Water, Sanitation, and Hygiene Characteristics among HIV-Positive Households Participating in the Global Enteric Multicenter Study in Rural Western Kenya, 2008-2012.

Autor: Schilling KA; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia., Awuor AO; Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.; Centers for Disease Control and Prevention, Kenya Medical Research Institute, Kisumu, Kenya., Rajasingham A; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia., Moke F; Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.; Centers for Disease Control and Prevention, Kenya Medical Research Institute, Kisumu, Kenya., Omore R; Centre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.; Centers for Disease Control and Prevention, Kenya Medical Research Institute, Kisumu, Kenya., Amollo M; Centers for Disease Control and Prevention, Kenya Medical Research Institute, Kisumu, Kenya., Farag TH; Center for Vaccine Development, School of Medicine, University of Maryland, Baltimore, Maryland., Nasrin D; Center for Vaccine Development, School of Medicine, University of Maryland, Baltimore, Maryland., Nataro JP; Center for Vaccine Development, School of Medicine, University of Maryland, Baltimore, Maryland., Kotloff KL; Center for Vaccine Development, School of Medicine, University of Maryland, Baltimore, Maryland., Levine MM; Center for Vaccine Development, School of Medicine, University of Maryland, Baltimore, Maryland.; Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia., Ayers T; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia., Laserson K; Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.; Centers for Disease Control and Prevention, Kenya Medical Research Institute, Kisumu, Kenya.; Centers for Disease Control and Prevention India, Delhi, India., Blackstock A; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia., Rothenberg R; School of Public Health, Georgia State University, Atlanta, Georgia., Stauber CE; School of Public Health, Georgia State University, Atlanta, Georgia., Mintz ED; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia., Breiman RF; Emory Global Health Institute, Emory University, Atlanta, Georgia.; Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia.; Centers for Disease Control and Prevention, Nairobi, Kenya., O'Reilly CE; Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jazyk: angličtina
Zdroj: The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2018 Oct; Vol. 99 (4), pp. 905-915.
DOI: 10.4269/ajtmh.17-0774
Abstrakt: Diarrheal illness, a common occurrence among people living with human immunodeficiency virus (PLHIV), is largely preventable through access to safe drinking water quality, sanitation, and hygiene (WASH) facilities. We examined WASH characteristics among households with and without HIV-positive residents enrolled in the Global Enteric Multicenter Study (GEMS) in rural Western Kenya. Using univariable logistic regression, we examined differences between HIV-positive and HIV-negative households in regard to WASH practices. Among HIV-positive households, we explored the relationship between the length of time knowing their HIV status and GEMS enrollment. No statistically significant differences were apparent in the WASH characteristics among HIV-positive and HIV-negative households. However, we found differences in the WASH characteristics among HIV-positive households who were aware of their HIV status ≥ 30 days before enrollment compared with HIV-positive households who found out their status < 30 days before enrollment or thereafter. Significantly more households aware of their HIV-positive status before enrollment reported treating their drinking water (odds ratio [OR] confidence interval [CI]: 2.34 [1.12, 4.86]) and using effective water treatment methods (OR [CI]: 9.6 [3.09, 29.86]), and had better drinking water storage practices. This suggests that within this region of Kenya, HIV programs are effective in promoting the importance of practicing positive WASH-related behaviors among PLHIV.
Databáze: MEDLINE