Kaposi's Sarcoma Associated-Herpes Virus (KSHV) Seroprevalence in Pregnant Women in South Africa
| Autor: | Freddy Sitas, Mhairi Maskew, Edith Ratshikhopha, Denise Whitby, Babatyi I Malope-Kgokong, Lara Stein, Georgina Mbisa, Patrick MacPhail |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Risk
Cancer Research medicine.medical_specialty Sexual transmission Epidemiology viruses Etiology - Exogenous Factors in the Origin and Cause of Cancer lcsh:RC254-282 methods lcsh:Infectious and parasitic diseases South Africa Herpes virus blood Risk Factors Cancer Type - Kaposi's Sarcoma Prevalence Medicine Seroprevalence cancer Women lcsh:RC109-216 Kaposi's sarcoma education business.industry Transmission (medicine) transmission virus diseases biochemical phenomena metabolism and nutrition Hiv seropositivity medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Virology Infectious Diseases Oncology Tropical medicine Africa Syphilis Other business Demography Research Article |
| Zdroj: | Infectious Agents and Cancer, Vol 5, Iss 1, p 14 (2010) Infectious Agents and Cancer |
| ISSN: | 1750-9378 |
| Popis: | Background Factors previously associated with Kaposi's sarcoma-associated herpesvirus (KSHV) transmission in Africa include sexual, familial, and proximity to river water. We measured the seroprevalence of KSHV in relation to HIV, syphilis, and demographic factors among pregnant women attending public antenatal clinics in the Gauteng province of South Africa. Methods We tested for antibodies to KSHV lytic K8.1 and latent Orf73 antigens in 1740 pregnant women attending antenatal clinics who contributed blood to the "National HIV and Syphilis Sero-Prevalence Survey - South Africa, 2001". Information on HIV and syphilis serology, age, education, residential area, gravidity, and parity was anonymously linked to evaluate risk factors for KSHV seropositivity. Clinics were grouped by municipality regions and their proximity to the two main river catchments defined. Results KSHV seropositivity (reactive to either lytic K8.1 and latent Orf73) was nearly twice that of HIV (44.6% vs. 23.1%). HIV and syphilis seropositivity was 12.7% and 14.9% in women without KSHV, and 36.1% and 19.9% respectively in those with KSHV. Women who are KSHV seropositive were 4 times more likely to be HIV positive than those who were KSHV seronegative (AOR 4.1 95%CI: 3.4 - 5.7). Although, women with HIV infection were more likely to be syphilis seropositive (AOR 1.8 95%CI: 1.3 - 2.4), no association between KSHV and syphilis seropositivity was observed. Those with higher levels of education had lower levels of KSHV seropositivity compared to those with lower education levels. KSHV seropositivity showed a heterogeneous pattern of prevalence in some localities. Conclusions The association between KSHV and HIV seropositivity and a lack of common association with syphilis, suggests that KSHV transmission may involve geographical and cultural factors other than sexual transmission. |
| Databáze: | OpenAIRE |
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