Abstract:
OBJECTIVES/GOAL:Data on prevalence of herpes simplex virus type 2 (HSV-2) infections are limited in Asia. This study investigated the seroprevalence of, and risk factors for, antibodies to HSV-2 among low- and high-risk, predominantly asymptomatic populations in Indonesia. STUDY DESIGN:We screened women attending maternal and child health, obstetric, gynecology, and sexually transmitted infection (STI) clinics; men attending STI clinics; and female sex workers (FSWs) for type-specific HSV-2 antibodies using the HerpesSelect 2 enzyme-linked immunosorbent assay IgG and Western blot. RESULTS:HSV-2 antibodies were detected in 153 of 176 FSWs (86.9%; 95% confidence interval [CI], 81.0-91.5); increasing age was the only significant independent risk factor (odds ratio [OR], 1.15; 95% CI, 1.06-1.24; P = 0.001). Among non-sex worker females, HSV-2 antibodies were detected in 78 of 418 (18.7%; 95% CI, 15.0-22.7); significant independent associations were any contraceptive use (OR, 2.24, 95% CI = 1.33-3.85, P = 0.003), symptoms or signs of genital ulcer (OR, 2.69; 95% CI, 1.27-5.70; P = 0.01) and younger age of sexual debut (OR, 0.92; 95% CI, 0.86-0.99; P = 0.03). HSV-2 antibodies were detected in 25 of 116 men (21.6%; 95% CI, 14.5-30.1). CONCLUSIONS:HSV-2 seroprevalence reported here is in the upper range of that reported in nearby regions. Health promotion is needed to encourage affected individuals to recognize symptoms of genital herpes and seek care and advice on reducing transmission. The high seroprevalence among FSWs has potentially serious implications for the HIV epidemic in Indonesia.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Davies SC,Taylor JA,Sedyaningsih-Mamahit ER,Gunawan S,Cunningham AL,Mindel Adoi
10.1097/01.olq.0000230427.01727.80subject
Has Abstractpub_date
2007-03-01 00:00:00pages
132-8issue
3eissn
0148-5717issn
1537-4521journal_volume
34pub_type
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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doi:
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doi:10.1097/olq.0b013e31812e6b9a
更新日期:2007-12-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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更新日期:2004-04-01 00:00:00
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更新日期:2003-07-01 00:00:00
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更新日期:2020-05-01 00:00:00
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