sort="Fiorillo, Suzanne" uniqKey="Fiorillo S" first="Suzanne" last="Fiorillo">Suzanne Fiorillo</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="White, Irene E" sort="White, Irene E" uniqKey="White I" first="Irene E." last="White">Irene E. White</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zhang, Xing Quan" sort="Zhang, Xing Quan" uniqKey="Zhang X" first="Xing-Quan" last="Zhang">Xing-Quan Zhang</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machekano, Rhoderick N" sort="Machekano, Rhoderick N" uniqKey="Machekano R" first="Rhoderick N." last="Machekano">Rhoderick N. Machekano</name>
<affiliation><nlm:aff id="A2"> Stanford University Medical School, Stanford, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Katzenstein, David" sort="Katzenstein, David" uniqKey="Katzenstein D" first="David" last="Katzenstein">David Katzenstein</name>
<affiliation><nlm:aff id="A2"> Stanford University Medical School, Stanford, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gwanzura, Lovemore" sort="Gwanzura, Lovemore" uniqKey="Gwanzura L" first="Lovemore" last="Gwanzura">Lovemore Gwanzura</name>
<affiliation><nlm:aff id="A4"> Departments of Medical and Laboratory Sciences, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">19400749</idno>
<idno type="pmc">2720069</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2720069</idno>
<idno type="RBID">PMC:2720069</idno>
<idno type="doi">10.1086/598978</idno>
<date when="2009">2009</date>
<idno type="wicri:Area/Pmc/Corpus">001106</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001106</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lack of Evidence for Frequent Heterosexual Transmission of Human Herpesvirus 8 in Zimbabwe</title>
<author><name sortKey="Campbell, Thomas B" sort="Campbell, Thomas B" uniqKey="Campbell T" first="Thomas B." last="Campbell">Thomas B. Campbell</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Borok, Margaret" sort="Borok, Margaret" uniqKey="Borok M" first="Margaret" last="Borok">Margaret Borok</name>
<affiliation><nlm:aff id="A3"> Departments of Medicine, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ndemera, Buxton" sort="Ndemera, Buxton" uniqKey="Ndemera B" first="Buxton" last="Ndemera">Buxton Ndemera</name>
<affiliation><nlm:aff id="A3"> Departments of Medicine, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Fiorillo, Suzanne" sort="Fiorillo, Suzanne" uniqKey="Fiorillo S" first="Suzanne" last="Fiorillo">Suzanne Fiorillo</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="White, Irene E" sort="White, Irene E" uniqKey="White I" first="Irene E." last="White">Irene E. White</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zhang, Xing Quan" sort="Zhang, Xing Quan" uniqKey="Zhang X" first="Xing-Quan" last="Zhang">Xing-Quan Zhang</name>
<affiliation><nlm:aff id="A1"> Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Machekano, Rhoderick N" sort="Machekano, Rhoderick N" uniqKey="Machekano R" first="Rhoderick N." last="Machekano">Rhoderick N. Machekano</name>
<affiliation><nlm:aff id="A2"> Stanford University Medical School, Stanford, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Katzenstein, David" sort="Katzenstein, David" uniqKey="Katzenstein D" first="David" last="Katzenstein">David Katzenstein</name>
<affiliation><nlm:aff id="A2"> Stanford University Medical School, Stanford, California</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Gwanzura, Lovemore" sort="Gwanzura, Lovemore" uniqKey="Gwanzura L" first="Lovemore" last="Gwanzura">Lovemore Gwanzura</name>
<affiliation><nlm:aff id="A4"> Departments of Medical and Laboratory Sciences, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title>
<idno type="ISSN">1058-4838</idno>
<idno type="eISSN">1537-6591</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">There is conflicting evidence about the contribution of heterosexual transmission to the spread of human herpesvirus 8 (HHV-8) in southern Africa. This study evaluated the hypothesis that HHV-8 infection is associated with risk factors for human immunodeficiency virus type 1 (HIV-1) and other sexually transmitted infections among Zimbabwean men.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">HHV-8 seroprevalence was determined for 2750 participants in the Zimbabwe AIDS Prevention Project cohort of male factory workers in Harare, Zimbabwe. Potential associations of HHV-8 antibody detection with risk factors for HIV-1 infection were examined by univariate analysis. Variables with <italic>P</italic>
< .1 in the univariate analysis were included in a multivariate logistic regression model. HHV-8 seroprevalence was also determined among 297 heterosexual couples.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Prevalence of HHV-8, HIV-1, and HHV-8 and HIV-1 coinfection was 28.5% (95% confidence interval [CI], 26.8%–30.2%), 19.5% (95% CI, 18.0%–20.9%), and 6.5% (95% CI, 5.6%–7.5%), respectively. Detection of HHV-8 antibodies was independently associated with older age and HIV-1 infection but not with number of recent sex partners, marital status, education, condom use, prior sexually transmitted infections, payment for sex, chronic hepatitis B infection, or incident HIV-1 infection. HHV-8 seroprevalence was 31.7% (95% CI, 26.3–37.0) among wives in the couples tested, but HHV-8 infection of wives was not associated with HHV-8 infection of husbands (odds ratio, 1.08; 95% CI, 0.62–1.88; <italic>P</italic>
= .8).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">HHV-8 and HIV-1 infection did not have common sexual risk factors among urban Zimbabwean men. Sexual transmission does not explain the high prevalence of HHV-8 in this population.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9203213</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1135</journal-id>
