title: [Evaluation of the risks of sexually transmitted diseases and HIV infection in a rural region of Senegal in 1991].
abstract: This study was performed in the Sereer region 150 km to the east of Dakar, the capital of Senegal. The population of the region is characterised by large seasonal migration, a high divorce rate (41% of marriages end in divorce) and frequent polygamy (1.8 married women per married man). We organised the medical centres in the region to monitor actively the epidemiology of HIV infection. Three populations were targeted: pregnant women presenting for their first prenatal consultation; patients presenting with STD; and people with chronic (more than three weeks) cough. The patients consulting for STD were recruited two ways: those presenting spontaneously and those identified during home interviews by the team performing a parallel sociological study of behaviour. Overall, the prevalence of HIV seropositivity was 0.2% of the women and 1.3% of the men (the difference is not significant). The seropositive individuals identified were 2 pregnant women and 5 patients (3 of 409 women and 2 of 84 men) with STD. There was no significant difference between the sex, age, marital status, or type of recruitment (spontaneous or identified by the sociological survey) of the HIV seropositive and seronegative individuals. The prevalence of treponema antibodies was 1.8% among pregnant women, 2% among STD patients and 2.4% among patients with chronic cough. There was no significant difference according to age, sex, marital status or motivation for consultation. More than half the patients consulting for STD presented biomedical disease. The majority of the STD patients were women: 70% of those spontaneous consulting; 90% of those identified by the survey; and 92% of those with biomedical disease were women.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Orstom, Programme Sida, Dakar, Sénégal.
authors.forename: P
authors.initials: P
authors.lastname: Lemardeley
authors.forename: A
authors.initials: A
authors.lastname: Diallo
authors.forename: A
authors.initials: A
authors.lastname: Gueye-N'Diaye
authors.forename: C
authors.initials: C
authors.lastname: Becker
authors.forename: S
authors.initials: S
authors.lastname: Mboup
authors.forename: J L
authors.initials: JL
authors.lastname: Rey
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000097:blood / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D008297:Male; D016488:Medicine, African Traditional; D011159:Population Surveillance; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000097:blood / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D012423:Rural Health; D012675:Senegal / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000097:blood / Q000453:epidemiology*
vernacular_title: Evaluation en 1991 des risques de MST et d'infection par VIH en zone rurale sénégalaise.