SYPHILIS AND HIV-INFECTION AMONG DISPLACED PREGNANT-WOMEN IN RURAL MOZAMBIQUE

被引：45

作者：

COSSA, HA

GLOYD, S

VAZ, RG

FOLGOSA, E

SIMBINE, E

DINIZ, M

KREISS, JK

机构：

[1] Department of Immunology, Instituto Nacional de Saude, Ministry of Health, Maputo

[2] Department of Epidemiology and International Health Program, University of Washington, Seattle

来源：

INTERNATIONAL JOURNAL OF STD & AIDS | 1994年 / 5卷 / 02期

关键词：

DISPLACED; REFUGEE; HIV; STD; PREGNANT;

D O I：

10.1177/095646249400500208

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 displaced pregnant women in Mozambique to determine the prevalence and correlates of HIV infection and syphilis. Between September 1992 and February 1993, 1728 consecutive antenatal attendees of 14 rural clinics in Zambezia were interviewed, examined, and tested for HIV and syphilis antibodies. The seroprevalence of syphilis and HIV were 12.2% and 2.9%, respectively. Reported sexual abuse was frequent (8.4%) but sex for money was uncommon. A positive MHA-TP result was significantly associated with unmarried status, history of past STD, HIV infection, and current genital ulcers, vaginal discharge, or genital warts. Significant correlates of HIV seropositivity included anal intercourse, history of past STD, and syphilis. In summary, displaced pregnant women had a high prevalence of syphilis but a relatively low HIV seroprevalence suggesting recent introduction of HIV infection in this area or slow spread of the epidemic. A syphilils screening and treatment programme is warranted to prevent perinatal transmission and to reduce the incidence of chancres as a cofactor for HIV transmission.

引用

页码：117 / 123

页数：7

共 48 条

[1]

Toole M.J., Waldman R.J., Refugees and displaced persons: War, hunger, and public health, JAMA, 270, pp. 600-605, (1993)

[2]

World Refugee Survey, 1992, (1993)

[3]

Dick B., Primary ‘health care’ with refugees: Between the idea and the reality, Trop Doct, 15, pp. 2-7, (1985)

[4]

Dick B., Diseases of refugees—causes, effects and control, Trans R Soc Med Hyg, 78, pp. 734-741, (1984)

[5]

Muecke M.A., New paradigms for refugee health problems, Soc Sci Med, 35, pp. 515-523, (1992)

[6]

The health of refugees and displaced persons: A public health priority, Am J Public Health, 83, pp. 463-468, (1993)

[7]

Toole M.J., Waldman R.J., An analysis of mortality trends among refugee populations in Somalia, Sudan, and Thailand, Bull WHO, 66, pp. 237-247, (1988)

[8]

King P.A., Duthie S.J., Ma H.K., Sexually transmitted diseases amongst pregnant Vietnamese refugees in Hong Kong, Genitourin Med, 66, pp. 257-258, (1990)

[9]

Low N., Smith G.D., Gorter A., Arauz R., Letter to the editor. AIDS and migrant population in Nicaragua, Lancet, 336, pp. 1593-1594, (1990)

[10]

Santos-Ferreira M.O., Cohen T., Lourenco M.H., Almeida M.M., Chamaret S., Montagnier L., A study of seroprevalence of HIV-1 and HIV-2 in six provinces of People's Republic of Angola: Clues to spread of HIV infection, J Acq Immune Defic Synd, 3, pp. 780-786, (1990)

← 1 2 3 4 5 →