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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Bacterial vaginosis and HIV acquisition: A meta-analysis of published studies
AIDS, Volume 22, No. 12, Year 2008
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Description
Objectives: To assess and summarize the published literature on the extent to which bacterial vaginosis may increase the risk of HIV acquisition. Design: Meta-analysis of published studies. Methods: Medline and other electronic databases were systematically searched for eligible publications. The association between bacterial vaginosis and incident HIV was separately analyzed from that between bacterial vaginosis and prevalent HIV. The latter was further analyzed, stratified by bacterial vaginosis diagnostic method, HIV risk profile of the study population, and whether or not adjusted estimates were presented. Results: Twenty-three eligible publications were identified, including a total of 30 739 women. Bacterial vaginosis was associated with an increased risk of HIV acquisition in HIV-incidence studies (relative risk = 1.6, 95% confidence interval: 1.2, 2.1). All but one of 21 HIV-prevalence studies reported estimates above the null. The latter results were heterogeneous and showed some evidence of funnel plot asymmetry, precluding the estimation of a single summary measure. The association between bacterial vaginosis and HIV in prevalence studies appeared stronger for women without high-risk sexual behavior. Conclusion: Bacterial vaginosis was consistently associated with an increased risk of HIV infection. High bacterial vaginosis prevalence may result in a high number of HIV infections being attributable to bacterial vaginosis. More prospective studies are needed to accurately evaluate the role of bacterial vaginosis in HIV acquisition in low-risk versus high-risk women. Furthermore, randomized clinical trials may be worth considering to determine the effect of bacterial vaginosis control measures on HIV acquisition. © 2008 Wolters Kluwer Health / Lippincott Williams & Wilkins.
Authors & Co-Authors
Atashili, Julius
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Cameroon, Yaounde
Université de Yaoundé I
Poole, Charles L.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Ndumbe, Peter Martins
Cameroon, Yaounde
Université de Yaoundé I
Adimora, Adaora A.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Smith, Jennifer Susan
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Citations: 574
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1097/QAD.0b013e3283021a37
e-ISSN:
14735571
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Systematic review
Participants Gender
Female