Bulterys M, Chao A, Saah A, Dushimamana A, Habimana P, Hoover D, Shea M, Duerr A; International Conference on AIDS.
Int Conf AIDS. 1990 Jun 20-23; 6: 269 (abstract no. Th.C.576).
Johns Hopkins University, Baltimore, MD, USA
OBJECTIVE: To study risk factors associated with HIV seropositivity among rural and urban pregnant Rwandan women. METHODS: Upon consent, 357 pregnant women--193 seen at a rural and 164 seen at an urban health center Nov-Dec 1989-- were tested for HIV antibodies. A detailed questionnaire of sociodemographic variables, health habits, sexual and reproductive history and traditional practices, was administered by trained nurses. RESULTS: 8 rural women (4%) and 33 urban women (20%) were HIV seropositive. Among women with a household income below US $50 per month (82% of the sample), the prevalence odds ratio (POR) was 12.1 (95%CI:3.5-41) for urban vs. rural women. History of genital ulcers (HGU), five or more injections in the past 3 years (INJ) and having had sex for money were significant risk factors for HIV infection. The below table indicates that HGU and INJ may be more important risk factors for rural women than for urban women. TABULAR DATA, SEE ABSTRACT VOLUME. Other factors tending to be more strongly associated with HIV seropositivity in rural than in urban women include: low parity and intake of traditional medicines during the pregnancy. CONCLUSION: Our results suggest potential areas of intervention among the rural population of Rwanda in order to prevent further spread of the HIV-1 epidemic to a level similar to that of the urban population.
Publication Types:
Keywords:
- Female
- HIV Antibodies
- HIV Infections
- HIV Seropositivity
- HIV-1
- Humans
- Pregnancy
- Prevalence
- Risk Factors
- Rural Population
- Rwanda
- Urban Health
- Urban Population
Other ID:
UI: 102182165
From Meeting Abstracts