Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants
Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants
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DOI：
10.1046/j.1365-3156.2003.01110.x
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发表时间：
2003-10-01
影响因子：
3.3
通讯作者：
Wakai, S
中科院分区：
文献类型：
--
作者：
Poudel, KC;Okumura, J;Wakai, S
目的测量人类免疫缺陷病毒（HIV）感染和梅毒的血清阳性率，并评估这些感染的行为危险因素之间的移民，返回者和非移民在遥远的西部Nepal.Methods在2001年4月，我们招募了97名男性移民，返回者和40名非移民从5个农村村庄在多蒂区迁移到孟买是常见的。为了收集数据，我们进行了艾滋病毒和梅毒的血清学检查，艾滋病毒和其他性传播infections.Results的认知和行为调查，我们发现，11 137名男性（8%）为艾滋病毒感染阳性，30名男性（22%）为梅毒。受访者，特别是从孟买的移民，归国人员，从事危险的行为，如婚前或婚外性行为，与多个合作伙伴，包括性workers.Conclusions性行为，这项研究揭示了高艾滋病毒和梅毒的男性移民，归国人员和非移民在遥远的尼泊尔西部迁移到孟买是常见的。流行的行为，特别是在移民-回返者中流行的行为，意味着迫切需要在这一领域实施行为改变方案，以防止艾滋病毒感染向一般人口蔓延。
Objective To measure the seroprevalence of human immunodeficiency virus (HIV) infection and syphilis, and to assess the behavioural risk factors for these infections among migrant-returnees and non-migrants in far western Nepal.Methods In April 2001, we recruited 97 male migrant-returnees and 40 non-migrants from five rural villages in Doti district where migration to Mumbai is common. For data collection, we conducted a serological examination for HIV and syphilis, and a perception and behaviour survey on HIV and other sexually transmitted infections.Results We found that 11 of 137 men (8%) were positive for HIV infection and 30 men (22%) for syphilis. The respondents, especially the migrant-returnees from Mumbai, were engaging in risky behaviours such as pre- or extramarital sex, and sex with multiple partners, including sex workers.Conclusions This study revealed high HIV and syphilis prevalence among the male migrant-returnees and non-migrants in far western Nepal where migration to Mumbai is common. The prevalent behaviours, particularly among the migrant-returnees, imply urgent needs of the behavioural modification programme in this area to prevent the spread of HIV infection to general population.