Differential of HIV prevalence in women and men who attended sexually transmitted disease clinics at HIV sentinel surveillance sites in Kenya, 1990–2001

Several studies in sub-Saharan Africa have reported that HIV prevalence in young women is higher than in young men. We used data from Kenya HIV sentinel surveillance conducted from 1990 to 2001 among sexually transmitted disease (STD) patients (15-49 years old) to investigate consistency of gender d...

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Bibliographic Details
Published in:International journal of STD & AIDS 2003-03, Vol.14 (3), p.193-196
Main Authors: JOESOEF, M. R, CHELUGET, B, MARUM, L. H, WANDERA, C, RYAN, C. A, DECOCK, K. M, CHEBET, K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
AIDS/HIV
Biological and medical sciences
Female
HIV Infections - complications
HIV Infections - epidemiology
HIV Infections - transmission
HIV-1
HIV-2
Human viral diseases
Humans
Infectious diseases
Kenya - epidemiology
Male
Marital Status
Medical sciences
Middle Aged
Prevalence
Regression Analysis
Risk Factors
Sentinel Surveillance
Sex Factors
Sexual Behavior
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - etiology
Tropical medicine
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Several studies in sub-Saharan Africa have reported that HIV prevalence in young women is higher than in young men. We used data from Kenya HIV sentinel surveillance conducted from 1990 to 2001 among sexually transmitted disease (STD) patients (15-49 years old) to investigate consistency of gender differentials over time and their risk factors. Of the 15,889 STD patients, the HIV prevalence ranged from 16.0% in 1990 to 41.8% in 1997. The odds ratios (ORs) of HIV infection for women compared to men decreased by age; women 15-24 years were nearly twice as likely as men of the same ages to be HIV infected (OR 1.7 [1.5-2.0]), but risk in those >44 years was almost equal (OR 0.8 [95% CI 0.7-1.2]). The odds of HIV infection for women compared to men were twice in unmarried patients (OR 2.1 [95% CI 1.8-2.3]). This association persisted after controlling for age groups or marital status, residence, level of education, and presence of STD syndromes. This pattern had been consistent over 12 years. Adolescent women with symptoms of STDs should be a focus for the HIV/STD intervention programmes because of their high risk for HIV.
ISSN:0956-4624
1758-1052
DOI:10.1258/095646203762869214