Fishermen as a Suitable Population for HIV Intervention Trials

Background. Suitable populations to sustain continued evaluation of HIV and sexually transmitted infection (STI) prevention interventions are required. We sought to determine whether fishermen are a suitable population for HIV intervention trials. Methods. In a cross-sectional descriptive survey, we...

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Main Authors: Zachary A. Kwena, Craig R. Cohen, Norton M. Sang, Musa O. Ng'ayo, Jeremiah H. Ochieng, Elizabeth A. Bukusi
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2010/865903
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author Zachary A. Kwena
Craig R. Cohen
Norton M. Sang
Musa O. Ng'ayo
Jeremiah H. Ochieng
Elizabeth A. Bukusi
author_facet Zachary A. Kwena
Craig R. Cohen
Norton M. Sang
Musa O. Ng'ayo
Jeremiah H. Ochieng
Elizabeth A. Bukusi
author_sort Zachary A. Kwena
collection DOAJ
description Background. Suitable populations to sustain continued evaluation of HIV and sexually transmitted infection (STI) prevention interventions are required. We sought to determine whether fishermen are a suitable population for HIV intervention trials. Methods. In a cross-sectional descriptive survey, we selected 250 fishermen from proportional to size sampled boats. We collected socioeconomic and behavioral information, and specimens for HIV, herpes simplex virus (HSV-2), syphilis, gonorrhea, chlamydia and human papillomavirus (HPV) tests from consenting participants. Results. One third of the fishermen had concurrent sexual partnerships and two thirds were involved in transactional sex. About 70% were involved in extramarital sex with only one quarter using condoms in their three most recent sexual encounters. HIV prevalence was 26% and HSV-2 and HPV was 57%. Over 98% were willing to participate in a future HIV prevention clinical trial. Conclusion. Fishermen are a high-risk group for HIV/STI infections that may be suitable for HIV prevention trials. A cohort study would be useful to measure the incidence of HIV/STIs to ultimately determine the feasibility of enrolling this population in an HIV/STI prevention clinical trial.
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spelling doaj-art-c8b030ffcca044f6b38b8e3c84d64b652025-08-20T02:19:41ZengWileyAIDS Research and Treatment2090-12402090-12592010-01-01201010.1155/2010/865903865903Fishermen as a Suitable Population for HIV Intervention TrialsZachary A. Kwena0Craig R. Cohen1Norton M. Sang2Musa O. Ng'ayo3Jeremiah H. Ochieng4Elizabeth A. Bukusi5Research Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, KenyaDepartment of Obstetrics, Gynecology and Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA 94105, USAResearch Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, KenyaResearch Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, KenyaResearch Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, KenyaResearch Care and Treatment Program, Center for Microbiology Research, Kenya Medical Research Institute, Lumumba Health Center, P.O. Box 614, 40100, Kisumu, Nairobi, KenyaBackground. Suitable populations to sustain continued evaluation of HIV and sexually transmitted infection (STI) prevention interventions are required. We sought to determine whether fishermen are a suitable population for HIV intervention trials. Methods. In a cross-sectional descriptive survey, we selected 250 fishermen from proportional to size sampled boats. We collected socioeconomic and behavioral information, and specimens for HIV, herpes simplex virus (HSV-2), syphilis, gonorrhea, chlamydia and human papillomavirus (HPV) tests from consenting participants. Results. One third of the fishermen had concurrent sexual partnerships and two thirds were involved in transactional sex. About 70% were involved in extramarital sex with only one quarter using condoms in their three most recent sexual encounters. HIV prevalence was 26% and HSV-2 and HPV was 57%. Over 98% were willing to participate in a future HIV prevention clinical trial. Conclusion. Fishermen are a high-risk group for HIV/STI infections that may be suitable for HIV prevention trials. A cohort study would be useful to measure the incidence of HIV/STIs to ultimately determine the feasibility of enrolling this population in an HIV/STI prevention clinical trial.http://dx.doi.org/10.1155/2010/865903
spellingShingle Zachary A. Kwena
Craig R. Cohen
Norton M. Sang
Musa O. Ng'ayo
Jeremiah H. Ochieng
Elizabeth A. Bukusi
Fishermen as a Suitable Population for HIV Intervention Trials
AIDS Research and Treatment
title Fishermen as a Suitable Population for HIV Intervention Trials
title_full Fishermen as a Suitable Population for HIV Intervention Trials
title_fullStr Fishermen as a Suitable Population for HIV Intervention Trials
title_full_unstemmed Fishermen as a Suitable Population for HIV Intervention Trials
title_short Fishermen as a Suitable Population for HIV Intervention Trials
title_sort fishermen as a suitable population for hiv intervention trials
url http://dx.doi.org/10.1155/2010/865903
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AT jeremiahhochieng fishermenasasuitablepopulationforhivinterventiontrials
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