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1996-03-09
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Document 0322
DOCN M9650322
TI Modelling the impact of alternative HIV intervention strategies in rural
Uganda.
DT 9605
AU Robinson NJ; Mulder DW; Auvert B; Hayes RJ; INSERM Unit 88, National
Hospital of Saint-Maurice, France.
SO AIDS. 1995 Nov;9(11):1263-70. Unique Identifier : AIDSLINE MED/96126181
AB OBJECTIVE: To assess the likely impact on HIV incidence of increased
condom use, a reduction in casual sexual partners, treatment programmes
for other sexually transmitted diseases (STD) and combinations of these
in rural Uganda. METHODS: A simulation model for the transmission
dynamics of HIV infection and STD was employed, drawing on data from a
rural population cohort in South-West Uganda with an HIV prevalence of
9% among adults in 1990. RESULTS: For the scenario most consistent with
data from the study population, 39% of all adult HIV infections were
averted, in the 10 years from 1990, when condoms were used consistently
and effectively by 50% of men in their contacts with one-off sexual
partners (such as bar girls and commercial sex workers). Reducing by 50%
the frequency of men's sexual contacts with one-off partners averted 68%
of infections. Reducing by 50% the duration of all STD episodes averted
43% of infections. Combining these three interventions averted 82% of
all adult infections in the 10 years from 1990. CONCLUSION: A
substantial proportion of HIV infections may be averted in general
populations through interventions targeted only on less regular sexual
partnerships.
DE Adult Aged *Computer Simulation Condoms Female Human HIV
Infections/EPIDEMIOLOGY/PREVENTION & CONTROL/*TRANSMISSION Male Middle
Age Sex Behavior Sexually Transmitted Diseases/EPIDEMIOLOGY/PREVENTION
& CONTROL/ *TRANSMISSION Support, Non-U.S. Gov't Uganda JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).