The distribution of new HIV infections by mode of exposure in Morocco

Mumtaz, Ghina R.; Kouyoumjian, Silva P.; Hilmi, Nahla; Zidouh, Ahmed; Rhilani, Houssine El; Alami, Kamal; Bennani, Aziza; Gouws, Eleanor; Ghys, Peter D.; Abu‐Raddad, Laith J.

doi:10.1136/sextrans-2012-050844

Cited by 40 publications

(49 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The women likely acquired the infection from their spouses, an observation supported by the overall pattern of STIs in MENA 2 16. For example, although women are estimated to account for 9% of people engaged in high-risk behaviour in Morocco, they contribute to about 50% of new HIV infections 22. Similarly, 97%23 and 76%24 25 of notified HIV-infected women in Saudi Arabia and Iran, respectively, have acquired the infection from their husbands.…”

Section: Discussionmentioning

confidence: 87%

Prevalence ofChlamydia trachomatisinfection in the general population of women in Qatar

et al. 2013

Self Cite

View full text Add to dashboard Cite

ObjectivesThe Arabian Gulf region has limited epidemiological data related to sexually transmitted infections. The objective of this study was to estimate the prevalence of Chlamydia trachomatis infection among general population women in Doha, Qatar.MethodsEndocervical swabs were collected from healthy women attending primary healthcare centres in Doha, June–December 2008. The specimens were tested for C trachomatis by a commercially available PCR-based assay. Data on basic socio-demographic characteristics, medical history and sexual behaviour were obtained using self-administered questionnaires. The prevalence of C trachomatis and of background variables were stratified by nationality, Qatari nationals versus non-Qatari residents.ResultsA total of 377 women were enrolled in the study, out of whom 351 (37.9% Qataris, 62.1% non-Qataris) were tested for the presence of C trachomatis in their specimens. The mean age of participants was 41.2 years, and the vast majority (93%, 95% CI 90.3 to 95.7) were married. The mean age at sexual debut was significantly lower among Qatari women compared with non-Qatari women (19.2 vs 22.2 years, respectively p<0.001), but the mean number of reported lifetime sexual partners (1.1 partner) was nearly the same in both groups (p=0.110). The prevalence of C trachomatis infection was 5.3% among Qatari women and 5.5% among non-Qatari women, with no statistically significant difference between both groups (p=0.923).ConclusionsThe prevalence of C trachomatis among women was higher than expected, with no significant difference between Qatari nationals and expatriate residents. The higher prevalence may reflect, in part, the limited access to and use of chlamydia screening and management.

show abstract

Section: Discussionmentioning

confidence: 87%

Prevalence ofChlamydia trachomatisinfection in the general population of women in Qatar

et al. 2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…Meanwhile, the MoT model 10 estimated 3447 new HIV infections with a range of 2500–4400 in 2010. 4,5 …”

Section: Resultsmentioning

confidence: 99%

“…4,5 Women are exposed to HIV through their infected husbands or partners who are usually unaware of their infections. 52 The acquisition of STIs was also found to be associated with male rather than female sexual behaviour.…”

Section: Discussionmentioning

confidence: 99%

The epidemiology of HIV infection in Morocco: systematic review and data synthesis

et al. 2013

View full text Add to dashboard Cite

SummaryMorocco has made significant strides in building its HIV research capacity. Based on a wealth of empirical data, the objective of this study was to conduct a comprehensive and systematic literature review and analytical synthesis of HIV epidemiological evidence in this country. Data were retrieved using three major sources of literature and data. HIV transmission dynamics were found to be focused in high-risk populations, with female sex workers (FSWs) and clients contributing the largest share of new HIV infections. There is a pattern of emerging epidemics among some high-risk populations, and some epidemics, particularly among FSWs, appear to be established and stable. The scale of the local HIV epidemics and populations affected show highly heterogeneous geographical distribution. To optimize the national HIV response, surveillance and prevention efforts need to be expanded among high-risk populations and in geographic settings where low intensity and possibly concentrated HIV epidemics are emerging or are already endemic.

show abstract

“…In Morocco, as confirmed by a recent HIV Modes of Transmission (MoT) modeling analysis, commercial heterosexual sex networks contributed about half of HIV incidence despite a rather low HIV prevalence among FSWs of about 2% [29 ▪ ].…”

Section: Hiv Epidemics In Middle East and North Africa: What We Knowmentioning

confidence: 90%

The emerging face of the HIV epidemic in the Middle East and North Africa

Mumtaz

Riedner

Abu‐Raddad

2014

Current Opinion in HIV and AIDS

View full text Add to dashboard Cite

Purpose of reviewA volume of quality HIV data has materialized recently in the Middle East and North Africa (MENA). This review provides a thematic narrative of the patterns of HIV infection transmission in this region in light of these data.Recent findingsTens of integrated bio-behavioral surveillance surveys among hard-to-reach key populations at higher risk have been conducted in MENA in the recent years. Many of the studies reported appreciable and growing HIV prevalence. A few studies found alarming prevalence of as much as 87.2% HIV prevalence among people who inject drugs in Tripoli, Libya. The discovery of these hitherto hidden epidemics was unsettling to some authorities after years in which the importance of a focus on HIV prevention among key populations was not recognized.SummaryThe new data from MENA indicate growing HIV epidemics among key populations across the region. There is heterogeneity, however, as to which key populations are affected and in what proportions in different countries. In a few countries, HIV appears to affect only one key population and often there is substantial geographical heterogeneity in HIV transmission. Data are indicative of a growing HIV disease burden in this part of the globe, in contrast with the declining epidemics in most other regions.

show abstract

The distribution of new HIV infections by mode of exposure in Morocco

Cited by 40 publications

References 29 publications

Prevalence ofChlamydia trachomatisinfection in the general population of women in Qatar

Prevalence ofChlamydia trachomatisinfection in the general population of women in Qatar

The epidemiology of HIV infection in Morocco: systematic review and data synthesis

The emerging face of the HIV epidemic in the Middle East and North Africa

Contact Info

Product

Resources

About