Determinants of HIV transmission | Harare, Zimbabwe | Moshi, Tanzania | ||||||
---|---|---|---|---|---|---|---|---|
 | Number tested | Number HIV positive (%) | Unadjusted OR 1 (95% CI) | Adjusted OR (95% CI) | Number tested | Number HIV positive (%) | Unadjusted OR 1 (95% CI) | Adjusted OR (95% CI) |
All | 691 | 177 (25.6) | Â | Â | 2654 | 184 (6.9) | Â | Â |
Socio-demographic factors | ||||||||
Age group in years | Â | Â | Â | Â | Â | Â | Â | Â |
   < 20 | 134 | 20 (14.9) | 1 | 1 | 479 | 13 (2.8) | 1 | 1 |
   20-24 | 265 | 56 (21.1) | 1.5 (0.9-2.8) | 2.5 (1.1-5.9)* | 996 | 59 (5.9) | 2.2 (1.2-4.1) | 2.2 (1.1-4.4)* |
   25-29 | 168 | 53 (31.2) | 2.6 (1.5-4.7)** | 3.1 (1.3-7.1)* | 664 | 67 (10.1) | 4.0 (2.2-7.3) | 4.4 (2.2-8.9)** |
   > = 30 | 121 | 48 (39.8) | 3.7 (2.1-6.8)** | 3.9 (1.6-9.3)* | 523 | 45 (8.6) | 3.3 (1.8-6.2) | 3.2 (1.5-6.6)* |
Parity | Â | Â | Â | Â | Â | Â | Â | Â |
   No child | 270 | 45 (16.8) | 1 | - | 1064 | 51 (4.8) | 1 |  |
   One ore more | 419 | 132 (31.5) | 2.3 (1.6-3.4)** | - | 1590 | 133 (8.4) | 1.8 (1.3-2.6)** |  |
Marital status | Â | Â | Â | Â | Â | Â | Â | Â |
   Married/cohabiting | 649 | 166 (25.6) | 1 | - | 2414 | 161 (6.7) | 1 | - |
   Single/d/s/w2 | 40 | 11 (27.5) | 1.1 (0.5-2.3) | - | 240 | 23 (9.6) | 1.5 (0.9-2.4)* | - |
Years in school | Â | Â | Â | Â | Â | Â | Â | Â |
   8 or more | 568 | 144 (25.4) | 1 | - | 271 | 20 (7.4) | 1 | - |
   Less than 8 | 123 | 33 (26.8) | 1.1 (0.7-1.7) | - | 2383 | 164 (6.9) | 0.9 (0.6-1.6) | - |
Type of marriage | Â | Â | Â | Â | Â | Â | Â | Â |
   Monogamy | 620 | 153 (24.7) | 1 | - | 2358 | 139 (5.9) | 1 | 1 |
   Polygamy | 54 | 21 (38.9) | 1.9 (1.0-3.6)** | - | 296 | 45 (15.2) | 2.9 (1.9-4.1)** | 1.8 (1.2-2.7)* |
Alcohol consumption | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 656 | 170 (25.9) | 1 | - | 1833 | 106 (5.8) | 1 | - |
   Yes | 21 | 3 (14.3) | 0.5 (0.1-1.7) | - | 821 | 78 (9.5) | 1.7 (1.2-2.3)** | - |
Travelling | Â | Â | Â | Â | Â | Â | Â | Â |
   Rarely | 637 | 167 (26.2) | 1 | - | 2377 | 169 (7.1) | 1 | - |
   Frequently | 53 | 10 (18.9) | 0.7 (0.3-1.4) | - | 36 | 5 (14.0) | 1.4 (0.8-2.5) | - |
Sexual behaviour | ||||||||
Sexual partners in the past 12 months | Â | Â | Â | Â | Â | Â | Â | Â |
   One only | 666 | 167 (25.1) | 1 | - | 2537 | 171 (6.7) | 1 | - |
   More than one | 19 | 9 (47.4) | 2.7 (1.1-6.7)** | - | 117 | 13 (11.1) | 1.7 (1-3.1) | - |
Lifetime sexual partners | Â | Â | Â | Â | Â | Â | Â | Â |
   One | 496 | 93 (18.8) | 1 | 1 | 1490 | 35 (2.4) | 1 | 1 |
   Two or more | 189 | 83 (43.9) | 3.4 (2.3-5.0)** | 3.0 (1.8-5.1)** | 1164 | 149 (12.8) | 6.1 (4.2-9.2)** | 3.9 (2.6-5.9)** |
Age (years) of sexual debut | Â | Â | Â | Â | Â | Â | Â | Â |
