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1994-08-20
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Document 0616
DOCN M9480616
TI Syphilis and HIV infection among displaced pregnant women in rural
Mozambique.
DT 9410
AU Cossa HA; Gloyd S; Vaz RG; Folgosa E; Simbine E; Diniz M; Kreiss JK;
Department of Epidemiology, University of Washington, Seattle.
SO Int J STD AIDS. 1994 Mar-Apr;5(2):117-23. Unique Identifier : AIDSLINE
MED/94305006
AB A cross-sectional study was conducted among displaced pregnant women in
Mozambique to determine the prevalence and correlates of HIV infection
and syphilis. Between September 1992 and February 1993, 1728 consecutive
antenatal attendees of 14 rural clinics in Zambezia were interviewed,
examined, and tested for HIV and syphilis antibodies. The seroprevalence
of syphilis and HIV were 12.2% and 2.9%, respectively. Reported sexual
abuse was frequent (8.4%) but sex for money was uncommon. A positive
MHA-TP result was significantly associated with unmarried status,
history of past STD, HIV infection, and current genital ulcers, vaginal
discharge, or genital warts. Significant correlates of HIV
seropositivity included anal intercourse, history of past STD, and
syphilis. In summary, displaced pregnant women had a high prevalence of
syphilis but a relatively low HIV seroprevalence suggesting recent
introduction of HIV infection in this area or slow spread of the
epidemic. A syphilis screening and treatment programme is warranted to
prevent perinatal transmission and to reduce the incidence of chancres
as a cofactor for HIV transmission.
DE Adult Cross-Sectional Studies Female Human HIV
Infections/BLOOD/COMPLICATIONS/*EPIDEMIOLOGY/THERAPY *HIV
Seroprevalence Incidence Marital Status Mass Screening
Mozambique/EPIDEMIOLOGY *Population Surveillance Pregnancy Pregnancy
Complications, Infectious/BLOOD/*EPIDEMIOLOGY/THERAPY Prevalence
Prostitution/STATISTICS & NUMER DATA Rape/STATISTICS & NUMER DATA
*Refugees Risk Factors *Rural Population Support, Non-U.S. Gov't
Support, U.S. Gov't, P.H.S.
Syphilis/BLOOD/COMPLICATIONS/*EPIDEMIOLOGY/THERAPY War JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).