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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The rate of TB-HIV co-infection depends on the prevalence of HIV infection in a community
BMC Public Health, Volume 8, Article 266, Year 2008
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Description
Background. A complex interaction exists between tuberculosis (TB) and human immunodeficiency virus (HIV) infection at an individual and community level. Limited knowledge about the rate of HIV infection in TB patients and the general population compromises the planning, resource allocation and prevention and control activities. The aim of this study was to determine the rate of HIV infection in TB patients and its correlation with the rate HIV infection in pregnant women attending antenatal care (ANC) in Southern Ethiopia. Methods. All TB patients and pregnant women attending health institutions for TB diagnosis and treatment and ANC were consecutively enrolled in 2004 - 2005. TB diagnosis, treatment and HIV testing were done according to the national guidelines. Blood samples were collected for anonymous HIV testing. We used univariate and multivariate logistic regression analysis to determine the risk factors for HIV infection and linear regression analysis to determine the correlation between HIV infection in TB patients and pregnant women. Results. Of the 1308 TB patients enrolled, 226 (18%) (95%CI: 15.8 - 20.0) were HIV positive. The rate of HIV infection was higher in TB patients from urban 25% (73/298) than rural areas 16% (149/945) [AOR = 1.78, 95%CI: 1.27-2.48]. Of the 4199 pregnant women attending ANC, 155 (3.8%) [95%CI: 3.2-4.4] were HIV positive. The rate of HIV infection was higher in pregnant women from urban (7.5%) (80/1066) than rural areas (2.5%) (75/3025) [OR = 3.19, 95% CI: 2.31-4.41]. In the study participants attending the same health institutions, the rate of HIV infection in pregnant women correlated with the rate of HIV infection in TB patients (R2 = 0.732). Conclusion. The rate of HIV infection in TB patients and pregnant women was higher in study participants from urban areas. The rate of HIV infection in TB patients was associated with the prevalence of HIV infection in pregnant women attending ANC. © 2008 Datiko et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Datiko, Daniel Gemechu
Ethiopia
Southern Nations
Norway, Bergen
Universitetet I Bergen
Yassin, Mohammed Ahmed
Ethiopia
Southern Nations
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Chekol, Luelseged T.
Ethiopia
Southern Nations
Kabeto, Lopisso E.
Ethiopia
Southern Nations
Lindtjörn, Bernt
Norway, Bergen
Universitetet I Bergen
Statistics
Citations: 89
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1186/1471-2458-8-266
e-ISSN:
14712458
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ethiopia
Participants Gender
Female