Heterosexual transmission of HIV in Haiti.
Ann Intern Med
; 125(4): 324-30, 1996 Aug 15.
Article
em En
| MEDLINE
| ID: mdl-8678397
ABSTRACT
PIP: A prospective study of 475 individuals infected with human immunodeficiency virus (HIV) and their non-infected regular sex partners indicated that discordant heterosexual couples comprise a major source of acquired immunodeficiency syndrome (AIDS) spread in Haiti. Participants were recruited from the National Institute for Laboratory Research in Port-au-Prince. Of the 2687 HIV-positive individuals who returned to the Institute during 1988-92 to obtain their HIV test result, 1201 brought in a regular sexual partner for testing; 583 (49%) of these partners were HIV-negative. Discordant couples received free condoms and counseling and were evaluated at 3-month intervals. Sexual activity was discontinued by 298 (63%) of couples within 6 months of study entry, largely because of advanced AIDS. Overall, 20 sex partners seroconverted after a median follow-up of 27 months. Seroconversion was associated with non-use of condoms (relative risk, 6.8/100 person-years), the presence of genital ulcer disease in the initially HIV-negative partner (6.55), and syphilis in the HIV-infected index patient (2.9). Counseling increased condom use from none at study entry to 24%. The rate of seroconversion in those who always used condoms was only 1/100 person-years.
Palavras-chave
Americas; Barrier Methods; Behavior; Caribbean; Condom; Contraception; Contraceptive Methods; Couples; Developing Countries; Diseases; Family And Household; Family Characteristics; Family Planning; Haiti; Heterosexuals; Hiv Infections--transmission; Latin America; North America; Prospective Studies; Research Methodology; Risk Reduction Behavior; Sex Behavior; Sexual Partners; Studies; Viral Diseases
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Infecções por HIV
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Caribe
/
Haiti
Idioma:
En
Revista:
Ann Intern Med
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Estados Unidos
País de publicação:
Estados Unidos