Article (Scientific journals)
Epidemiological profiles of human immunodeficiency virus and hepatitis C virus infections in Malian women: risk factors and relevance of disparities
Bouare, N; GOTHOT, André; DELWAIDE, Jean et al.
2013In World Journal of Hepatology, 27 (5), p. 196-205
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Keywords :
hepatitis C virus; human immunodeficiency virus; epidemiology; risk factors; women; Mali; Bamako
Abstract :
[en] AIM: To document the epidemiologic patterns and risk factors of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infections in Mali in order to develop prevention means for both diseases. METHODS: Two prospective studies were conducted in Bamako in 2009 among 1000 pregnant women (i.e. , young women) who consulted six reference health centers, and in 2010, among 231 older women who attended general practice in two hospitals. Antibody tests and molecular analysis (performed only for HCV) were used to quantify the frequencies of both infections. The data were collected from patients recruited through a questionnaire. Transmission risk factors of both diseases were identified by univariate and multivariate analysis. RESULTS: HCV seroprevalence was 0.2% for young and 6.5% for older women. HIV prevalence was similar in both populations (4.1% vs 6.1%). In older women, the analysis of risk factors highlighted an association between HCV infection and episodes of hospitalization (P < 0.01). The study did not show an association between HIV infection and the variables such as hospitalization, transfusion, tattoo, dental care, and endoscopy. A significant decrease of HIV seroprevalence was detected in young women who used condoms for contraception more than for other purposes (P < 0.01). By contrast, HIV seroprevalence was significantly increased in young women using condoms mainly to prevent sexual infections rather than for contraception (P < 0.01). No HCV/HIV coinfection was detected in our study. CONCLUSION: Risk factors and epidemiologic data of HIV and HCV as well as the absence of co-infection strongly suggest epidemiological disparities between these diseases.
Disciplines :
Gastroenterology & hepatology
Author, co-author :
Bouare, N
GOTHOT, André ;  Centre Hospitalier Universitaire de Liège - CHU > Hématologie biologique et immuno hématologie
DELWAIDE, Jean ;  Centre Hospitalier Universitaire de Liège - CHU > Gastro-Entérologie-Hépatologie
BONTEMS, Sébastien ;  Centre Hospitalier Universitaire de Liège - CHU > Microbiologie médicale
VAIRA, Dolorès ;  Centre Hospitalier Universitaire de Liège - CHU > Microbiologie médicale
SEIDEL, Laurence  ;  Centre Hospitalier Universitaire de Liège - CHU > Non budgétaires
Gerard, P
GERARD, Christiane ;  Centre Hospitalier Universitaire de Liège - CHU > Hématologie biologique et immuno hématologie
Language :
English
Title :
Epidemiological profiles of human immunodeficiency virus and hepatitis C virus infections in Malian women: risk factors and relevance of disparities
Publication date :
April 2013
Journal title :
World Journal of Hepatology
eISSN :
1948-5182
Publisher :
Baishideng, Hong Kong, China
Volume :
27
Issue :
5
Pages :
196-205
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 20 August 2013

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