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HIV and syphilis prevalence and associated risk factors among fishing communities of Lake Victoria, Uganda.

机译：乌干达维多利亚湖捕鱼社区中的艾滋病毒和梅毒患病率及相关危险因素。

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OBJECTIVES: Recent publications suggest that fishing populations may be highly affected by the HIV epidemic. However, accurate data are scarce. The authors determined HIV and syphilis prevalence and associated risk factors in a fishing population of Lake Victoria in Uganda. METHODS: 10,188 volunteers aged >/= 13 years from a census carried out in five fishing communities between February and August 2009 were invited to attend central study clinics established in each community. After informed consent, 2005 randomly selected volunteers responded to socio-demographic and risk assessment questions, provided blood for HIV testing and 1618 volunteers were also tested for syphilis. Risk factors were analysed using logistic regression. RESULTS: HIV and active syphilis (rapid plasma reagin titre >/= 1:8) prevalences were 28.8% (95% CI 26.8 to 30.8) and 4.3% (95% CI 3.3 to 5.4), respectively, and high risk sexual behaviour was frequently reported. HIV prevalence was independently associated with female sex, increasing age, occupation (highest in fishermen), relationship to household head, self-reported genital sores and knowledge of an HIV infected partner. Alcohol consumption, syphilis and sexually transmitted infections (STIs) reported by health workers were associated with HIV in women, and genital discharge and inconsistent condom use in men. Syphilis prevalence was independently associated with age and alcohol consumption in women, and recent genital sores and sex under the influence of drugs in men. CONCLUSION: This fishing population characterised by a very high HIV prevalence, high syphilis prevalence and frequently reported sexual risk behaviours, urgently needs improved STI services and targeted behavioural interventions.
机译：目的：最近的出版物表明，捕鱼人口可能受到艾滋病毒流行的严重影响。但是，缺乏准确的数据。作者确定了乌干达维多利亚湖捕鱼人口中的艾滋病毒和梅毒患病率以及相关的危险因素。方法：邀请2009年2月至2009年8月在五个捕捞社区进行的普查年龄大于等于13岁的10188名志愿者参加在每个社区建立的中心研究诊所。获得知情同意后，2005年随机选择的志愿者回答了社会人口统计学和风险评估问题，提供了血液用于HIV检测，还对1618名志愿者进行了梅毒测试。使用逻辑回归分析风险因素。结果：HIV和活动性梅毒（快速血浆血红蛋白滴度> / = 1：8）的患病率分别为28.8％（95％CI 26.8至30.8）和4.3％（95％CI 3.3至5.4），高危性行为为经常报道。艾滋病毒的流行与女性，年龄增长，职业（渔民中最高），与户主的关系，自我报告的生殖器疮和对艾滋病毒感染者的了解等独立相关。卫生工作者报告的饮酒，梅毒和性传播感染（STIs）与女性的艾滋病毒有关，男性的生殖器分泌物和安全套使用不一致。梅毒的患病率与妇女的年龄和饮酒量有关，而在男性的药物影响下，最近的生殖器疮和性别也与吸烟有关。结论：该捕捞人群的特点是艾滋病毒感染率很高，梅毒感染率很高并且经常报告性危险行为，因此迫切需要改善性传播感染服务和针对性的行为干预措施。

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