Incident HIV infection among men attending STD clinics in Pune, India

Pathways to disparity and interventions to enhance equity

Mary E. Shepherd, Raman R. Gangakhedkar, Seema Sahay, Steven James Reynolds, Manisha V. Ghate, Arun R. Risbud, Ramesh S. Paranjape, Robert C Bollinger, Sanjay M. Mehendale

Research output: Contribution to journalArticle

Abstract

Systematic disparities in rates of HIV incidence by socioeconomic status were assessed among men attending three sexually transmitted disease (STD) clinics in Pune, India, to identify key policy-intervention points to increase health equity. Measures of socioeconomic status included level of education, family income, and occupation. From 1993 to 2000, 2,260 HIV-uninfected men who consented to participate in the study were followed on a quarterly basis. Proportional hazards regression analysis of incident HIV infection identified a statistically significant interaction between level of education and genital ulcer disease. Compared to the lowest-risk men without genital ulcer disease who completed high school, the relative risk (RR) for acquisition of HIV was 7.02 (p

Original languageEnglish (US)
Pages (from-to)251-263
Number of pages13
JournalJournal of Health, Population and Nutrition
Volume21
Issue number3
StatePublished - Sep 2003

Fingerprint

sexually transmitted disease
sexually transmitted diseases
HIV infections
human immunodeficiency virus
Sexually Transmitted Diseases
equity
HIV Infections
India
educational status
socioeconomic status
Social Class
genitalia
Ulcer
Education
HIV
HIV-2
high schools
household income
relative risk
Occupations

Keywords

  • Acquired immunodeficiency syndrome
  • Health equity
  • HIV
  • India
  • Prospective studies
  • Sexually transmitted diseases
  • Sexually transmitted infections
  • Socioeconomic status

ASJC Scopus subject areas

  • Environmental Science(all)
  • Environmental Chemistry
  • Public Health, Environmental and Occupational Health

Cite this

Shepherd, M. E., Gangakhedkar, R. R., Sahay, S., Reynolds, S. J., Ghate, M. V., Risbud, A. R., ... Mehendale, S. M. (2003). Incident HIV infection among men attending STD clinics in Pune, India: Pathways to disparity and interventions to enhance equity. Journal of Health, Population and Nutrition, 21(3), 251-263.

Incident HIV infection among men attending STD clinics in Pune, India : Pathways to disparity and interventions to enhance equity. / Shepherd, Mary E.; Gangakhedkar, Raman R.; Sahay, Seema; Reynolds, Steven James; Ghate, Manisha V.; Risbud, Arun R.; Paranjape, Ramesh S.; Bollinger, Robert C; Mehendale, Sanjay M.

In: Journal of Health, Population and Nutrition, Vol. 21, No. 3, 09.2003, p. 251-263.

Research output: Contribution to journalArticle

Shepherd, ME, Gangakhedkar, RR, Sahay, S, Reynolds, SJ, Ghate, MV, Risbud, AR, Paranjape, RS, Bollinger, RC & Mehendale, SM 2003, 'Incident HIV infection among men attending STD clinics in Pune, India: Pathways to disparity and interventions to enhance equity', Journal of Health, Population and Nutrition, vol. 21, no. 3, pp. 251-263.
Shepherd, Mary E. ; Gangakhedkar, Raman R. ; Sahay, Seema ; Reynolds, Steven James ; Ghate, Manisha V. ; Risbud, Arun R. ; Paranjape, Ramesh S. ; Bollinger, Robert C ; Mehendale, Sanjay M. / Incident HIV infection among men attending STD clinics in Pune, India : Pathways to disparity and interventions to enhance equity. In: Journal of Health, Population and Nutrition. 2003 ; Vol. 21, No. 3. pp. 251-263.
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