<journal-id journal-id-type="nlm-ta">Clin Infect Dis</journal-id>
<journal-title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</journal-title>
<issn pub-type="ppub">1058-4838</issn>
<issn pub-type="epub">1537-6591</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">19400749</article-id>
<article-id pub-id-type="pmc">2720069</article-id>
<article-id pub-id-type="doi">10.1086/598978</article-id>
<article-id pub-id-type="manuscript">NIHMS121779</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Lack of Evidence for Frequent Heterosexual Transmission of Human Herpesvirus 8 in Zimbabwe</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Campbell</surname>
<given-names>Thomas B.</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Borok</surname>
<given-names>Margaret</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ndemera</surname>
<given-names>Buxton</given-names>
</name>
<xref rid="A3" ref-type="aff">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fiorillo</surname>
<given-names>Suzanne</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>White</surname>
<given-names>Irene E.</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Xing-quan</given-names>
</name>
<xref rid="A1" ref-type="aff">1</xref>
<xref rid="FN2" ref-type="author-notes">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machekano</surname>
<given-names>Rhoderick N.</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
<xref rid="FN2" ref-type="author-notes">a</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Katzenstein</surname>
<given-names>David</given-names>
</name>
<xref rid="A2" ref-type="aff">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gwanzura</surname>
<given-names>Lovemore</given-names>
</name>
<xref rid="A4" ref-type="aff">4</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Division of Infectious Diseases, Department of Medicine, University of Colorado Denver School of Medicine, Aurora</aff>
<aff id="A2"><label>2</label>
Stanford University Medical School, Stanford, California</aff>
<aff id="A3"><label>3</label>
Departments of Medicine, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</aff>
<aff id="A4"><label>4</label>
Departments of Medical and Laboratory Sciences, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe</aff>
<author-notes><corresp id="FN1">Reprints or correspondence: Dr. Thomas B. Campbell, Mail Stop B-168, 12700 E. 19th Ave., Aurora, CO 80045 (<email>Thomas.Campbell@ucdenver.edu</email>
)</corresp>
<fn id="FN2"><label>a</label>
<p>Present affiliations: Infectious Disease Division, Department of Medicine, University of California San Diego, San Diego (X.-q.Z.); Center for Health Care Research and Policy, Case Western Reserve University, Cleveland, Ohio (R.N.M.).</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>12</day>
<month>6</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="ppub"><day>1</day>
<month>6</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>6</month>
<year>2010</year>
</pub-date>
<volume>48</volume>
<issue>11</issue>
<fpage>1601</fpage>
<lpage>1608</lpage>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">There is conflicting evidence about the contribution of heterosexual transmission to the spread of human herpesvirus 8 (HHV-8) in southern Africa. This study evaluated the hypothesis that HHV-8 infection is associated with risk factors for human immunodeficiency virus type 1 (HIV-1) and other sexually transmitted infections among Zimbabwean men.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">HHV-8 seroprevalence was determined for 2750 participants in the Zimbabwe AIDS Prevention Project cohort of male factory workers in Harare, Zimbabwe. Potential associations of HHV-8 antibody detection with risk factors for HIV-1 infection were examined by univariate analysis. Variables with <italic>P</italic>
< .1 in the univariate analysis were included in a multivariate logistic regression model. HHV-8 seroprevalence was also determined among 297 heterosexual couples.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Prevalence of HHV-8, HIV-1, and HHV-8 and HIV-1 coinfection was 28.5% (95% confidence interval [CI], 26.8%–30.2%), 19.5% (95% CI, 18.0%–20.9%), and 6.5% (95% CI, 5.6%–7.5%), respectively. Detection of HHV-8 antibodies was independently associated with older age and HIV-1 infection but not with number of recent sex partners, marital status, education, condom use, prior sexually transmitted infections, payment for sex, chronic hepatitis B infection, or incident HIV-1 infection. HHV-8 seroprevalence was 31.7% (95% CI, 26.3–37.0) among wives in the couples tested, but HHV-8 infection of wives was not associated with HHV-8 infection of husbands (odds ratio, 1.08; 95% CI, 0.62–1.88; <italic>P</italic>
= .8).</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">HHV-8 and HIV-1 infection did not have common sexual risk factors among urban Zimbabwean men. Sexual transmission does not explain the high prevalence of HHV-8 in this population.</p>
</sec>
</abstract>
<contract-num rid="TW1">U2R TW006878-04</contract-num>
<contract-num rid="TW1">R03 TW001123-03</contract-num>
<contract-num rid="AI1">P30 AI054907-019003</contract-num>
<contract-sponsor id="TW1">Fogarty International Center : FIC</contract-sponsor>
<contract-sponsor id="AI1">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</contract-sponsor>
</article-meta>
</front>
</pmc>
</record>
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