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Fishermen as a Suitable Population for HIV Intervention Trials
Zachary A Kwena1, Craig R Cohen, Norton M Sang
1Research Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, Kenya.
AIDS Research and Treatment
|April 15, 2011
Summary
Fishermen exhibit high rates of HIV and sexually transmitted infections (STIs), with significant risk behaviors. This population shows willingness for clinical trials, suggesting potential suitability for HIV prevention research.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Continued evaluation of HIV and STI prevention interventions requires suitable populations.
- Fishermen represent a demographic group potentially suitable for such trials.
Purpose of the Study:
- To assess the suitability of fishermen for HIV intervention trials.
- To determine HIV and STI prevalence within the fishing community.
Main Methods:
- A cross-sectional descriptive survey was conducted on 250 fishermen.
- Data collected included socioeconomic, behavioral, and biological specimens for HIV, HSV-2, syphilis, gonorrhea, chlamydia, and HPV testing.
Main Results:
- High prevalence of HIV (26%), HSV-2 (57%), and HPV (57%) was observed.
- Significant risk behaviors included concurrent partnerships (33%), transactional sex (66%), and extramarital sex (70%) with low condom use.
- Over 98% expressed willingness to participate in future HIV prevention trials.
Conclusions:
- Fishermen are a high-risk population for HIV/STI infections.
- Their willingness to participate suggests suitability for HIV prevention trials.
- A cohort study is recommended to assess incidence and trial feasibility.
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