Risk factors for syphilis among HIV-1 infected pregnant women in Dar es Salaam, Tanzania


Urassa, WK; Kapiga, SH; Msamanga, GI; Antelman, G; Coley, J; Fawzi, WW; (2001) Risk factors for syphilis among HIV-1 infected pregnant women in Dar es Salaam, Tanzania. African journal of reproductive health, 5 (3). pp. 54-62. ISSN 1118-4841

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Abstract

This study was conducted to determine the risk factors for recent (active) syphilis among HIV-1 seropositive pregnant women (N = 1058) in Dar es Salaam, Tanzania, Recruitment of study participants (N = 1058) was done between April 1995 and June 1997 at four main prenatal clinics in Dar es Salaam city. Study subjects were interviewed to obtain information about potential risk factors, and blood and genital specimens were collected for detection of syphilis and other genital infections. The prevalence of active syphilis was 5.9%. After adjusting for other risk factors, women without their own source of income had a 50% lower risk of syphilis (OR = 0.5, 95% CI: 0.3-0.9). The risk of active syphilis was significantly increased among women with genital ulceration on examination (OR = 8.4, 95% CI: 1.5-47.7), and in those with trichomoniasis (OR = 2.2, 95% CI: 1.2-3.8). HIV-related immunodeficiency was not associated with increased risk of syphilis. These results show that syphilis and other genital infections are a major problem among HIV infected women. Prevention of syphilis and other genital infections is urgently needed in this population.

Item Type: Article
Keywords: Adolescent, Adult, Female, *HIV Seropositivity/epidemiology, *Hiv-1, Humans, Interviews, Logistic Models, Middle Aged, Pregnancy, Pregnancy Complications, Infectious/*epidemiology, Prevalence, Risk Factors, Sexually Transmitted Diseases/*epidemiology, Syphilis/*epidemiology, Tanzania/epidemiology, Adolescent, Adult, Female, HIV Seropositivity, epidemiology, HIV-1, Humans, Interviews, Logistic Models, Middle Aged, Pregnancy, Pregnancy Complications, Infectious, epidemiology, Prevalence, Risk Factors, Sexually Transmitted Diseases, epidemiology, Syphilis, epidemiology, Tanzania, epidemiology
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 12471929
URI: http://researchonline.lshtm.ac.uk/id/eprint/9889

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