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Declining HIV Incidence Among Patients Attending Sexually Transmitted Infection Clinics in Pune, India
- Source :
- JAIDS Journal of Acquired Immune Deficiency Syndromes. 45:564-569
- Publication Year :
- 2007
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2007.
-
Abstract
- A recent report suggesting declining HIV transmission rates in southern India has been based on HIV seroprevalence data to estimate HIV incidence. We analyzed HIV incidence rates among 3 cohorts (male female non-sex worker female sex worker [FSW]) presenting to sexually transmitted infection (STI) clinics in Pune India over 10 years. Between 1993 and 2002 consenting HIV-uninfected individuals were enrolled in a prospective study of the risks for HIV seroconversion. Standardized HIV incidence estimates were calculated separately for the 3 cohorts. HIV acquisition risk declined by more than 70% for FSWs (P = 0.02) and men (P < 0.001) attending the STI clinics. There was no significant reduction in HIV incidence among women attending STI clinics (P = 0.74). The decline in HIV acquisition risk among male patients with STIs was associated with an increase in reported condom use with recent FSW contact and a decrease in genital ulcer disease. We report the first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time. The lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions. (authors)
- Subjects :
- Adult
Male
Safe Sex
Sexually transmitted disease
Population
India
HIV Infections
Women in development
law.invention
Cohort Studies
Condoms
Condom
Acquired immunodeficiency syndrome (AIDS)
Risk Factors
law
medicine
Humans
Pharmacology (medical)
Prospective Studies
Risk factor
education
education.field_of_study
business.industry
Incidence
Incidence (epidemiology)
virus diseases
medicine.disease
Sex Work
Genital ulcer
Infectious Diseases
HIV-2
Immunology
HIV-1
Regression Analysis
Female
medicine.symptom
business
Demography
Subjects
Details
- ISSN :
- 15254135
- Volume :
- 45
- Database :
- OpenAIRE
- Journal :
- JAIDS Journal of Acquired Immune Deficiency Syndromes
- Accession number :
- edsair.doi.dedup.....38849044d6ab8d9b0f4b53a87990c4da