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M94A2326.TXT
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1994-10-25
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Document 2326
DOCN M94A2326
TI Gender specific HIV transmission/prevention in discordant couples in
rural Uganda.
DT 9412
AU Serwadda D; Gray RH; Sewankambo NK; Wawer MJ; Makerere U; Uganda Virus
Research Institute, Entebbe.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):33 (abstract no. 107C). Unique
Identifier : AIDSLINE ICA10/94370249
AB OBJECTIVE: To determine the role of males and females as sources of HIV
infection among discordant couples in rural Rakai, Uganda. METHODS:
Annual serological and behavioral surveys were conducted in a population
based cohort. Thirty one community clusters were randomly selected from
three strata: trading centers (TCs) on main roads, trading villages
(TVs) on secondary roads, and agricultural villages (AVs) off-roads. In
1990, serological data were available for both members of 83 discordant
couples aged 13-49 years. RESULTS: The female was the seropositive
member in 35 (42%) of the 83 couples. There was marked variation in the
gender of the seropositive partner by place of residence. The female was
the positive partner in 17/30 (57%) of TC couples, 12/23 (52%) of TV
couples, and in only 6/30 (20%) of AV couples (P < 0.05). These
differences suggest that in TCs women are at high risk of introducing
infection in the couple, whereas men are the predominant source of new
infections in rural village couples. A noteworthy finding was that if
the husband was negative and the wife seropositive, condom use was
17.1%; whereas if the male was HIV positive and the female negative
condom use was only 6.8%. CONCLUSION: The gender-specific source of
infection into a family varies between communities. In the agricultural
villages, males appear to be the predominant source of new infections.
In addition preventive behaviors, may be associated with the gender of
the infected partner.
DE Adolescence Adult Cohort Studies Condoms/UTILIZATION Female Human
HIV Infections/PREVENTION & CONTROL/*TRANSMISSION HIV
Seropositivity/EPIDEMIOLOGY Male Middle Age Population Surveillance
Rural Population Sampling Studies Sex Factors Sexual Partners
Uganda/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).