PMID- 19617867 OWN - NLM STAT- MEDLINE DCOM- 20100127 LR - 20211020 IS - 1537-4521 (Electronic) IS - 0148-5717 (Print) IS - 0148-5717 (Linking) VI - 36 IP - 10 DP - 2009 Oct TI - Herpes simplex virus type-2 seropositivity among ever married women in South and north Vietnam: a population-based study. PG - 616-20 LID - 10.1097/OLQ.0b013e3181a8cde4 [doi] AB - OBJECTIVE: To investigate herpes simplex virus type-2 (HSV-2) seropositivity and associated risk factors in Vietnamese women. METHODS: Cross-sectional study with personal interviews and gynecological examinations among population-based samples of ever married women, aged 15 to 69 years, living in Ho Chi Minh City (HCMC) and Hanoi in 1997. Type-specific IgG antibodies against HSV-2 were detected using HerpeSelect ELISA (Focus Diagnostics). Adjusted prevalence ratios were estimated with log-binomial regression. RESULTS: HSV-2 seroprevalence was higher in 1106 women from HCMC (30.8%, 95% CI: 28.1-33.4, age-standardized to 2000 world standard population) than in 1170 women from Hanoi (8.8%, 95% CI: 7.1-10.5). In HCMC, HSV-2 seroprevalence was higher for women who were not married, HPV DNA positive, current hormonal contraceptive users, or had a history of multiple sexual partners or spontaneous abortion. HCMC seroprevalence was inversely associated with educational attainment, age at first intercourse, and age at first pregnancy. In the multivariable model for HCMC, a trend of increasing HSV-2 seroprevalence with age was observed, and prevalence ratios were nearly identical to age-adjusted prevalence ratios for marital status, age at first pregnancy, and HPV DNA positivity. CONCLUSIONS: HSV-2 was notably less prevalent in Hanoi than HCMC, where it was associated with traditional HSV-2 risk factors. These results are likely explained by socio-cultural, historical, economic, and demographic factors related to urban-rural and regional differences. Future population-based studies should include men and never-married women as a next step toward obtaining a more nearly complete picture of HSV-2 epidemiology in Vietnam. FAU - Le, Hoa Van AU - Le HV AD - Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina 27599, USA. FAU - Schoenbach, Victor J AU - Schoenbach VJ FAU - Herrero, Rolando AU - Herrero R FAU - Hoang Pham, Anh Thi AU - Hoang Pham AT FAU - Nguyen, Hieu Trong AU - Nguyen HT FAU - Nguyen, Thuy Thi AU - Nguyen TT FAU - Munoz, Nubia AU - Munoz N FAU - Franceschi, Silvia AU - Franceschi S FAU - Vaccarella, Salvatore AU - Vaccarella S FAU - Parkin, Max D AU - Parkin MD FAU - Snijders, Peter J F AU - Snijders PJ FAU - Morrow, Rhoda Ashley AU - Morrow RA FAU - Smith, Jennifer S AU - Smith JS LA - eng GR - P01 AI030731-070003/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Sex Transm Dis JT - Sexually transmitted diseases JID - 7705941 RN - 0 (Antibodies, Viral) RN - 0 (Immunoglobulin G) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antibodies, Viral/*blood MH - Cross-Sectional Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Herpes Genitalis/*epidemiology MH - Herpesvirus 2, Human/*immunology MH - Humans MH - Immunoglobulin G/blood MH - Middle Aged MH - Regression Analysis MH - Risk Factors MH - Seroepidemiologic Studies MH - Sexual Partners MH - Vietnam/epidemiology PMC - PMC2901908 MID - NIHMS193543 EDAT- 2009/07/21 09:00 MHDA- 2010/01/28 06:00 PMCR- 2010/10/01 CRDT- 2009/07/21 09:00 PHST- 2009/07/21 09:00 [entrez] PHST- 2009/07/21 09:00 [pubmed] PHST- 2010/01/28 06:00 [medline] PHST- 2010/10/01 00:00 [pmc-release] AID - 10.1097/OLQ.0b013e3181a8cde4 [doi] PST - ppublish SO - Sex Transm Dis. 2009 Oct;36(10):616-20. doi: 10.1097/OLQ.0b013e3181a8cde4.