The effect of HIV, behavioural change, and STD syndromic management on STD epidemiology in sub-Saharan Africa: simulations of Uganda

An assessment was made of how the HIV epidemic may have influenced sexually transmitted disease (STD) epidemiology in Uganda, and how HIV would affect the effectiveness of syndromic STD treatment programmes during different stages of the epidemic. The dynamic transmission model STDSIM was used to si...

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Bibliographic Details
Published in:Sexually transmitted infections 2002-04, Vol.78 (suppl 1), p.i55-i63
Main Authors: Korenromp, E L, Bakker, R, Gray, R, Wawer, M J, Serwadda, D, Habbema, J D F
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Civil war
Comorbidity
Computer Simulation
Developing Countries
Disease transmission
Epidemics
Epidemiologic Studies
Epidemiology
Female
Gonorrhea
Herpes viruses
HIV
HIV Infections - epidemiology
HIV Infections - mortality
HIV Infections - prevention & control
HIV/STD interactions
Human immunodeficiency virus
Humans
Male
Models, Statistical
Natural history
Penicillin
Prevalence
Risk-Taking
Rural areas
Sex industry
Sexual Behavior
sexual behaviour
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
Sexually Transmitted Diseases - transmission
Sexually Transmitted Diseases, Bacterial - epidemiology
Sexually Transmitted Diseases, Bacterial - prevention & control
Sexually Transmitted Diseases, Bacterial - transmission
Sexually Transmitted Diseases, Viral - epidemiology
Sexually Transmitted Diseases, Viral - prevention & control
Sexually Transmitted Diseases, Viral - transmission
Simulation
simulation models
STD
Symposium
Uganda
Uganda - epidemiology
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Summary:An assessment was made of how the HIV epidemic may have influenced sexually transmitted disease (STD) epidemiology in Uganda, and how HIV would affect the effectiveness of syndromic STD treatment programmes during different stages of the epidemic. The dynamic transmission model STDSIM was used to simulate the spread of HIV and four bacterial and one viral STD. Model parameters were quantified using demographic, behavioural, and epidemiological data from rural Rakai and other Ugandan populations. The findings suggest that severe HIV epidemics can markedly alter STD epidemiology, especially if accompanied by a behavioural response. Likely declines in bacterial causes of genital ulcers should be considered in defining policies on syndromic STD management in severe HIV epidemics.
ISSN:1368-4973
1472-3263
DOI:10.1136/sti.78.suppl_1.i55