hiv and sti prevalence and determinants among male migrant workers in india男性农民工的艾滋病和性病患病率和决定因素在印度.pdfVIP
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hiv and sti prevalence and determinants among male migrant workers in india男性农民工的艾滋病和性病患病率和决定因素在印度
HIV and STI Prevalence and Determinants among Male Migrant Workers in India 1 2 2 3 4 Sangeeta S. Dave *, Andrew Copas , John Richens , Richard G. White , Jayendrakumar K. Kosambiya , Vikas K. Desai4, Judith M. Stephenson1 1 Institute for Women’s Health, University College London, London, United Kingdom, 2 Centre for Sexual Health HIV Research, University College London, London, United Kingdom, 3 Department of Infectious Disease Epidemiology, London School of Hygiene Tropical Medicine, London, United Kingdom, 4 Department of Community Medicine, Government Medical College, Surat, Gujarat, India Abstract Background: Our objective was to estimate for the first time the prevalence and determinants of human immunodeficiency virus type 1 (HIV-1) and sexually transmitted infections (STIs) among male migrants in India. Methodology/Principal Findings: We conducted a multi-stage stratified probability sample survey of migrant (defined as not born in Surat city) men aged 18 to 49 years working in the diamond and textile industries in Surat city. Behavioural and biological data were collected. Biological data included laboratory diagnosed herpes simplex virus type 2 (HSV-2), syphilis, chlamydia, gonorrhoea, Trichomonas vaginalis (together defined as ‘any STI’) and HIV-1. Likely recently acquired STIs included chlamydia, gonorrhoea, T.vaginalis and syphilis with rapid plasma reagin $1:8. The response rate was 77% (845/ 1099). Among 841 participants, HIV-1 prevalence was 1.0%, ‘any STI’ prevalence was 9.5% and 38.9% of these STIs were likely to have been recently acquired. Being a diamond worker, Surat resident for 10+ years and recent antibiotic use were each associated with higher odds of ‘any STI’ (aORs 1.83 (9
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