Prevalence of HIV and syphilis among high-risk groups in Bangladesh

Azim, Tasnim; Islam, Nazrul; Bogaerts, J; Mian, Mohammad; Sarker, Supta; Fattah, Kazi R.; Simmonds, Peter; Jenkins, Carol; Choudhury, Mahmud R.; Mathan, Vadakenadayil I.

doi:10.1097/00002030-200001280-00022

Cited by 49 publications

(32 citation statements)

References 5 publications

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“…These rates were considerably higher than those reported in the general population of Bangladesh 17,18 but were lower compared with high-risk groups such as sex workers and injecting drug users. [19][20][21][22] Sexual and other risky behaviors related to STI/HIV infection were also high in this population and found consistent with other studies. A Kenyan study reported that 78% of the adolescent girls and 59% of the boys living in close proximity to a truck stand exchanged money or gifts for sex, often with truck drivers.…”

Section: Discussionsupporting

confidence: 88%

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Alam

Rahman²,

Gausia

et al. 2007

Sexually Transmitted Diseases

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Objective-This study was conducted to determine the prevalence of selected sexually transmitted infections (STIs) and their risk factors among workers in and near a truck stand in Dhaka, Bangladesh.Study Design-A random sample of 696 men and 206 women were recruited into a cross-sectional study using a census that enumerated transport agents, motor mechanics, laborers, and vendors in Tejgaon truck stand.Results-The prevalence rates of syphilis (rapid plasma reagin and Treponema pallidum hemagglutination), gonorrhea (polymerase chain reaction [PCR]), and chlamydial infections (PCR) among men were 4.1%, 7.7%, and 2.3%, respectively, and among women were 2.9%, 8.3%, and 5.2%. Multivariable analysis revealed that having ≥2 sex partners in the last month, never using a condom with sex workers, and ever injecting narcotics were significant predictors of STI among men. Being never married, working as a laborer, older age, and living within the truck stand were significant predictors of practicing high-risk behaviors among men, but none predicted infection with STIs.Conclusions-Both behavioral and STI data suggest that truck stand workers should be included in the STI/HIV intervention programs.Long distance truckers and their helpers are considered at especially high risk for contracting sexually transmitted infections (STIs). 1,2 Their role as a bridge population between high-risk persons and the general population for transmitting STI/HIV has long been recognized. [3][4][5][6][7][8] Men and women working in a truck stand as transport agents or other occupations and living in, or in close proximity of, truck stands may be at higher risk for STI/HIV because of possible sexual mixing among truck drivers, sex workers, and those persons working/living in truck stand setting. 3,9,10 Copyright © 2007, American Sexually Transmitted Diseases Association All rights reserved. Materials and Methods Study Design, Site, and PopulationWe conducted a cross-sectional study among adult men aged 15 to 55 years and women aged 15 to 49 years working in the Tejgaon truck stand of Dhaka, the capital city of Bangladesh. The target population included individuals working as transport agents, motor mechanics, laborers, and small vendors in the truck stop for more than 3 months before the time of the study, but excluded truck drivers and their helpers. We identified 1649 men and 423 women working in the truck stand through a 2000 census in this community. A random sample of 839 men and 236 women was selected using probability sampling. Approval of the study was obtained from the ICDDR,B: Centre for Health and Population Research, Bangladesh ethical review committee. Data CollectionStudy interviewers visited the workplaces and/or residences of all selected subjects and invited them to our clinics to participate. Written informed consent was obtained from each enrolled subject. Sociodemographic and behavioral information were collected by same-sex interviewers using semistructured questionnaires. Trained physicians examined the participa...

