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The epidemiology of trichomoniasis in women in four African cities

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dc.contributor.author Buvé, A. en_US
dc.contributor.author Weiss, H. A. en_US
dc.contributor.author Laga, M. en_US
dc.contributor.author Van Dyck, E. en_US
dc.contributor.author Musonda, R. en_US
dc.contributor.author Zekeng, L. en_US
dc.contributor.author Kahindo, M. en_US
dc.contributor.author Anagonou, S. en_US
dc.contributor.author Morison, L. en_US
dc.contributor.author Robinson, N. J. en_US
dc.contributor.author Hayes, R. J. en_US
dc.date.accessioned 2007-12-06T14:46:36Z
dc.date.available 2007-12-06T14:46:36Z
dc.date.issued 2001 en_US
dc.identifier.issn 0269-9370 en_US
dc.identifier.other ITG-M1A en_US
dc.identifier.other ITG-M3A en_US
dc.identifier.other ITG-M4A en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1696
dc.description Not the final published version
dc.description.abstract OBJECTIVES: To describe the epidemiology of Trichomonas vaginalis infection and its association with HIV infection, in women in four African cities with different levels of HIV infection. DESIGN: Cross-sectional study, using standardized methods, including a standardized questionnaire and standardized laboratory tests, in four cities in sub-Saharan Africa: two with a high prevalence of HIV infection (Kisumu, Kenya and Ndola, Zambia), and two with a relatively low prevalence of HIV (Cotonou, Benin and Yaoundé, Cameroon). METHODS: In each city, a random sample of about 2000 adults aged 15-49 years was taken. Consenting men and women were interviewed about their socio-demographic characteristics and their sexual behaviour, and were tested for HIV, syphilis, herpes simplex virus type 2 (HSV-2), gonorrhoea, chlamydial infection, and (women only) T. vaginalis infection. Risk factor analyses were carried out for trichomoniasis for each city separately. Multivariate analysis, however, was only possible for Yaoundé, Kisumu and Ndola. RESULTS: The prevalence of trichomoniasis was significantly higher in the high HIV prevalence cities (29.3% in Kisumu and 34.3% in Ndola) than in Cotonou (3.2%) and Yaoundé (17.6%). Risk of trichomoniasis was increased in women who reported more lifetime sex partners. HIV infection was an independent risk factor for trichomonas infection in Yaoundé [adjusted odds ratio (OR) = 1.8, 95% confidence interval (CI) = 0.9-3.7] and Kisumu (adjusted OR = 1.7, 95% CI = 1.1-2.7), but not in Ndola. A striking finding was the high prevalence (40%) of trichomonas infection in women in Ndola who denied that they had ever had sex. CONCLUSION: Trichomoniasis may have played a role in the spread of HIV in sub-Saharan Africa and may be one of the factors explaining the differences in levels of HIV infection between different regions in Africa. The differences in prevalence of trichomoniasis between the four cities remain unexplained, but we lack data on the epidemiology of trichomoniasis in men. More research is required on the interaction between trichomoniasis and HIV infection, the epidemiology of trichomoniasis in men, and trichomonas infections in women who deny sexual activity. en_US
dc.language English en_US
dc.publisher Lippincott, Williams & Wilkins
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject Risk factors en_US
dc.subject Sexually transmitted diseases en_US
dc.subject STD en_US
dc.subject Trichomoniasis en_US
dc.subject Epidemiology en_US
dc.subject Prevalence en_US
dc.subject Kenya en_US
dc.subject Africa, East en_US
dc.subject Zambia en_US
dc.subject Africa, Southern en_US
dc.subject Cameroon en_US
dc.subject Africa, Central en_US
dc.subject Benin en_US
dc.subject Africa, West en_US
dc.title The epidemiology of trichomoniasis in women in four African cities en_US
dc.type Article en_US
dc.citation.issue Suppl.4 en_US
dc.citation.jtitle AIDS en_US
dc.citation.volume 15 en_US
dc.citation.pages S89-S96 en_US
dc.publisher.place Philadelphia
dc.contributor.corpauthor Study Group on Heterogeneity of HIV Epidemics in African Cities en_US
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/11686470
dc.citation.jabbreviation AIDS en_US


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