HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-1 INFECTION IN WOMEN ATTENDING A SEXUALLY-TRANSMITTED DISEASES CLINIC IN KENYA

被引:51
作者
PLOURDE, PJ
PLUMMER, FA
PEPIN, J
AGOKI, E
MOSS, G
OMBETTE, J
RONALD, AR
CHEANG, M
DCOSTA, L
NDINYAACHOLA, JO
机构
[1] UNIV MANITOBA,DEPT INTERNAL MED,WINNIPEG R3E 0W3,MANITOBA,CANADA
[2] UNIV NAIROBI,DEPT MED MICROBIOL,WHO,CTR RES & TRAINING SEXUALLY TRANSMITTED DIS,NAIROBI,KENYA
基金
英国医学研究理事会;
关键词
D O I
10.1093/infdis/166.1.86
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A cross-sectional study was conducted among women attending a sexually transmitted diseases clinic in Nairobi, Kenya, to determine the prevalence of and associated risk factors for human immunodeficiency virus (HIV) type 1 infection. HIV-1 antibody was detected in 13.8% of 600 women. This virus was found most frequently in prostitutes (odds ratio [OR], 7.2), in women reporting a history of genital ulcers (OR, 2.3), and in those with a current diagnosis of genital ulcers (OR, 5.1). Lifetime duration of oral contraceptive use was significantly greater in HIV-1-positive women. Multivariate analysis revealed an association between genital ulcers and HIV-1 infection (OR, 3.8). The strongest association for HIV-1 infection, however, occurred with genital ulcers in combination with the use of oral contraceptives (OR, 25.7).
引用
收藏
页码:86 / 92
页数:7
相关论文
共 23 条
[1]  
AHMED SA, 1985, AM J PATHOL, V121, P531
[2]  
CARAEL M, 1988, AIDS, V2, P201
[3]   GENITAL ULCERATION AS A RISK FACTOR FOR HUMAN IMMUNODEFICIENCY VIRUS-INFECTION [J].
GREENBLATT, RM ;
LUKEHART, SA ;
PLUMMER, FA ;
QUINN, TC ;
CRITCHLOW, CW ;
ASHLEY, RL ;
DCOSTA, LJ ;
NDINYAACHOLA, JO ;
COREY, L ;
RONALD, AR ;
HOLMES, KK .
AIDS, 1988, 2 (01) :47-50
[4]   INTERACTIONS BETWEEN THE GONADAL-STEROIDS AND THE IMMUNE SYSTEM [J].
GROSSMAN, CJ .
SCIENCE, 1985, 227 (4684) :257-261
[5]   REGULATION OF THE IMMUNE-SYSTEM BY SEX STEROIDS [J].
GROSSMAN, CJ .
ENDOCRINE REVIEWS, 1984, 5 (03) :435-455
[6]  
HUNTER D, 1990, 6 INT C AIDS SAN FRA
[7]   AIDS VIRUS-INFECTION IN NAIROBI PROSTITUTES - SPREAD OF THE EPIDEMIC TO EAST-AFRICA [J].
KREISS, JK ;
KOECH, D ;
PLUMMER, FA ;
HOLMES, KK ;
LIGHTFOOTE, M ;
PIOT, P ;
RONALD, AR ;
NDINYAACHOLA, JO ;
DCOSTA, LJ ;
ROBERTS, P ;
NGUGI, EN ;
QUINN, TC .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (07) :414-418
[8]  
LAGA M, 1990, 6 INT C AIDS SAN FRA
[9]  
MATI J, 1991, 7 INT C AIDS FLOR
[10]   ASSOCIATION OF CERVICAL ECTOPY WITH HETEROSEXUAL TRANSMISSION OF HUMAN-IMMUNODEFICIENCY-VIRUS - RESULTS OF A STUDY OF COUPLES IN NAIROBI, KENYA [J].
MOSS, GB ;
CLEMETSON, D ;
DCOSTA, L ;
PLUMMER, FA ;
NDINYAACHOLA, JO ;
REILLY, M ;
HOLMES, KK ;
PIOT, P ;
MAITHA, GM ;
HILLIER, SL ;
KIVIAT, NC ;
CAMERON, CW ;
WAMOLA, IA ;
KREISS, JK .
JOURNAL OF INFECTIOUS DISEASES, 1991, 164 (03) :588-591