title: High prevalence of HIV infection among rural tea plantation residents in Kericho, Kenya.
abstract: Human immunodeficiency virus type 1 (HIV-1) epidemiology among residents of a rural agricultural plantation in Kericho, Kenya was studied. HIV-1 prevalence was 14.3%, and was higher among women (19.1%) than men (11.3%). Risk factors associated with HIV-1 for men were age (>or=25 years), marital history (one or more marriages), age difference from current spouse (>or=5 years), Luo ethnicity, sexually transmitted infection (STI) symptoms in the past 6 months, circumcision (protective), and sexual activity (>or=7 years). Among women, risk factors associated with HIV-1 were age (25-29 years, >or=35 years), marital history (one or more marriages), age difference from current spouse (>or=10 years), Luo ethnicity, STI symptoms in the past 6 months, and a STI history in the past 5 years. Most participants (96%) expressed a willingness to participate in a future HIV vaccine study. These findings will facilitate targeted intervention and prevention measures for HIV-1 infection in Kericho.
authors.affiliation: U.S. Army Medical Research Unit-Kenya, Nairobi, Kenya.
authors.forename: G
authors.initials: G
authors.lastname: Foglia
authors.forename: W B
authors.initials: WB
authors.lastname: Sateren
authors.forename: P O
authors.initials: PO
authors.lastname: Renzullo
authors.forename: C T
authors.initials: CT
authors.lastname: Bautista
authors.forename: L
authors.initials: L
authors.lastname: Langat
authors.forename: M K
authors.initials: MK
authors.lastname: Wasunna
authors.forename: D E
authors.initials: DE
authors.lastname: Singer
authors.forename: P T
authors.initials: PT
authors.lastname: Scott
authors.forename: M L
authors.initials: ML
authors.lastname: Robb
authors.forename: D L
authors.initials: DL
authors.lastname: Birx
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005006:Ethnicity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000821:virology; D015497:HIV-1 / Q000302:isolation & purification*; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D012737:Sex Factors