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- Title
What is driving the HIV epidemic in French Guiana?
- Authors
Nacher, M.; Vantilcke, V.; Parriault, M. C.; van Melle, A.; Hanf, M.; Labadie, G.; Romeo, M.; Adriouch, L.; Carles, G.; Couppié, P.
- Abstract
Thirty years after the first HIV case in French Guiana, the drivers of the epidemic are not clearly known, but the epidemic is usually conceptualized as generalized. Cross-linking results from a study in the general population and a study in the HIV-infected population in Cayenne suggests that in the general population of HIV-positive men, 45% of HIV cases are attributable to having sex with someone they paid. Similarly, for HIV-positive women exchanging sex for presents or money, 10.7% of HIV cases are attributable to transactional sex. A surprising finding was that 16.8% of HIV patients had tried crack cocaine before. On the Maroni river, the female-biased sex ratio suggests the drivers in that remote area may be related to cultural polygyny. These observations have important consequences on communication and prevention strategies.
- Subjects
HIV-positive persons; PREVENTIVE medicine; AIDS prevention; HIV infection transmission; EPIDEMICS; SEX ratio; SAFE sex
- Publication
International Journal of STD & AIDS, 2010, Vol 21, Issue 5, p359
- ISSN
0956-4624
- Publication type
Article
- DOI
10.1258/ijsa.2010.009570