Human immunodeficiency virus type 1 among bar and hotel workers in northern Tanzania: the role of alcohol, sexual behavior, and herpes simplex virus type 2


Ao, TT; Sam, NE; Masenga, EJ; Seage, G.R., 3rd; Kapiga, SH; (2006) Human immunodeficiency virus type 1 among bar and hotel workers in northern Tanzania: the role of alcohol, sexual behavior, and herpes simplex virus type 2. Sexually transmitted diseases, 33 (3). pp. 163-9. ISSN 0148-5717 DOI: https://doi.org/10.1097/01.olq.0000187204.57006.b3

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Abstract

GOALS: We assessed baseline prevalence of human immunodeficiency virus type 1 (HIV-1) and other STDs, as well as behavioral and biologic risk factors for HIV-1 in a population of female bar/hotel workers in Moshi, Tanzania. STUDY DESIGN: Between 2002 and 2003, we enrolled 1042 female bar/hotel workers in an ongoing prospective cohort study. We analyzed data collected at baseline to assess the associations between alcohol, sexual behavior, STDs, and HIV-1 infection. RESULTS: The prevalence of HIV-1 infection was 19.0% (95% confidence interval [CI] = 16.6%-21.4%). Consistent condom use was low (11.1%). HIV-1 was associated with genital ulcers on examination (adjusted odds ratio [AOR] = 2.08, 95% CI = 1.16-3.74), herpes simplex virus type 2 (HSV-2) (AOR = 3.80, 95% CI = 2.42-5.97), and problem drinking (AOR = 1.92, 95% CI = 1.06-3.47). Other independent predictors of HIV-1 were increasing age, number of sex partners, cohabitating, formerly married, location of employment, and having a husband with another wife. CONCLUSIONS: These findings suggest that programs designed to control HSV-2, reduce the number of sexual partners and alcohol use, and promote condom use could be effective in reducing transmission of HIV-1 in this population.

Item Type: Article
Keywords: Adolescent, Adult, *Alcohol Drinking, Female, HIV Infections/*epidemiology, Hiv-1, Herpes Genitalis/*epidemiology/virology, *Herpesvirus 2, Human, Humans, Prevalence, *Prostitution, Risk Factors, *Sexual Behavior, Tanzania/epidemiology, Adolescent, Adult, Alcohol Drinking, Female, HIV Infections, epidemiology, HIV-1, Herpes Genitalis, epidemiology, virology, Herpesvirus 2, Human, Humans, Prevalence, Prostitution, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Risk Factors, Sexual Behavior, 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: 16505740
Web of Science ID: 235955300008
URI: http://researchonline.lshtm.ac.uk/id/eprint/9902

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