Document 0615
 DOCN  M9480615
 TI    Patterns of risk behaviour for patients with sexually transmitted
       diseases and surveillance for human immunodeficiency virus in Kuala
       Lumpur, Malaysia.
 DT    9410
 AU    Lye MS; Archibald C; Ghazali AA; Low BT; Teoh BH; Sinniah M; Rus SC;
       Singh J; Nair RC; Institute for Medical Research, Kuala Lumpur,
       Malaysia.
 SO    Int J STD AIDS. 1994 Mar-Apr;5(2):124-9. Unique Identifier : AIDSLINE
       MED/94305007
 AB    A study was conducted to determine the feasibility of establishing a
       sentinel human immunodeficiency virus (HIV) surveillance system
       involving patients with sexually transmitted diseases attending private
       clinics and a government sexually transmitted disease clinic in Kuala
       Lumpur, Malaysia. Information on risk behaviours for HIV infection were
       also collected. A total of 84 female and 91 male patients were
       interviewed and tested for HIV infection; 41.7% of the women reported
       working as prostitutes, other occupations included masseuses,
       hairdressers, waitresses, salesgirls, receptionists, factory workers,
       and others. The most common diagnosis was gonorrhoea. Other diagnoses
       included non-specific genital infection, pelvic inflammatory disease,
       genital herpes and syphilis. 58.3% of the women had a hundred or more
       sex partners during the previous month; 99% had 6 or more sex partners.
       Only 4.8% of female patients had their male partners using condoms most
       of the time, 11.9% hardly used condoms at all. Of the males, 93.3% were
       heterosexual, while 6.7% were bisexuals, 41.1% had between 6-20
       different partners in the previous year. 78.0% of them had prostitutes
       as their sex partners most of the time. 41.8% had experiences in
       Thailand and the Philippines. 73.6% never used condoms, while 19.8% only
       used condoms rarely. Although all patients were tested negative for HIV
       antibodies, lot quality assurance sampling methods indicate that the
       upper limits of prevalences for females and males were 3.5% and 3.3%
       respectively, at a 5% type I error. The study has shown that it is
       feasible to carry out a sentinel surveillance programme among STD
       patients and provided useful baseline data for future
       comparisons.(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Adult  Bias (Epidemiology)  Condoms/UTILIZATION  Feasibility Studies
       Female  Health Education  Human  HIV
       Infections/*EPIDEMIOLOGY/*ETIOLOGY/PREVENTION & CONTROL  *HIV
       Seroprevalence  Malaysia/EPIDEMIOLOGY  Male  Pilot Projects  Population
       Surveillance/*METHODS  Prevalence  Prostitution  Risk Factors
       *Risk-Taking  *Sex Behavior  Sexually Transmitted
       Diseases/*EPIDEMIOLOGY/*ETIOLOGY/PREVENTION  & CONTROL  Urban Population
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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