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M94A2537.TXT
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1994-10-25
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Document 2537
DOCN M94A2537
TI Rural HIV transmission in northern Nigeria.
DT 9412
AU Garba ML; FHI/AIDSCAP, Federal Republic of Nigeria.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):281 (abstract no. PC0045). Unique
Identifier : AIDSLINE ICA10/94370038
AB OBJECTIVE: To investigate the unexpectedly high reporting of rural AIDS
cases between January 1993 and November 1993 in Jigawa State, northern
Nigeria. METHODS: A chart review and interview of 81 patients admitted
into two general hospitals in Jigawa State, Nigeria between 1 January
1993 and 30 November 1993 were conducted. The demographic, social, and
geographic variables of patients were analyzed. RESULTS: Fifty-five out
of 81 (68%) of all cases were from remote/rural areas are between 25 and
40 years old. Almost all rural cases were from scattered settlements,
which are somewhat close to each other. Market-based casual sex
encounters with migrating prostitutes was a common factor in all rural
cases as was illiteracy and poor knowledge of AIDS and HIV transmission.
An additional difference between the rural and urban cases was the low
economic status of the rural cases. The 26 urban cases with a male to
female ration of 3:1 had different risk factors, notably heterosexual
and blood transfusion. CONCLUSIONS: 1. Marketplace commercial sex
activities by migrating prostitutes in northern Nigeria appears to be a
major factor for higher rates of HIV/AIDS transmission among the rural
populace when compared with urban dwellers. 2. All intervention
strategies should address the issue of migrating prostitutes who are
difficult to reach. In addition, intervention strategies should enhance
village-based educational campaigns. 3. Future efforts should address
the effect of migrating prostitutes on transmission to populations in
cross-border regions, including the Nigeria/Niger and Nigeria/Chad
borders. Such efforts will expand interventions beyond current political
boundaries.
DE Acquired Immunodeficiency Syndrome/TRANSMISSION Adult Female Human
HIV Infections/*TRANSMISSION Male Nigeria Prostitution Risk Factors
Rural Population MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).