PMID- 18724801 OWN - NLM STAT- MEDLINE DCOM- 20081110 LR - 20080826 IS - 1931-8405 (Electronic) IS - 0889-2229 (Linking) VI - 24 IP - 8 DP - 2008 Aug TI - Household survey in two provinces in Viet Nam estimates HIV prevalence in an urban and a rural population. PG - 1017-26 LID - 10.1089/aid.2007.0267 [doi] AB - A household-based population study interviewed 2,553 women and 1,984 men aged 15-49 years in urban (Ho Chi Minh City) and rural (Thai Binh) provinces in Viet Nam between July and August 2005. The survey response rate was high--approximately 97% of households and 93% of adults overall, with a >92% acceptance of HIV testing among eligible adults. The unadjusted estimated population HIV prevalence was 0.3% (confidence interval [CI]: 0.1-0.6%) in Thai Binh and 0.7% (CI: 0.3-1.3) in Ho Chi Minh City (HCMC), compared with the national estimates and projections of 0.352% and 1.250%, respectively, for 2005. The ratio of male-to-female prevalence was 10.5:1 in Thai Binh and 1.3:1 in HCMC. A low level of men reported purchasing sex in the last 12 months (2.4%) and there were low self-reports of sexually transmitted infections in all adults (5%). A correct knowledge of HIV/AIDS prevention methods was high in both provinces (83%), although only 24.8% of women knew of the use of antiretroviral therapy to prevent vertical transmission of HIV. The observed population prevalence was consistent with recent projections in Thai Binh, although lower than expected in HCMC, indicating the substantial downward revisions of projected population HIV prevalence may need to be extended. The unequal sex prevalence ratio is consistent with the projected trends of increasing male-to-female sexual transmission in urban areas. The results and experience of this study will inform future population based surveys in Viet Nam and the broader Asian region. FAU - Tuan, Nguyen Anh AU - Tuan NA AD - National Institute of Hygiene and Epidemiology, Ministry of Health, Ha Noi, Viet Nam. tuan-nihe@hn.vnn.vn FAU - Ha, Nguyen Thi Thanh AU - Ha NT FAU - Diep, Vu Thi Bich AU - Diep VT FAU - Thang, Pham Hong AU - Thang PH FAU - Long, Nguyen Thanh AU - Long NT FAU - Huong, Phan Thi Thu AU - Huong PT FAU - Duc, Bui Hoang AU - Duc BH FAU - Wilson, David AU - Wilson D FAU - Oelrichs, Robert AU - Oelrichs R FAU - Hien, Nguyen Tran AU - Hien NT LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - AIDS Res Hum Retroviruses JT - AIDS research and human retroviruses JID - 8709376 SB - IM MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Female MH - HIV Infections/*epidemiology MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Rural Population MH - Urban Population MH - Vietnam/epidemiology EDAT- 2008/08/30 09:00 MHDA- 2008/11/11 09:00 CRDT- 2008/08/30 09:00 PHST- 2008/08/30 09:00 [pubmed] PHST- 2008/11/11 09:00 [medline] PHST- 2008/08/30 09:00 [entrez] AID - 10.1089/aid.2007.0267 [doi] PST - ppublish SO - AIDS Res Hum Retroviruses. 2008 Aug;24(8):1017-26. doi: 10.1089/aid.2007.0267.