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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Effect of interventions to control sexually transmitted disease on the incidence of HIV infection in female sex workers
AIDS, Volume 15, No. 11, Year 2001
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Description
Objective: To compare the seroincidence of HIV infection among female sex workers in Abidjan, Côte d'lvoire before and during an intervention study to control sexually transmitted diseases (STD) and to study the effect of two STD diagnosis and treatment strategies on the prevalence of STD and on the seroincidence of HIV infection. Method: A screening facility for STD and HIV had been available since October 1992 for female sex workers. From June 1994, women who were HIV seronegative or HIV-2 positive during the screening could enroll in the intervention study in which participants reported once a month to a confidential clinic where they received health education, condoms and STD treatment if indicated. Women in the study were randomized either to a basic STD diagnosis and treatment strategy, which included a gynecologic examination when symptomatic, or to an intensive strategy that included a gynecologic examination regardless of symptoms. An outcome assessment every 6 months included a gynecologic examination, HIV serology and laboratory tests for STD. Results: Of 542 women enrolled in the study, 225 (42%) had at least one outcome assessment. The HIV-1 seroincidence rate during the intervention study was significantly lower than before the study (6.5 versus 16.3 per 100 person-years; P = 0.02). During the study, the HIV-1 seroincidence rate was slightly lower in the intensive than in the basic strategy (5.3 versus 7.6 per 100 person-years; P = 0.5). Conclusion: National AIDS control programs should consider adopting as policy the type of integrated approach used in this intervention study for HIV prevention in female sex workers. © 2001 Lippincott Williams & Wilkins.
Authors & Co-Authors
Ghys, Peter Denis
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Switzerland, Geneva
Unaids
Diallo, Mamadou Otto
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Ettieg̀ne-Traoré, Virginie
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Satten, Glen A.
United States, Atlanta
Centers for Disease Control and Prevention
Anoma, Camille Kacou
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Maurice, Chantal E.
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Kadjo, Jean Claude
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
Coulibaly, Issa Malick
Cote D'ivoire, Abidjan
National Aids/std/tb Control Program
Wiktor, Stefan Zbyszko
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
United States, Atlanta
Centers for Disease Control and Prevention
Greenberg, Alan E.
Cote D'ivoire, Abidjan
Project Retro-ci Abidjan
United States, Atlanta
Centers for Disease Control and Prevention
Laga, Marie W.
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Statistics
Citations: 142
Authors: 11
Affiliations: 5
Identifiers
Doi:
10.1097/00002030-200107270-00012
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Participants Gender
Female