Changalucha J, Gavyole A, Grosskurth H, Hayes R, Mabey D
National Institute for Medical Research, Mwanza, Tanzania.
Sex Transm Infect. 2002 Apr;78 Suppl 1(Suppl 1):i91-6. doi: 10.1136/sti.78.suppl_1.i91.
The social determinants and epidemiology of sexually transmitted disease (STD) were studied in rural communities in Mwanza Region, Tanzania, in the context of the phase specific model of STD transmission. The prevalence of HIV and syphilis was higher in communities close to main roads, and lower in communities living on islands in Lake Victoria, probably reflecting the proportion of high risk individuals in the population. The prevalence of Herpes simplex virus type 2 infection, gonorrhoea, chlamydial infection, and trichomoniasis was similar in all types of community, reflecting the fact that these infections remain in the hyperendemic phase. The transmission of STDs is fuelled by high population mobility and by the presence of high risk individuals in rural as well as roadside communities.
在坦桑尼亚姆万扎地区农村社区，结合性传播疾病（STD）传播的阶段特异性模型，对STD的社会决定因素和流行病学进行了研究。靠近主要道路的社区中艾滋病毒和梅毒的患病率较高，而生活在维多利亚湖岛屿上的社区患病率较低，这可能反映了人群中高危个体的比例。2型单纯疱疹病毒感染、淋病、衣原体感染和滴虫病在所有类型社区中的患病率相似，这反映出这些感染仍处于高度流行阶段。STD的传播因人口高度流动以及农村和路边社区中高危个体的存在而加剧。
