Prevalence of human immunodeficiency virus infection, risk behavior, and HIV knowledge among tuberculosis patients in Afghanistan

Catherine S. Todd, Yolanda Barbera-Lainez, Shannon C. Doocy, Ahmadullah Ahmadzai, Fais M. Delawar, Gilbert M. Burnham

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVES/GOAL: To assess prevalence and correlates of human immunodeficiency virus (HIV) infection, risk factors, and HIV knowledge among tuberculosis patients in Afghanistan. STUDY DESIGN: Adult participants undergoing treatment for tuberculosis in this cross-sectional study completed a questionnaire and HIV testing between November 2005 and February 2006. Prevalence of HIV and high-risk behaviors were calculated, with correlates of high-risk behavior and relevant knowledge assessed. RESULTS: Of 1163 participants, 2 (0.2%, 95% CI: 0.0-0.6) were HIV-infected. Known risk factors for HIV infection, such as paying women for sex or male to male sexual contact, were rarely reported, though receipt of injections from a nonmedical provider was common (38%). Symptoms suspicious for sexually transmitted infection were reported by 5% of the population and were significantly associated with young (<26 years) age (OR: 3.2, 95% CI: 1.7-6.0). Relatively, a few participants had ever heard of HIV (23%) or condoms (25%). Condom use was significantly more frequent among those 26 and older (OR: 2.9, 95% CI: 1.7-5.2) and among male participants (OR: 1.5, 95% CI: 1.0-2.2). CONCLUSIONS: HIV prevalence among tuberculosis patients in Afghanistan is currently quite low. However, lack of knowledge of HIV and engaging in high-risk practices, particularly regarding health, make this group vulnerable. Health education sessions regarding HIV, sexually transmitted infection, and blood-borne infections should be implemented for tuberculosis patients during the treatment course.

Original languageEnglish (US)
Pages (from-to)878-882
Number of pages5
JournalSexually transmitted diseases
Volume34
Issue number11
DOIs
StatePublished - Nov 2007

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

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