Sexually Transmitted Diseases

Skip Navigation LinksHome > November 2011 - Volume 38 - Issue 11 > Prevalence of Herpes Simplex Virus Type 2 Infection, Human I...
Sexually Transmitted Diseases:
doi: 10.1097/OLQ.0b013e31822e60b6
Original Study

Prevalence of Herpes Simplex Virus Type 2 Infection, Human Immunodeficiency Virus/Herpes Simplex Virus Type 2 Coinfection, and Associated Risk Factors in a National, Population-Based Survey in Kenya

Mugo, Nelly MD*†; Dadabhai, Sufia S. MHS‡; Bunnell, Rebecca ScD§; Williamson, John PhD¶; Bennett, Eddas MPH∥; Baya, Isaack MS**; Akinyi, Nelly MS§††; Mohamed, Ibrahim MD‡‡; Kaiser, Reinhard MD§

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Abstract

Background: Herpes simplex virus type 2 (HSV-2) is a known biologic cofactor for human immunodeficiency virus (HIV) transmission and acquisition. The Kenya AIDS Indicator Survey 2007 provided Kenya's first nationally representative estimate of HSV-2 prevalence and risk factors.

Methods: KAIS was a household serosurvey among women and men aged 15 to 64 years. The survey included a behavioral interview and serum testing for HSV-2, HIV, and syphilis infections. Results were weighted for sampling design and nonresponse.

Results: Of 19,840 eligible individuals, 90% completed an interview and 80% consented to testing. In all, 35% were infected with HSV-2, of which 42% were women and 26% were men. Between 15 and 24 years of age, HSV-2 prevalence increased from 7% to 34% in women and 3% to 14% in men. Among couples, 30% were HSV-2 concordant-positive, 21% were discordant, and 49% were concordant-negative. In all, 81% of HIV-infected persons were coinfected with HSV-2. HIV prevalence was 16% among those with HSV-2 and 2% among those without HSV-2. Women with circumcised partners had an HSV-2 prevalence of 39% compared to 77% of women with uncircumcised partners.

Conclusions: One-third of Kenyans were HSV-2 infected. HIV-1 infection, age, female sex, and lack of male circumcision were population-level predictors for HSV-2 infection. Targeted prevention interventions are needed, including an effective vaccine.

© Copyright 2011 American Sexually Transmitted Diseases Association

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