Unexpected low prevalence of HIV among fertile women in Luanda, Angola.: Does war prevent the spread of HIV?
Unexpected low prevalence of HIV among fertile women in Luanda, Angola.: Does war prevent the spread of HIV?
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DOI：
10.1258/095646207781147300
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发表时间：
2007-07-01
影响因子：
1.4
通讯作者：
Andersson, S.
中科院分区：
文献类型：
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作者：
Strand, R. T.;Dias, L. Fernandes;Andersson, S.
我们研究了罗安达育龄妇女的艾滋病毒流行率和感染艾滋病毒的风险因素，目的是为规划干预措施获得背景数据，并研究撒哈拉以南非洲武装冲突与艾滋病毒流行率的关系。HIV-1感染率在产前保健组（n = 517）为1.7%，在计划生育组（n = 518）为1.9%。社会经济和性背景因素没有显着差异，艾滋病毒阳性的艾滋病毒阴性的妇女。关于武装冲突因素的数据与撒哈拉以南非洲孕妇艾滋病毒感染率数字相匹配。研究发现，武装冲突的程度与艾滋病毒的流行率成反比。罗安达的艾滋病毒血清阳性率低，与邻国首都形成鲜明对比。虽然该国长期的武装冲突可能阻碍了艾滋病毒的传播，但人们担心，在战后局势下，随着士兵和难民的返回，艾滋病毒的传播会迅速增加。采取预防行动的挑战是紧迫的。这一例子可能与最近出现战争结束情况的其他地区有关。
We studied HIV prevalence and risk factors for HIV infection among fertile women in Luanda for the purposes of obtaining background data for planning of interventions as well as to look into the association of armed conflicts and HIV prevalence in sub-Saharan Africa. The HIV-1 prevalence was 1.7% in an antenatal care group (n = 517) and 1.9% in a family planning group (n = 518). Socioeconomic and sexual background factors did not significantly differ HIV-positive from HIV-negative women. Data on armed conflict factors were matched with HIV prevalence figures among pregnant women in sub-Saharan Africa. The level of armed conflicts was found to be inversely related to HIV prevalence. The low HIV seroprevalence in Luanda is in sharp contrast to the capitals of neighbouring countries. While the spread of HIV may have been hampered by the long armed conflict in the country, it is feared to increase rapidly with the return of soldiers and refugees in a post-war situation. The challenge for preventive actions is urgent. This example may be relevant to other areas with a recent end-of-war situation.