Individual level injection history: a lack of association with HIV incidence in rural Zimbabwe

It has recently been argued that unsafe medical injections are a major transmission route of HIV infection in the generalised epidemics of sub-Saharan Africa. We have analysed the pattern of injections in relation to HIV incidence in a population cohort in Manicaland in a rural area of Zimbabwe. In...

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Bibliographic Details
Published in:PLoS medicine 2005-02, Vol.2 (2), p.e37
Main Authors: Lopman, Ben A, Garnett, Geoff P, Mason, Peter R, Gregson, Simon
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cohort Studies
Confidence intervals
Disease transmission
Epidemics
Female
HIV
HIV Infection/AIDS
HIV Infections - epidemiology
HIV Infections - etiology
HIV/AIDS
Human immunodeficiency virus
Humans
Incidence
Infections
Injections - adverse effects
Interviews
Male
Medicine in Developing Countries
Middle Aged
Population
Pregnancy
Qualitative research
Risk Factors
Rural areas
Rural Population
Sexually transmitted diseases
STD
Zimbabwe - epidemiology
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Summary:It has recently been argued that unsafe medical injections are a major transmission route of HIV infection in the generalised epidemics of sub-Saharan Africa. We have analysed the pattern of injections in relation to HIV incidence in a population cohort in Manicaland in a rural area of Zimbabwe. In Poisson regression models, injections were not found to be associated with HIV in males (rate ratio = 0.33; 95% confidence interval: 0.07 to 1.46) or females (rate ratio = 1.04; 95% confidence interval: 0.59 to 1.85). It is important that unsafe medical injections can be confidently excluded as a major source of HIV infection. In rural Zimbabwe the evidence is that they can.
ISSN:1549-1676
1549-1277
1549-1676
DOI:10.1371/journal.pmed.0020037