Trends in HIV infection among sexually transmitted disease patients in Paris

Meyer, Laurence; Couturier, Élisabeth; Brossard, Y.; Janier, M.; Taquin, Y; Jp, Mertz; Helal, Hamida; Jm, Bohot; Je, Malkin; Franceschini, Paolo; Jb, Brunet

doi:10.1097/00002030-199604000-00008

Cited by 12 publications

(4 citation statements)

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“…Similar findings have been reported in a recent study [Del Amo et al, 2002], in which Latin American sex workers showed rates of HIV-1 infection similar to native Spaniards (0.2% vs. 0.6%), whereas African sex workers showed higher rates (5.4%). These results are in agreement with those reported from other West European countries [Meyer et al, 1996;Wiessing et al, 1999].…”

Section: Discussionsupporting

confidence: 93%

Prevalence of HIV‐1 non‐B subtypes, syphilis, HTLV, and hepatitis B and C viruses among immigrant sex workers in Madrid, Spain

Gutiérrez

Tajada²,

Álvarez³

et al. 2004

Journal of Medical Virology

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Sexually transmitted disease (STD) remains a major public health challenge in developed countries, exacerbated by the advent of the HIV epidemic. The objectives of this study were to assess the prevalence of serological markers of syphilis, HIV-1/2, HTLV-I/II, HBV, and HCV infections among immigrant sex workers in Madrid, Spain and to characterize the HIV-1 variants in seropositive individuals. Sera from 762 immigrant commercial sex workers (75.3% from sub-Saharan Africa, 18.2% from South America, and 6.4% from Eastern Europe) were collected between 1998 and 2003 in Madrid and examined. Antibody detection was performed by screening assays (RPR, ELISAs) and confirmed by FTA-Abs, LIAs and Western-blot tests. HIV-1 subtyping was carried out by phylogenetic analyses of the protease and envelope genes. Antibodies to HIV-1 were found in 5.2%, while 3.5% tested positive for HBsAg, 3% for syphilis antibodies, 0.8% for HCV antibodies, and 0.2% for HTLV-I antibodies. None were reactive for HIV-2 or HTLV-II antibodies. HIV-1 seroprevalence among Africans and Ecuadorians was 4.5 and 10.9%, respectively. All HIV-1 seropositive Ecuadorians were transsexual men, and 28.6% had active syphilis infection. Up to 80% of HIV-1 positive specimens were characterized as non-B subtypes, with subtypes G, A, and G/A recombinants being the most frequent among African individuals. In contrast, South Americans with HIV-1 infection carried exclusively subtype B variants. A relatively high proportion of immigrant sex workers in Madrid were infected with HIV-1 and syphilis, whereas infections with hepatitis viruses or HTLV were uncommon.

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Section: Discussionsupporting

confidence: 93%

Prevalence of HIV‐1 non‐B subtypes, syphilis, HTLV, and hepatitis B and C viruses among immigrant sex workers in Madrid, Spain

Gutiérrez

Tajada²,

Álvarez³

et al. 2004

Journal of Medical Virology

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“…12 13 The prevalence of HIV was notably higher among heterosexual persons from sub-Sahara Africa than from other places of origin, as it has been described in other European studies. [14][15][16][17][18] This probably reflects the higher prevalence of HIV in their countries of origin and a higher probability to be in an "at risk situation". 4 19 It cannot be forgotten however, that HIV infections are also taking place in Spain and that socioeconomic disadvantage makes people more vulnerable to becoming infected.…”

Section: Discussionmentioning

confidence: 99%

HIV infection among people of foreign origin voluntarily tested in Spain. A comparison with national subjects

Group¹

2002

Sexually Transmitted Infections

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“…The method used to detect antibodies to HIV and HCV was based on that used in previous studies (Couturier et al, 1992;Meyer et al, 1996). The blots were analyzed with ELISA tests by the National HIV Reference Center in Tours, France.…”

Section: Data Collectionmentioning

confidence: 99%

Impact of a Harm-Reduction Policy on HIV and Hepatitis C Virus Transmission Among Drug Users: Recent French Data—The ANRS-Coquelicot Study

Jauffret‐Roustide

Emmanuelli²,

Quaglia³

et al. 2006

Substance Use & Misuse

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In France a harm-reduction policy was implemented in the late 1980s with the aim of reducing the prevalence of HIV and hepatitis C virus (HCV) infection among drug users. The ANRS-Coquelicot survey was designed to measure the prevalence of HIV and HCV infection among drug users and to examine determinants of at-risk behaviors. In 2002, information was collected from 166 drug users recruited in all types of services specializing in drug use intervention and harm reduction in Marseille, France. Self-reported HIV and HCV serostatus was compared with the results of serological tests done on capillary blood collected on filter paper. The self-reported and biologically documented prevalence rates of HIV infection were identical (22%). In contrast, the self-reported prevalence of HCV infection was 52%, whereas the biologically documented prevalence was 73%. Overall, 30% of HCV-infected drug users were unaware of their status. Forty-four percent of drug users under 30 years of age were HCV seropositive, suggesting that they had been infected early during drug use. The harm-reduction policy seems to have had a marked impact on HIV transmission among drug users but a much more limited impact on HCV transmission. The limitations and implications of the study are discussed.

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Trends in HIV infection among sexually transmitted disease patients in Paris

Cited by 12 publications

References 0 publications

Prevalence of HIV‐1 non‐B subtypes, syphilis, HTLV, and hepatitis B and C viruses among immigrant sex workers in Madrid, Spain

Prevalence of HIV‐1 non‐B subtypes, syphilis, HTLV, and hepatitis B and C viruses among immigrant sex workers in Madrid, Spain

HIV infection among people of foreign origin voluntarily tested in Spain. A comparison with national subjects

Impact of a Harm-Reduction Policy on HIV and Hepatitis C Virus Transmission Among Drug Users: Recent French Data—The ANRS-Coquelicot Study

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