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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Association between Schistosoma haematobium Exposure and Human Immunodeficiency Virus Infection among Females in Mozambique
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Association between Schistosoma haematobium Exposure and Human Immunodeficiency Virus Infection among Females in Mozambique

机译：莫桑比克女性血吸虫血吸虫暴露与人类免疫缺陷病毒感染的关系

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摘要

Recent evidence suggests an association between human immunodeficiency virus (HIV) and female genital schistosomiasis (FGS) in sub-Saharan Africa, especially in Mozambique, South Africa, Tanzania, and Zimbabwe. Women with FGS have increased numbers of HIV target cells and cell receptors in genital and blood compartments, potentially increasing the risk of HIV transmission per sexual exposure, and the association may explain the high female: male ratio of HIV prevalence unique to sub-Saharan Africa. We investigate this association in Mozambique by linking two georef-erenced, high-quality secondary data sources on HIV prevalence and Schistosoma haematobium: the AIDS Indicator Survey, and the Global Neglected Tropical Diseases (GNTD) open-source database, respectively. We construct a schistosomiasis exposure covariate indicating women reporting "unimproved" daily drinking water sources and living no more than 2-5 km from high-endemic global positioning system (GPS) coordinates in the GNTD. In logistic regression analyses predicting HIV-positive status, we show that exposure increases the odds of HIV-positive status by three times, controlling for demographic and sexual risk factors.
机译：最近的证据表明人类免疫缺陷病毒（HIV）和女性生殖器血吸虫病（FGS）在撒哈拉以南非洲，特别是在莫桑比克，南非，坦桑尼亚和津巴布韦之间的关联。患有FGS的女性在生殖器和血液隔室中增加了艾滋病毒靶细胞和细胞受体的数量，可能增加了每种性暴露的艾滋病毒传播风险，并且该协会可以解释高女性：艾哈拉非洲独有的高女性：艾滋病毒患病率的男性比例。我们通过将两种Geverf-Prevaliences和Schistosoma Haematobium联系起来，通过将两种Geverfred recence，高质量的二级数据来源联系起来，调查莫桑比克的协会：艾滋病指标调查，以及全球被忽视的热带疾病（GNTD）开源数据库。我们构建了血吸虫病暴露协变态，表明妇女报告的妇女报告“未提升”日常饮用水来源，距GNTD中的高处理全球定位系统（GPS）坐标不超过2-5公里。在预测艾滋病毒阳性状态的逻辑回归分析中，我们表明暴露将艾滋病毒阳性状态的几率提高了三次，控制人口统计和性风险因素。

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