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Document 2767
DOCN M94A2767
TI Effect of HIV-1 infection on population growth in rural Rakai District,
Uganda.
DT 9412
AU Sewankambo NK; Wawer MJ; Gray RH; Serwadda D; Li C; Konde-Lule J; Lainjo
B; Uganda Virus Research Institute, Entebbe.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):23 (abstract no. 067C). Unique
Identifier : AIDSLINE ICA10/94369808
AB OBJECTIVE: To examine the impact of HIV-1 on population growth in rural
Rakai district, Uganda. METHODS: One year followup (1990-1991) of a
population-based open cohort. All consenting residents from 1945
households in 31 randomly selected community clusters responded annually
to a KAP questionnaire, and underwent serological testing and a limited
health exam. Births and deaths in the households were recorded during
annual enumeration. RESULTS: Based on cohort results, HIV prevalence in
district adults was projected to be 12.6% in 1990. Extrapolated from the
cohort, the estimated district crude death rate was 28.1 per 1000
population, compared to an overall crude birth rate of 45.7 per 1000
population. Only 16.9% of HIV infected women reported having a birth in
the intersurvey period, compared to 21.3% for HIV uninfected women (RR =
0.7, CI 0.5-1.0). The IMR among children of HIV infected women was 210
per 1000 live births, compared to 112 per 1000 live births for children
of uninfected women. Extrapolated from cohort data, the annual rate of
natural population increase in the presence of HIV infection remained at
17.6 per 1000 population in the district. It is estimated that in the
absence of HIV infection the rate of natural increase would be 25.3 per
1000 population. CONCLUSION: Despite high HIV seroprevalence and HIV
related mortality in Rakai, there is continued population growth.
DE Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*MORTALITY Birth Rate
Cohort Studies Human *HIV-1 Knowledge, Attitudes, Practice Mortality
*Population Growth Prevalence Rural Population Sampling Studies
Uganda/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).