Related Experiment Video
Updated: May 24, 2026

An Affordable HIV-1 Drug Resistance Monitoring Method for Resource Limited Settings
Published on: March 30, 2014
Genital ulcers and transmission of HIV among couples in Zimbabwe
A S Latif1, D A Katzenstein, M T Bassett
1Department of Medicine, University of Zimbabwe Medical School, Harare.
Insights
Heterosexual intercourse and other sexually transmitted diseases (STDs) are key factors in HIV-1 transmission in Zimbabwe. Genital ulcers in infected men significantly increase the risk of male-to-female HIV transmission.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Human Immunodeficiency Virus type 1 (HIV-1) infection presents a significant public health challenge globally.
- Understanding transmission dynamics is crucial for effective prevention and control strategies, particularly in high-prevalence regions like Zimbabwe.
Purpose of the Study:
- To identify behaviors associated with HIV-1 acquisition among married men in Harare, Zimbabwe.
- To determine factors influencing HIV-1 transmission from infected men to their wives.
Main Methods:
- A cohort of 75 HIV-1 positive married men in Harare, Zimbabwe, were interviewed regarding their sexual behaviors and medical history.
- Serological testing was conducted on the wives of the infected men to assess HIV-1 antibody status.
- Statistical analysis was performed to correlate various factors with HIV-1 transmission.
Main Results:
- The majority of infected men reported multiple heterosexual partners and a history of sexually transmitted diseases (STDs).
- 60% of wives (45 out of 75) were HIV-antibody positive.
- Wives of men with AIDS/ARC and a history of genital ulcers showed a higher likelihood of being HIV-positive.
Conclusions:
- HIV-1 infection in Zimbabwe is primarily transmitted through heterosexual intercourse, often co-occurring with other STDs.
- Male-to-female HIV-1 transmission is significantly facilitated by the presence of genital ulcers in infected men.
Abstract:
Seventy-five married men found to be positive for HIV-1 in Harare, Zimbabwe, were interviewed in order to define behaviours associated with acquisition of infection and to determine factors associated with transmission of infection to their wives. The majority of infected men reported sexual intercourse with multiple heterosexual partners and female prostitutes, and gave a history of sexually transmitted diseases (STDs). All subjects denied homosexual activity and parenteral drug abuse. Serological testing of the wives of seropositive men showed that 45 (60%) were HIV-antibody-positive. Wives of men with AIDS and AIDS-related complex (ARC) and wives of men who gave a history of genital ulcer disease were more likely to be seropositive. The study demonstrates that HIV-1 infection in Zimbabwe occurs through heterosexual intercourse and is associated with other STDs. In addition, the study shows that male to female transmission of HIV-1 is facilitated by the presence of genital ulcers in infected men.
Related Concept Videos
Retrovirus Life Cycles
Viral Mutations
Sex-linked Disorders
Retroviruses
Immunodeficiency Diseases
There are three main causes of immunodeficiency disorders...
Sexually Transmitted Infections

