Sexually Transmitted Infections 2008;84:140-142
EPIDEMIOLOGY
Sexual and demographic determinants for herpes simplex virus type 2 among fishermen along Lake Victoria, Kenya
1 Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya
2 Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya
3 Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA
4 Children’s Hospital and Regional Medical Center, Seattle, Washington, USA
5 Department of Epidemiology, University of Washington, Seattle, Washington, USA
6 Center for AIDS and STD, University of Washington, Seattle, Washington, USA
Correspondence to:
M Otieno Ng’ayo, Kenya Medical Research Institute, CMRUCSF Building, Lumumba Health Center, PO Box 614, 40100 Kisumu, Kenya; motieno{at}kemri-ucsf.org
Objectives: To determine the prevalence and correlates of herpes simplex virus type 2 (HSV-2) seropositivity among fishermen along the shores of Lake Victoria in Kisumu district, Kenya.
Methods: Sera from a random sample of 250 fishermen from 18 beaches were collected after a detailed sociodemographic interview. HSV-2 infection was tested by Kalon HSV-2 ELISA.
Results: The HSV-2 seroprevalence was 63.9%. In multivariate analysis, fishermen were more likely to be infected with HSV-2 if they were HIV positive (prevalence ratio (PR) 1.27; 95% CI 1.06 to 1.52) compared with those testing HIV negative, were aged 18–20 (PR 0.49; 95% CI 0.24 to 0.99) and older than 40 (PR 1.66; 95% CI 1.30 to 2.14) years compared with those aged 21–25 years, perceived their last two sexual partners to have a sexually transmitted infection (STI; PR 1.27; 95% CI 1.06 to 1.52) compared with those who did not and were more likely to be circumcised (PR 1.49; 95% CI 1.19 to 1.86).
Conclusions: HSV-2 seroprevalence is high among this population and is associated with HIV serostatus, age, perception about partner’s STI status and circumcision.
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