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International Journal of STD & AIDS

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Int J STD AIDS 2008;19:694-697
doi:10.1258/ijsa.2008.008072
© 2008 Royal Society of Medicine Press

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Original research articles

Herpes simplex virus type 2 infection among commercial sex workers in Kunming, Yunnan Province, China

T D Ngo MHS *, O Laeyendecker MBA, MS * {dagger}, C Li MD {ddagger}, H Tai MD §, M Cui MD **, S Lai MD MPH {dagger}{dagger} and T C Quinn MD, MSc * {dagger} 

* National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD; {dagger} Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; {ddagger} Comprehensive Drug Research Centre, Yunnan University; § Department of Laboratory of Medicine, Yunnan Provincial Hospital; ** Kunming Centre for Disease Control, Kunming, China; {dagger}{dagger} Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA

Correspondence to: Dr Thomas C Quinn, Department of Infectious Diseases, Johns Hopkins University School of Medicine, 1721 East Madison Street, Ross Building, Room 1159, Baltimore, MD 21205, USA Email: tquinn{at}jhmi.edu

A cross-sectional survey was conducted to determine the sociodemographic correlates of herpes simplex virus type 2 (HSV-2) infection among male and female commercial sex workers in Kunming, Yunnan Province of China. HSV-2 prevalence was 33.0%, human immunodeficiency virus (HIV) infection was 2.4% and hepatitis C virus (HCV) infection was 6.8%. Subjects who were positive for HSV-2 had a significantly higher prevalence of HIV infection (5.5% versus 0.9%, P = 0.002; odds ratio [OR]: 6.4, P = 0.006) and HCV infection (18.7% versus 2.4%, P < 0.001; OR: 7.6, P < 0.001) compared with HSV-2-negative individuals. Risk factors that increased the odds of HSV-2 infection were HIV infection, HCV infection, being female, and having a steady sex partner within the last six months (P ≤ 0.01). In a multivariate analysis, being female (OR: 6.6, P < 0.001), having HCV infection (OR: 5.9, P < 0.001) and having a sex partner within the last six months (OR: 2.2, P < 0.05) showed greater odds of being infected with HSV-2. A strong relationship was found between HSV-2, HIV and HCV infections.

Key Words: commercial sex workers • herpes simplex virus type 2 • human immunodeficiency virus • hepatitis C virus • China


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