A community trial of the impact of improved sexually transmitted disease treatment on the HIV epidemic in rural Tanzania: 2. Baseline survey results.
AIDS
; 9(8): 927-34, 1995 Aug.
Article
em En
| MEDLINE
| ID: mdl-7576329
ABSTRACT
PIP: To measure the impact of a sexually transmitted disease (STD) treatment program on the incidence of human immunodeficiency virus (HIV) in Zimbabwe's Mwanza Region, a pre-intervention baseline survey was conducted. Included in the survey were approximately 1000 randomly selected adults from each of the six intervention communities (defined as the population served by a health center and its satellite dispensaries) and six matched comparison communities. Overall HIV seroprevalence was 4.1% (3.7% in men and 4.4% in women), with a range of 1.6-8.6% and no significant differences between intervention and control communities. Peak prevalences for both sexes were found in the 25-34 year age groups and in roadside communities. The following factors were associated with an increased likelihood of HIV infection: separation, divorce, or widowhood; multiple injections in the preceding year; educational achievement of at least Standard 4; travel out of the district in the prior year; history of genital ulcers or discharge; and past or present infection with syphilis. HIV prevalence was significantly higher in circumcised men, but not when adjustment was made for other risk factors. Syphilis prevalence ranged from a low of 4.2% in island communities to a high of 11.1% in roadside communities. The baseline survey indicates that intervention and control populations are generally comparable, and that the goal of locating a study area with a relatively low incidence of HIV and high rates of other STDs has been achieved.
Palavras-chave
Africa; Africa South Of The Sahara; Baseline Surveys; Biology; Community Health Services; Delivery Of Health Care; Demographic Factors; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Health; Health Services; Health Services Evaluation; Hiv Infections; Infections; Measurement; Organization And Administration; Population; Population Characteristics; Prevalence; Primary Health Care; Program Evaluation; Programs; Reproductive Tract Infections; Research Methodology; Risk Factors; Rural Population; Sampling Studies; Sexually Transmitted Diseases; Studies; Study Design; Surveys; Tanzania; Treatment; Viral Diseases
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Sexualmente Transmissíveis
/
Infecções por HIV
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
AIDS
Assunto da revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
Tanzânia