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Section: Discussionsupporting

confidence: 88%

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Alam

Rahman²,

Gausia

et al. 2007

Sexually Transmitted Diseases

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“…Several similar studies also indicated that knowledge and awareness of STDs and HIV/aIDS reduce the risk of sexually transmitted infections [9][10][11][12][13][15][16][17][18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…HIV/aIDS is particularly prevalent in low and middle income countries; unaIDS estimated an 11% increase in aIDS-related deaths in Asia and the Pacific between 2000 and 2014 [2]. women and adolescents are the most vulnerable to STDs and HIV/AIDS [9][10][11][12].…”

mentioning

confidence: 99%

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Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Rana¹

2016

fmpcr

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Background. about 8,900 people are living with HIV/aIDS, and 1,000 aIDS-related deaths had been reported in Bangladesh by the end of 2014. Objectives. The study investigates the social determinants of awareness and behavior regarding STDs and HIV/aIDS among ever married women in Bangladesh. Material and methods. This cross-sectional research extracted data concerning 17,828 ever married women from the Bangladesh Demographic and Health Survey (BDHS) in 2014. The chi-square (χ 2 ) and multinomial logistic regression model were used to identify the factors associated with knowledge, awareness and behavior concerning STDs and HIV/aIDS. Results. Overall, 28.6% of examined ever married women have never heard of STDs or HIV/aIDS nor any of their prevention methods. also, only 15.6% of reported women were the decision makers regarding the use of contraception during sexual intercourse, and 91.3% of women had the capacity to refuse sexual contact with their STD-infected husband/partner. Women who belong to households classified as lower class (OR = 0.525, 95% CI = 0.461-0.598) or middle class (OR = 0.643, 95% CI = 0.564-0.733) had less comprehensive knowledge and awareness of STDs and HIV/AIDS than those categorized as upper class. Women at a level of education below secondary (OR = 0.200, 95% CI = 0.179-0.223) also had less comprehensive knowledge and awareness than highly educated women. Moreover, women living in an urban residence (OR = 1.141, 95% CI = 1.003-1.297) were more likely to make the decision of using contraception and (OR = 1.546, 95% CI = 1.351-1.770) more likely to refuse sexual contact with an STD-infected husband/partner than their rural counterparts. Formally unemployed women (OR = 0.894, 95% CI = 0.793-1.010) were less likely to refuse sexual intercourse with an STD-infected husband than employed women. Conclusions. Social determinants such as education, wealth and media exposure determine the level of knowledge and awareness and affect the behavior of women concerning STDs and HIV/aIDS.

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“…Four children with new E. histolytica infections developed dysentery and were treated for amebiasis with metronidazole. There is a low incidence of human immunodeficiency virus infection among high-risk groups in Dhaka (!3% in sex workers and injection drug users), so we did not test children for this disease [19]. Height and weight of the children were assessed by use of standard World Health Organization procedures [20].…”

Section: Methodsmentioning

confidence: 99%

Amebiasis and Mucosal IgA Antibody against theEntamoeba histolyticaAdherence Lectin in Bangladeshi Children

et al. 2001

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Amebiasis is the third leading parasitic cause of death worldwide, and it is not known whether immunity is acquired from a previous infection. An investigation was done to determine whether protection from intestinal infection correlated with mucosal or systemic antibody responses to the Entamoeba histolytica GalNAc adherence lectin. E. histolytica colonization was present in 0% (0/64) of children with and 13.4% (33/246) of children without stool IgA anti-GalNAc lectin antibodies (P= .001). Children with stool IgA lectin-specific antibodies at the beginning of the study had 64% fewer new E. histolytica infections by 5 months (3/42 IgA(+) vs. 47/227 IgA(-); P= .03). A stool antilectin IgA response was detected near the time of resolution of infection in 67% (12/18) of closely monitored new infections. It was concluded that a mucosal IgA antilectin antibody response is associated with immune protection against E. histolytica colonization. The demonstration of naturally acquired immunity offers hope for a vaccine to prevent amebiasis.

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Prevalence of HIV and syphilis among high-risk groups in Bangladesh

Cited by 49 publications

References 5 publications

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Amebiasis and Mucosal IgA Antibody against theEntamoeba histolyticaAdherence Lectin in Bangladeshi Children

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