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Socioeconomic status and risk of HIV infection in an urban population in Kenya

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dc.contributor.author Hargreaves, J. R. en_US
dc.contributor.author Morison, L. A. en_US
dc.contributor.author Chege, J. en_US
dc.contributor.author Rutenberg, N. en_US
dc.contributor.author Kahindo, M. en_US
dc.contributor.author Weiss, H. A. en_US
dc.contributor.author Hayes, R. en_US
dc.contributor.author Buvé, A. en_US
dc.date.accessioned 2007-12-06T14:47:06Z
dc.date.available 2007-12-06T14:47:06Z
dc.date.issued 2002 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1046/j.1365-3156.2002.00943.x
dc.identifier.other ITG-MLA en_US
dc.identifier.other MICRO en_US
dc.identifier.other U-HIVSTD en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/1783
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract Objective: To examine the relationship between socioeconomic status (SES), risk factors for HIV infection and HIV status in an urban population with high prevalence of HIV infection in sub-Saharan Africa. Methods Cross-sectional population survey of adults from the city of Kisumu, Kenya, in 1996. Around 1000 men and 1000 women aged 15–49 years were interviewed using a structured questionnaire, and most gave a venous blood sample for HIV testing. SES was represented by a composite variable of educational status, occupation and household utilities. Multiple regression was used to examine whether SES was associated with HIV infection or with risk factors for HIV infection. Results Human immunodeficiency virus prevalence was 19.8% in males and 30.2% in females. Higher SES was associated with a more mobile lifestyle, later sexual debut and marriage among both sexes, and with circumcision among men aged 25–49 and condom use among women aged 25–49. Higher levels of alcohol consumption were associated with an increased risk of HIV infection and were more common amongst those of higher SES. HSV-2 infection was strongly associated with an increased risk of HIV infection and was more common among those of lower SES. HIV was associated with a lower SES among females aged 15–24 whereas in males aged 15–24 and females aged 25–49 there was some indication that it was associated with higher SES. Among males aged 25–49 there was no association between HIV infection and SES. Conclusions Risk of infection was high among groups of all SES. Risk profiles suggested men and women of lower SES maybe at greater risk of newly acquired HIV infection. New infections may now be occurring fastest among young women of the lowest SES. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Viral diseases en_US
dc.subject HIV en_US
dc.subject AIDS en_US
dc.subject Epidemiology en_US
dc.subject Prevalence en_US
dc.subject Risk factors en_US
dc.subject Socioeconomic status en_US
dc.subject Kenya en_US
dc.subject Africa, East en_US
dc.title Socioeconomic status and risk of HIV infection in an urban population in Kenya en_US
dc.type Article en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 7 en_US
dc.citation.pages 793-802 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/12225512
dc.citation.jabbreviation Trop Med Int Health en_US


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