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Factors associated with the prevalence and incidence of herpes simplex virus type 2 infection among men in Rakai, Uganda.

The Journal of Infectious Diseases

Adolescent, Adult, Alcohol Drinking, Circumcision, Male, Condoms, Confidence Intervals, HIV Seropositivity, epidemiology, transmission, HIV-1, HIV-2, Herpes Genitalis, Herpesvirus 2, Human, Humans, Incidence, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Prevalence, Risk Factors, Sexual Behavior, Uganda, Young Adult

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      Abstract

      Little is known about risk factors for incident herpes simplex virus type 2 (HSV-2) infection among men in Africa. In a trial in Rakai, Uganda, 6396 men aged 15-49 years were evaluated for serological evidence of HSV-2, human immunodeficiency virus (HIV), and syphilis infections at enrollment and at 6, 12, and 24 months. The prevalence of HSV-2 infection was 33.76%, and the incidence was 4.90 cases per 100 person-years. HSV-2 incidence increased with alcohol use with sexual intercourse (adjusted incidence rate ratio [adjIRR], 1.92 [95% confidence interval {CI}, 1.46-2.53]), decreased with consistent condom use (adjIRR, 0.56 [95% CI, 0.36-0.89]) and male circumcision (adjIRR, 0.70 [95% CI, 0.55-0.91]), and was not significantly affected by enrollment HIV status. Education on modifiable behavioral changes may reduce the acquisition of HSV-2. (ClinicalTrials.gov identifiers: NCT00425984 and NCT00124878 .).

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      2789195
      19220138
      10.1086/597074

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