Antibody to herpes simplex virus type 2 as a marker of sexual risk behavior in rural Tanzania

被引:134
作者
Obasi, A
Mosha, F
Quigley, M
Sekirassa, Z
Gibbs, T
Munguti, K
Todd, J
Grosskurth, H
Mayaud, P
Changalucha, J
Brown, D
Mabey, D
Hayes, R
机构
[1] Univ London London Sch Hyg & Trop Med, London WC1E 7HT, England
[2] Cent Publ Hlth Lab, Enter & Resp Virus Lab, London NW9 5HT, England
[3] Off Publ Hlth, Natl Inst Med Res, Mwanza, Tanzania
[4] African Med & Res Fdn, Mwanza, Tanzania
关键词
D O I
10.1086/314555
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 serosurvey was conducted in a random sample of 259 women and 231 men in 12 rural communities in Mwanza Region, Tanzania, using a type-specific ELISA for Herpes simpler virus type 2 (HSV-2) infection. Seroprevalence rose steeply with age to similar to 75% in women greater than or equal to 25 years old and 60% in men greater than or equal to 30. After adjusting for age and residence, HSV-2 prevalence was higher in women who were married, in a polygamous marriage, Treponema pallidum hemagglutination assay (TPHA)-positive, had more lifetime sex partners, or who had not traveled. Prevalence was higher in men who were married, had lived elsewhere, had more lifetime partners, had used condoms, or were TPHA-positive, HSV-2 infection was significantly associated with recent history of genital ulcer. The association between HSV-2 infection and lifetime sex partners was strongest in those <25 years old in both sexes. This association supports the use of HSV-2 serology as a marker of risk behavior in this population, particularly among young people.
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页码:16 / 24
页数:9
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