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Prevalence and determinants of HIV and sexually transmitted infections in a general population-based sample in Mysore district, Karnataka state, southern India.
AIDS. 2008 Dec; 22 Suppl 5:S117-25.AIDS

Abstract

OBJECTIVES

To estimate HIV and sexually transmitted infection (STI) prevalence within the general population of Mysore district, and to examine differences in the distribution of risk factors associated with HIV prevalence stratified by sex.

METHODS

A community-based study was conducted in Mysore, Karnataka state, southern India, between October 2005 and November 2006; final sample size 4653. A face-to-face interview was conducted, and blood and urine specimens collected to measure HIV and STI prevalences. Risk factors for HIV among men and women were examined using weighted and clustered logistic regression.

RESULTS

Weighted HIV prevalence was 0.8% [95% confidence interval (CI) 0.52-1.09] overall and 0.7% (0.35-1.08) and 0.9% (0.51-1.37) in rural and urban populations, respectively. The prevalence of syphilis, gonorrhoea and chlamydial infection was 2.8% for men and 1.8% for women. In multivariate analysis, higher HIV prevalence was associated with ever having used a condom [odds ratio (OR) 2.75, 95% CI 1.01-7.47] and number of lifetime partners for men (OR 6.9, 95% CI 2.18-21.91). For women, HIV infection was associated with condom use at last sexual intercourse (OR 10.51, 95% CI 2.05-53.79), number of lifetime partners and reporting 'don't know' for whether ever had anal sex (OR 9.10, 95% CI 1.14-72.34).

CONCLUSIONS

HIV prevalence in the general population of Mysore was found to be comparable to recent prevalence estimates for Karnataka state, and also similar to recent prevalence estimates from antenatal clinic attenders for the district. Few modifiable risk factors for HIV infection were identified. There is evidence from this study that high-risk behaviour may have been underreported, but the prevalence of STI was generally low.

Authors+Show Affiliations

Department of HIV and Sexually Transmitted Infections, Centre for Infections (CfI), Health Protection Agency and London School of Hygiene, London, UK. helen.munro@hotmail.co.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19098472

Citation

Munro, Helen L., et al. "Prevalence and Determinants of HIV and Sexually Transmitted Infections in a General Population-based Sample in Mysore District, Karnataka State, Southern India." AIDS (London, England), vol. 22 Suppl 5, 2008, pp. S117-25.
Munro HL, Pradeep BS, Jayachandran AA, et al. Prevalence and determinants of HIV and sexually transmitted infections in a general population-based sample in Mysore district, Karnataka state, southern India. AIDS. 2008;22 Suppl 5:S117-25.
Munro, H. L., Pradeep, B. S., Jayachandran, A. A., Lowndes, C. M., Mahapatra, B., Ramesh, B. M., Washington, R., Jagannathan, L., Mendonca, K., Moses, S., Blanchard, J. F., & Alary, M. (2008). Prevalence and determinants of HIV and sexually transmitted infections in a general population-based sample in Mysore district, Karnataka state, southern India. AIDS (London, England), 22 Suppl 5, S117-25. https://doi.org/10.1097/01.aids.0000343770.92949.0b
Munro HL, et al. Prevalence and Determinants of HIV and Sexually Transmitted Infections in a General Population-based Sample in Mysore District, Karnataka State, Southern India. AIDS. 2008;22 Suppl 5:S117-25. PubMed PMID: 19098472.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and determinants of HIV and sexually transmitted infections in a general population-based sample in Mysore district, Karnataka state, southern India. AU - Munro,Helen L, AU - Pradeep,Banandur S, AU - Jayachandran,A Ayyanat, AU - Lowndes,Catherine M, AU - Mahapatra,Bidhubhusan, AU - Ramesh,Banadakoppa M, AU - Washington,Reynold, AU - Jagannathan,Latha, AU - Mendonca,Kevin, AU - Moses,Stephen, AU - Blanchard,James F, AU - Alary,Michel, PY - 2008/12/23/entrez PY - 2009/1/7/pubmed PY - 2009/2/21/medline SP - S117 EP - 25 JF - AIDS (London, England) JO - AIDS VL - 22 Suppl 5 N2 - OBJECTIVES: To estimate HIV and sexually transmitted infection (STI) prevalence within the general population of Mysore district, and to examine differences in the distribution of risk factors associated with HIV prevalence stratified by sex. METHODS: A community-based study was conducted in Mysore, Karnataka state, southern India, between October 2005 and November 2006; final sample size 4653. A face-to-face interview was conducted, and blood and urine specimens collected to measure HIV and STI prevalences. Risk factors for HIV among men and women were examined using weighted and clustered logistic regression. RESULTS: Weighted HIV prevalence was 0.8% [95% confidence interval (CI) 0.52-1.09] overall and 0.7% (0.35-1.08) and 0.9% (0.51-1.37) in rural and urban populations, respectively. The prevalence of syphilis, gonorrhoea and chlamydial infection was 2.8% for men and 1.8% for women. In multivariate analysis, higher HIV prevalence was associated with ever having used a condom [odds ratio (OR) 2.75, 95% CI 1.01-7.47] and number of lifetime partners for men (OR 6.9, 95% CI 2.18-21.91). For women, HIV infection was associated with condom use at last sexual intercourse (OR 10.51, 95% CI 2.05-53.79), number of lifetime partners and reporting 'don't know' for whether ever had anal sex (OR 9.10, 95% CI 1.14-72.34). CONCLUSIONS: HIV prevalence in the general population of Mysore was found to be comparable to recent prevalence estimates for Karnataka state, and also similar to recent prevalence estimates from antenatal clinic attenders for the district. Few modifiable risk factors for HIV infection were identified. There is evidence from this study that high-risk behaviour may have been underreported, but the prevalence of STI was generally low. SN - 1473-5571 UR - https://www.unboundmedicine.com/medline/citation/19098472/Prevalence_and_determinants_of_HIV_and_sexually_transmitted_infections_in_a_general_population_based_sample_in_Mysore_district_Karnataka_state_southern_India_ L2 - https://doi.org/10.1097/01.aids.0000343770.92949.0b DB - PRIME DP - Unbound Medicine ER -