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M9480615.TXT
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1994-08-20
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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
protected by Copyright Law (Title 17, U.S.Code).