Risk factors for HIV-1 transmission from HIV-seropositive male blood donors to their regular female partners in northern Thailand.
AIDS
; 11(14): 1765-72, 1997 Nov 15.
Article
en En
| MEDLINE
| ID: mdl-9386812
ABSTRACT
PIP: The risk factors for HIV transmission from infected male blood donors to their regular female sex partners were investigated in a cross-sectional study conducted in Chiang Mai, Thailand, in 1992-95. During the 3.5-year study period, 405 couples were recruited. 98% of male blood donors reported a history of sex with female prostitutes. Only 28 men (7%) were aware of their seropositivity prior to notification by the blood bank, and just 1.5% always used condoms with their regular sex partner. 187 (46%) of the 405 female sex partners--none of whom had HIV risk factors other than sexual contact with their husbands--were HIV-positive at baseline. In the multivariate analysis, three variables were associated with a significantly increased risk of HIV in female partners: history of genital herpes (odds ratio (OR), 3.46; 95% confidence interval (CI), 1.50-8.78), history of gonorrhea or chlamydia (OR, 2.71; 95% CI, 1.39-5.53), and a stable relationship of at least 2 years' duration (OR, 2.28; 95% CI, 1.02-5.09); consistent condom use in the past 2 years was significantly associated with a decreased risk of HIV (OR, 0.10; 95% CI, 0.01-0.79). Medroxyprogesterone acetate injection and oral contraceptive use were not associated with HIV risk. These findings confirm a high risk of HIV transmission through monogamous sexual relationships in Thailand. Recommended are campaigns to increase regular condom use among married couples.
Palabras clave
Acquired Immunodeficiency Syndrome--prevention and control; Asia; Biology; Blood Donors; Blood Supply; Couples; Cross Sectional Analysis; Developing Countries; Diseases; Equipment And Supplies; Family And Household; Family Characteristics; Hiv Infections--transmission; Infections; Reproductive Tract Infections; Research Methodology; Research Report; Risk Factors; Sexually Transmitted Diseases--prevention and control; Southeastern Asia; Thailand; Viral Diseases
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Banco de datos:
MEDLINE
Asunto principal:
Donantes de Sangre
/
Parejas Sexuales
/
Seropositividad para VIH
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País como asunto:
Asia
Idioma:
En
Año:
1997
Tipo del documento:
Article