Mukanyangezi M F, Manzi O, Tobin G, Rulisa S, Bienvenu E, Giglio D
Department of Pharmacology, University of Gothenburg, Gothenburg, Sweden.
College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Epidemiol Infect. 2018 Dec 3;147:e54. doi: 10.1017/S0950268818003023.
Here we wanted to assess whether sexual risk behaviour differs dependent by human immunodeficiency virus (HIV) status by following 100 HIV- and 137 HIV+ women recruited at two university teaching hospitals in Rwanda. Women were tested for sexually transmitted infections (STIs; trichomoniasis, syphilis, hepatitis B and C) and for reproductive tract infections (RTIs; candidiasis, bacterial vaginosis (BV)) and were interviewed at baseline and 9 months later. BV was the most prevalent infection, while syphilis was the most common STI with a 9-month incidence of 10.9% in HIV+ women. Only 24.5% of women positive for any RTI/STI contacted their health facility and got treatment. More HIV- women than HIV+ women had had more than one sexual partner and never used condoms during the follow-up period. The use of condoms was affected neither by marital status nor by concomitant STIs besides HIV. Our data highlight the importance of public education regarding condom use to protect against STIs in an era when HIV no longer is a death sentence.
在此，我们希望通过对卢旺达两家大学教学医院招募的100名未感染人类免疫缺陷病毒（HIV）的女性和137名感染HIV的女性进行跟踪研究，来评估性行为风险行为是否因HIV感染状况而异。对这些女性进行了性传播感染（STIs；滴虫病、梅毒、乙型和丙型肝炎）以及生殖道感染（RTIs；念珠菌病、细菌性阴道病（BV））检测，并在基线时和9个月后进行了访谈。BV是最普遍的感染，而梅毒是最常见的性传播感染，在感染HIV的女性中9个月发病率为10.9%。任何RTI/STI检测呈阳性的女性中，只有24.5%的人联系了医疗机构并接受了治疗。在随访期间，未感染HIV的女性比感染HIV的女性有更多性伴侣且从未使用过避孕套。除了HIV之外，避孕套的使用既不受婚姻状况影响，也不受合并感染的性传播感染影响。我们的数据凸显了在HIV不再是绝症的时代，开展关于使用避孕套预防STIs的公众教育的重要性。
