PMID- 7697449 OWN - NLM STAT- MEDLINE DCOM- 19950501 LR - 20191023 IS - 1077-9450 (Print) IS - 1077-9450 (Linking) VI - 8 IP - 5 DP - 1995 Apr 15 TI - HTLV-I infection among prostitutes and pregnant women in Kinshasa, Zaire: how important is high-risk sexual behavior? PG - 511-5 AB - High-risk sexual behavior as risk factor for human T-cell lymphotropic virus type I (HTLV-I) infection was assessed in cross-sectional studies with 1,183 prostitutes and 1,166 pregnant women in Kinshasa, Zaire. Eighty six (7.3%) prostitutes were positive for HTLV-I. The seroprevalence among prostitutes from the regions along the equator was 12.7%, whereas among prostitutes from the other regions it ranged between 0 and 4.3%. In the prostitutes from the high-prevalence regions, but not in the prostitutes from the low-prevalence regions, HTLV-I infection was associated with increasing age [odds ratio (OR) = 1.1 per year increment], active syphilis (OR = 2.3), and human immunodeficiency virus (HIV) infection (OR = 2.0). Forty three (3.7%) pregnant women were HTLV-I seropositive. Among the women from low-prevalence regions, there was no significant difference in HTLV-I seroprevalence between prostitutes (4.3%) and pregnant women (3.5%). In a group of 409 prostitutes who were observed for a mean duration of 23 months, the incidence of HTLV-I infection was 0.7 per 100 women-years, whereas the incidence of HIV infection was 9.8 per 100 women-years. We conclude that in Kinshasa prostitution per se was not associated with an increased risk of HTLV-I infection. FAU - Delaporte, E AU - Delaporte E AD - Institute of Tropical Medicine, Antwerp, Belgium. FAU - Buve, A AU - Buve A FAU - Nzila, N AU - Nzila N FAU - Goeman, J AU - Goeman J FAU - Dazza, M C AU - Dazza MC FAU - Henzel, D AU - Henzel D FAU - Heyward, W AU - Heyward W FAU - St-Louis, M AU - St-Louis M FAU - Piot, P AU - Piot P FAU - Laga, M AU - Laga M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr Hum Retrovirol JT - Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association JID - 9501482 SB - IM MH - Adult MH - Age Factors MH - Cohort Studies MH - Cross-Sectional Studies MH - Democratic Republic of the Congo/epidemiology MH - Female MH - HIV Infections/complications MH - HTLV-I Infections/complications/*epidemiology/transmission MH - Humans MH - Incidence MH - Multivariate Analysis MH - Pregnancy MH - Pregnancy Complications/*epidemiology MH - Prevalence MH - Regression Analysis MH - Risk Factors MH - *Sex Work MH - *Sexual Behavior MH - Sexually Transmitted Diseases/*epidemiology/transmission MH - Syphilis/complications EDAT- 1995/04/15 00:00 MHDA- 1995/04/15 00:01 CRDT- 1995/04/15 00:00 PHST- 1995/04/15 00:00 [pubmed] PHST- 1995/04/15 00:01 [medline] PHST- 1995/04/15 00:00 [entrez] AID - 10.1097/00042560-199504120-00012 [doi] PST - ppublish SO - J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Apr 15;8(5):511-5. doi: 10.1097/00042560-199504120-00012.