Delaporte E, Buvé A, Nzila N, Goeman J, Dazza M C, Henzel D, Heyward W, St-Louis M, Piot P, Laga M
Institute of Tropical Medicine, Antwerp, Belgium.
J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Apr 15;8(5):511-5. doi: 10.1097/00042560-199504120-00012.
High-risk sexual behavior as risk factor for human T-cell lymphotropic virus type I (HTLV-I) infection was assessed in cross-sectional studies with 1,183 prostitutes and 1,166 pregnant women in Kinshasa, Zaire. Eighty six (7.3%) prostitutes were positive for HTLV-I. The seroprevalence among prostitutes from the regions along the equator was 12.7%, whereas among prostitutes from the other regions it ranged between 0 and 4.3%. In the prostitutes from the high-prevalence regions, but not in the prostitutes from the low-prevalence regions, HTLV-I infection was associated with increasing age [odds ratio (OR) = 1.1 per year increment], active syphilis (OR = 2.3), and human immunodeficiency virus (HIV) infection (OR = 2.0). Forty three (3.7%) pregnant women were HTLV-I seropositive. Among the women from low-prevalence regions, there was no significant difference in HTLV-I seroprevalence between prostitutes (4.3%) and pregnant women (3.5%). In a group of 409 prostitutes who were observed for a mean duration of 23 months, the incidence of HTLV-I infection was 0.7 per 100 women-years, whereas the incidence of HIV infection was 9.8 per 100 women-years. We conclude that in Kinshasa prostitution per se was not associated with an increased risk of HTLV-I infection.
在对扎伊尔金沙萨的1183名妓女和1166名孕妇进行的横断面研究中，评估了高危性行为作为人类嗜T淋巴细胞病毒I型（HTLV-I）感染的风险因素。86名（7.3%）妓女HTLV-I检测呈阳性。赤道沿线地区妓女的血清阳性率为12.7%，而其他地区妓女的血清阳性率在0至4.3%之间。在高流行率地区的妓女中，而非低流行率地区的妓女中，HTLV-I感染与年龄增长[优势比（OR）=每年增长1.1]、活动性梅毒（OR = 2.3）和人类免疫缺陷病毒（HIV）感染（OR = 2.0）相关。43名（3.7%）孕妇HTLV-I血清学检测呈阳性。在低流行率地区的女性中，妓女（4.3%）和孕妇（3.5%）的HTLV-I血清阳性率无显著差异。在一组平均观察期为23个月的409名妓女中，HTLV-I感染发病率为每100名女性年0.7例，而HIV感染发病率为每100名女性年9.8例。我们得出结论，在金沙萨，卖淫本身与HTLV-I感染风险增加无关。
