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安哥拉罗安达育龄妇女中艾滋病毒感染率意外偏低。战争能阻止艾滋病毒传播吗?

Unexpected low prevalence of HIV among fertile women in Luanda, Angola. Does war prevent the spread of HIV?

作者信息

Strand R T, Fernandes Dias L, Bergström S, Andersson S

机构信息

Division of International Health, Karolinska Institutet, Stockholm, Sweden.

出版信息

Int J STD AIDS. 2007 Jul;18(7):467-71. doi: 10.1258/095646207781147300.

Abstract

We studied HIV prevalence and risk factors for HIV infection among fertile women in Luanda for the purposes of obtaining background data for planning of interventions as well as to look into the association of armed conflicts and HIV prevalence in sub-Saharan Africa. The HIV-1 prevalence was 1.7% in an antenatal care group (n = 517) and 1.9% in a family planning group (n = 518). Socioeconomic and sexual background factors did not significantly differ HIV-positive from HIV-negative women. Data on armed conflict factors were matched with HIV prevalence figures among pregnant women in sub-Saharan Africa. The level of armed conflicts was found to be inversely related to HIV prevalence. The low HIV seroprevalence in Luanda is in sharp contrast to the capitals of neighbouring countries. While the spread of HIV may have been hampered by the long armed conflict in the country, it is feared to increase rapidly with the return of soldiers and refugees in a post-war situation. The challenge for preventive actions is urgent. This example may be relevant to other areas with a recent end-of-war situation.

摘要

我们研究了罗安达育龄妇女中的艾滋病毒流行情况及艾滋病毒感染的风险因素,目的是获取干预措施规划的背景数据,并探究撒哈拉以南非洲武装冲突与艾滋病毒流行率之间的关联。在一个产前护理组(n = 517)中,艾滋病毒-1流行率为1.7%,在一个计划生育组(n = 518)中为1.9%。社会经济和性背景因素在艾滋病毒阳性和阴性妇女之间没有显著差异。将武装冲突因素的数据与撒哈拉以南非洲孕妇中的艾滋病毒流行率数据进行了匹配。结果发现武装冲突程度与艾滋病毒流行率呈负相关。罗安达艾滋病毒血清流行率较低,这与邻国首都形成鲜明对比。虽然该国长期的武装冲突可能阻碍了艾滋病毒的传播,但人们担心在战后局势中,随着士兵和难民的返回,艾滋病毒感染率会迅速上升。采取预防行动的挑战迫在眉睫。这个例子可能与其他近期处于战争结束状态的地区相关。

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