HIV prevalence and risk factors in women of Accra, Gghana: results from the women's health study of Accra.
Identifieur interne : 001C52 ( PubMed/Corpus ); précédent : 001C51; suivant : 001C53HIV prevalence and risk factors in women of Accra, Gghana: results from the women's health study of Accra.
Auteurs : Rosemary B. Duda ; Rudolph Darko ; Richard M K. Adanu ; Joseph Seffah ; John K. Anarfi ; Shiva Gautam ; Allan G. HillSource :
- The American journal of tropical medicine and hygiene [ 0002-9637 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections.
- transmission : HIV Infections.
- trends : HIV Seroprevalence.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Health Status, Humans, Middle Aged, Prevalence, Risk Factors.
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.
PubMed: 16014834
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">HIV prevalence and risk factors in women of Accra, Gghana: results from the women's health study of Accra.</title><author><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B" last="Duda">Rosemary B. Duda</name><affiliation><nlm:affiliation>Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. rduda@caregroup.harvard.edu</nlm:affiliation></affiliation></author><author><name sortKey="Darko, Rudolph" sort="Darko, Rudolph" uniqKey="Darko R" first="Rudolph" last="Darko">Rudolph Darko</name></author><author><name sortKey="Adanu, Richard M K" sort="Adanu, Richard M K" uniqKey="Adanu R" first="Richard M K" last="Adanu">Richard M K. Adanu</name></author><author><name sortKey="Seffah, Joseph" sort="Seffah, Joseph" uniqKey="Seffah J" first="Joseph" last="Seffah">Joseph Seffah</name></author><author><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K" last="Anarfi">John K. Anarfi</name></author><author><name sortKey="Gautam, Shiva" sort="Gautam, Shiva" uniqKey="Gautam S" first="Shiva" last="Gautam">Shiva Gautam</name></author><author><name sortKey="Hill, Allan G" sort="Hill, Allan G" uniqKey="Hill A" first="Allan G" last="Hill">Allan G. Hill</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16014834</idno><idno type="pmid">16014834</idno><idno type="wicri:Area/PubMed/Corpus">001C52</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C52</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">HIV prevalence and risk factors in women of Accra, Gghana: results from the women's health study of Accra.</title><author><name sortKey="Duda, Rosemary B" sort="Duda, Rosemary B" uniqKey="Duda R" first="Rosemary B" last="Duda">Rosemary B. Duda</name><affiliation><nlm:affiliation>Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. rduda@caregroup.harvard.edu</nlm:affiliation></affiliation></author><author><name sortKey="Darko, Rudolph" sort="Darko, Rudolph" uniqKey="Darko R" first="Rudolph" last="Darko">Rudolph Darko</name></author><author><name sortKey="Adanu, Richard M K" sort="Adanu, Richard M K" uniqKey="Adanu R" first="Richard M K" last="Adanu">Richard M K. Adanu</name></author><author><name sortKey="Seffah, Joseph" sort="Seffah, Joseph" uniqKey="Seffah J" first="Joseph" last="Seffah">Joseph Seffah</name></author><author><name sortKey="Anarfi, John K" sort="Anarfi, John K" uniqKey="Anarfi J" first="John K" last="Anarfi">John K. Anarfi</name></author><author><name sortKey="Gautam, Shiva" sort="Gautam, Shiva" uniqKey="Gautam S" first="Shiva" last="Gautam">Shiva Gautam</name></author><author><name sortKey="Hill, Allan G" sort="Hill, Allan G" uniqKey="Hill A" first="Allan G" last="Hill">Allan G. Hill</name></author></analytic><series><title level="j">The American journal of tropical medicine and hygiene</title><idno type="ISSN">0002-9637</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (transmission)</term><term>HIV Seroprevalence (trends)</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</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></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>HIV Seroprevalence</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Middle Aged</term><term>Prevalence</term><term>Risk Factors</term></keywords></textClass></profileDesc></teiHeader><front><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16014834</PMID><DateCreated><Year>2005</Year><Month>07</Month><Day>14</Day></DateCreated><DateCompleted><Year>2005</Year><Month>09</Month><Day>19</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0002-9637</ISSN><JournalIssue CitedMedium="Print"><Volume>73</Volume><Issue>1</Issue><PubDate><Year>2005</Year><Month>Jul</Month></PubDate></JournalIssue><Title>The American journal of tropical medicine and hygiene</Title><ISOAbbreviation>Am. J. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>HIV prevalence and risk factors in women of Accra, Gghana: results from the women's health study of Accra.</ArticleTitle><Pagination><MedlinePgn>63-6</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Duda</LastName><ForeName>Rosemary B</ForeName><Initials>RB</Initials><AffiliationInfo><Affiliation>Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA. rduda@caregroup.harvard.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Darko</LastName><ForeName>Rudolph</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Adanu</LastName><ForeName>Richard M K</ForeName><Initials>RM</Initials></Author><Author ValidYN="Y"><LastName>Seffah</LastName><ForeName>Joseph</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Anarfi</LastName><ForeName>John K</ForeName><Initials>JK</Initials></Author><Author ValidYN="Y"><LastName>Gautam</LastName><ForeName>Shiva</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Hill</LastName><ForeName>Allan G</ForeName><Initials>AG</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Trop Med Hyg</MedlineTA><NlmUniqueID>0370507</NlmUniqueID><ISSNLinking>0002-9637</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</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="D015528" MajorTopicYN="N">HIV Seroprevalence</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>7</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>9</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>7</Month><Day>15</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16014834</ArticleId><ArticleId IdType="pii">73/1/63</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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