Herpes simplex virus type 2 infection among bar and hotel workers in northern Tanzania: prevalence and risk factors


Kapiga, SH; Sam, NE; Shao, JF; Masenga, EJ; Renjifo, B; Kiwelu, IE; Manongi, R; Fawzi, WW; Essex, M; (2003) Herpes simplex virus type 2 infection among bar and hotel workers in northern Tanzania: prevalence and risk factors. Sexually transmitted diseases, 30 (3). pp. 187-92. ISSN 0148-5717 DOI: https://doi.org/10.1097/00007435-200303000-00001

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Abstract

BACKGROUND: Type-specific serological tests have allowed for a better understanding of the epidemiology of herpes simplex virus type 2 (HSV-2) infection in Africa. GOAL: The goal was to determine risk factors for HSV-2 among bar and hotel workers in Moshi, Tanzania. STUDY DESIGN: A cross-sectional study was conducted involving 515 workers in randomly selected bars and hotels in Moshi. RESULTS: The seroprevalence of HSV-2 was 43.5%. Women were more likely to be HSV-2-seropositive than men (age-adjusted OR = 3.8; 95% CI = 2.5-5.8). In multivariate analyses, age was positively associated with HSV-2 in both women and men. HIV-1-seropositive women had a significantly increased risk of HSV-2 infection (adjusted OR = 2.8; 95% CI = 1.5-5.1). Other predictors of HSV-2 were religion and sexual behavior for women and level of education, frequency of alcohol use, and concurrent partners for men. CONCLUSION: The most common genital infection was that with HSV-2. Control of HSV-2 might be an important strategy for HIV-1 infection prevention in this population.

Item Type: Article
Keywords: Adolescent, Adult, Age Factors, Alcoholism, Cross-Sectional Studies, Female, Herpes Genitalis/*epidemiology/etiology, Herpesvirus 1, Human/*isolation & purification, Herpesvirus 2, Human/*isolation & purification, Humans, Logistic Models, Male, Prevalence, Risk Factors, Risk-Taking, Sex Factors, Sexually Transmitted Diseases/epidemiology/etiology, Tanzania/epidemiology, *Workplace, Adolescent, Adult, Age Factors, Alcoholism, Cross-Sectional Studies, Female, Herpes Genitalis, epidemiology, etiology, Herpesvirus 1, Human, isolation & purification, Herpesvirus 2, Human, isolation & purification, Humans, Logistic Models, Male, Prevalence, Research Support, U.S. Gov't, P.H.S., Risk Factors, Risk-Taking, Sex Factors, Sexually Transmitted Diseases, epidemiology, etiology, Tanzania, epidemiology, Workplace
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: 12616132
Web of Science ID: 181419000001
URI: http://researchonline.lshtm.ac.uk/id/eprint/9893

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