HIV prevalence and risk factors among fishermen in Sihanouk Ville, Cambodia.
We assessed HIV antibody and risk exposures in a cross-sectional sample of 446 fishermen in Sihanouk Ville, a port and fishing area in Cambodia, where high HIV prevalence has been found in sentinel surveillance studies. HIV prevalence was 16.1%, and was highest among unmarried men (17.3%) compared with married (14.6%). Men who stayed in port over one day had a significantly higher prevalence of HIV (31.7%) than those in port for <or = day (14.6%). Men who had sex exclusively with their wife or girlfriend in the previous three months were significantly less likely to be HIV-infected than those who reported no sexual relations during the same time period (11% vs 23.7%, respectively). HIV infection in Cambodian fishermen was more than double that estimated in the general Khmer population. Although a large-scale condom promotion programme has been implemented in Sihanouk Ville, additional prevention programmes are needed to prevent further spread of HIV.
Samnang
Po
P
National Centre for Health Promotion, Ministry of Health, Phnom Penh, Cambodia.
Leng
Hor Bun
HB
Kim
Andrea
A
Canchola
Alison
A
Moss
Andrew
A
Mandel
Jeffrey S
JS
Page-Shafer
Kimberly
K
D000328:Adult; D017677:Age Distribution; D002160:Cambodia / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005398:Fisheries; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D017533:Marital Status; D015995:Prevalence; D012307:Risk Factors; D011477:Sex Work; D012747:Sexual Partners