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.

AIDS (London, England)
|August 1, 1989
PubMed

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.

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