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Sexual and Demographic Determinants for Herpes Simplex Virus Type 2 among Fishermen along Lake Victoria, Kenya
  1. Musa Otieno Ng'ayo (motieno{at}kemri-ucsf.org)
  1. Center for Microbiology Research, Kenya Medical Research Institute, Nairobi Kenya, Kenya
    1. Elizabeth Bukusi (ebukusi{at}csrtkenya.org)
    1. Center for Microbiology Research, Kenya Medical Research Institute, Nairobi Kenya, Kenya
      1. Rhoda Ashley Morrow (rmorrow{at}fhcrc.org)
      1. Department of Laboratory Medicine, University of Washington, Seattle, Washington, USA, United States
        1. Ali Rowhani-Rahbar (rowhani{at}u.washington.edu)
        1. Department of Epidemiology, University of Washington, Seattle, Washington, USA, United States
          1. Billy Agot Obare (bagot{at}kemri-ucsf.org)
          1. Center for Microbiology Research, Kenya Medical Research Institute, Nairobi Kenya, Kenya
            1. David Friedrich (dpfriedr{at}fhcrc.org)
            1. Children’s Hospital and Regional Medical Center; Seattle, Washington, USA, United States
              1. King K Holmes (kkh{at}u.washington.edu)
              1. Center for AIDS and STD; University of Washington, Seattle, Washington, USA, United States

                Abstract

                Objectives: To determine the prevalence and correlates of herpes simplex virus type two (HSV-2) seropositivity among fishermen along Lake Victoria shores in Kisumu district, Kenya.

                Methods: Sera from a random sample of 250 fishermen from 18 beaches were collected following 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% confidence interval (CI): 1.06, 1.52) as compared to those testing HIV-negative, were 18-20 (PR: 0.49; 95% CI: 0.24, 0.99) and older than 40 (PR: 1.66; 95% CI: 1.30, 2.14) years of age as compared with those 21-25 years of age, perceived their last two sexual partners to have an sexually transmitted infection (STI) (PR: 1.27; 95% CI: 1.06, 1.52) as compared with those who did not; and were circumcised (PR: 1.49; 95% CI: 1.19, 1.86) as compared with those who were not circumcised.

                Conclusions: HSV-2 seroprevalence is high among this population and is associated with HIV serostatus, age, perception about partner's STI status, and circumcision.

                • Fishermen
                • HSV-2
                • Lake Victoria
                • Risk Factors
                • kenya

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