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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Urogenital schistosomiasis in women of reproductive age in Tanzania's Lake Victoria region
American Journal of Tropical Medicine and Hygiene, Volume 84, No. 3, Year 2011
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Description
We conducted a community-based study of 457 women aged 18 - 50 years living in eight rural villages in northwest Tanzania. The prevalence of female urogenital schistosomiasis (FUS) was 5% overall but ranged from 0% to 11%. FUS was associated with human immunodeficiency virus (HIV) infection (odds ratio [OR] = 4.0, 95% confidence interval [CI] = 1.2 - 13.5) and younger age (OR = 5.5 and 95% CI = 1.2 - 26.3 for ages < 25 years and OR = 8.2 and 95% CI = 1.7 - 38.4 for ages 25 - 29 years compared with age > 35 years). Overall HIV prevalence was 5.9% but was 17% among women with FUS. We observed significant geographical clustering of schistosomiasis: northern villages near Lake Victoria had more Schistosoma mansoni infections (P < 0.0001), and southern villages farther from the lake had more S. haematobium (P = 0.002). Our data support the postulate that FUS may be a risk factor for HIV infection and may contribute to the extremely high rates of HIV among young women in sub-Saharan Africa. Copyright © 2011 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Downs, Jennifer Alzos
United States, New York
Weill Cornell Medicine
Mguta, Charles
Tanzania, Mwanza
Catholic University of Health and Allied Sciences
Kaatano, Godfrey M.
Tanzania, Tanga
National Institute for Medical Research Tanga
Mitchell, Katrina B.
United States, New York
Weill Cornell Medical Center
Bang, Heejung
United States, New York
Weill Cornell Medicine
Simplice, Harusha
Tanzania
Sengerma District Hospital
Kalluvya, Samuel Elias
Tanzania, Mwanza
Bugando Medical Centre
Changalucha, John M.
Tanzania, Tanga
National Institute for Medical Research Tanga
Johnson, Warren D.
United States, New York
Weill Cornell Medicine
Fitzgerald, Daniel W.
United States, New York
Weill Cornell Medicine
Statistics
Citations: 169
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.4269/ajtmh.2011.10-0585
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Case-Control Study
Study Locations
Tanzania
Participants Gender
Female