   At or after 16 | 618 | 157 (25.4) | 1 | - | 2288 | 147 (6.4) | 1 | 1 |
   Below 16 | 67 | 19 (28.4) | 1.2 (0.6-2.1) | - | 366 | 37 (10.1) | 1.6 (1.1-2.4)** | 1.6 (1.1-2.4)* |
Ever used a condom | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 374 | 82 (21.9) | 1 | - | 2004 | 121 (6.0) | 1 | - |
   Yes | 302 | 91 (30.1) | 1.5 (1.1-2.2)** | - | 650 | 63 (9.7) | 1.7 (1.2-2.3)** | - |
Uses herbs to tighten vagina | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 589 | 148 (25.1) | 1 | - | 1233 | 90 (7.3) | 1 | - |
   Yes | 96 | 29 (30.2) | 1.3 (0.8-2.1) | - | 97 | 6 (6.2) | 0.8 (0.3-2.0) | - |
Siblings have different fathers | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 554 | 119 (21.5) | 1 | - | 1217 | 59 (4.9) | 1 | 1 |
   Yes | 99 | 52 (52.5) | 4.0 (2.5-6.5)** | - | 1437 | 125 (8.7) | 1.9 (1.3-2.6)** | 1.6 (1.1-2.4)* |
Other infections, signs and symptoms | Â | Â | Â | Â | Â | Â | Â | Â |
HSV-2 | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 309 | 21 (6.8) | 1 | 1 | 844 | 104 (12.3) | 1 | 1 |
   Yes | 323 | 137 (42.4) | 10.1 (6.2-16.6)** | 5.3 (3.0-9.5)** | 427 | 79 (18.5) | 1.6 (1.2-2.2)** | 3.1 (2.2-4.5)** |
Syphilis | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 654 | 160 (24.5) | 1 | - | 2631 | 178 (6.7) | 1 | 1 |
   Yes | 8 | 5 (62.5) | 5.1 (1.2-21.8)** | - | 23 | 6 (26.1) | 4.9 (1.9-12.5)** | 9.4 (2.4-36.2)** |
Trichomoniasis | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 600 | 140 (23.3) | 1 | - | 2428 | 170 (7.0) | 1 | - |
   Yes | 80 | 32 (40.0) | 2.2 (1.3-3.6)** | - | 127 | 13 (10.2) | 1.5 (0.8-2.8) | - |
Bacterial vaginosis | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 403 | 72 (17.9) | 1 | 1 | 2022 | 115 (5.7) | 1 | 1 |
   Yes | 195 | 75 (38.5) | 2.9 (1.9-4.3)** | 3.0 (1.8-5.0)** | 533 | 68 (12.8) | 2.4 (1.7-3.4)** | 2.2 (1.5-3.1)** |
History of schistosomiasis | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 559 | 140 (25.0) | 1 | - | 1276 | 94 (7.4) | 1 | - |
   Yes | 120 | 33 (27.5) | 1.1 (0.7-1.8) | - | 56 | 2 (3.6) | 0.5 (0.1-1.8) | - |
Vaginal pH > 4.5 | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 197 | 40 (20.3) | 1 | - | 1673 | 99 (5.9) | 1 | - |
   Yes | 415 | 113 (27.2) | 1.6 (0.9-2.6)* | - | 882 | 84 (9.5) | 1.7 (1.2-2.3)** | - |
Clinical genital warts | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 557 | 129 (23.2) | 1 | 1 | 2522 | 178 (7.1) 5 | 1 | - |
   Yes | 44 | 23 (52.3) | 3.6 (1.9-7.1)** | 3.0 (1.1-8.6)* | 33 | (15.2) | 2.4 (0.9-6.1)* | - |
Clinical genital ulcer | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 578 | 140 (24.2) | 1 | 1 | 2514 | 175 (7.0) 8 | 1 | 1 |
   Yes | 16 | 10 (62.5) | 5.2 (1.9-14.6)** | 3.6 (1.1-11.8)* | 41 | (19.5) | 3.2 (1.3-6.3)* | 2.7 (1.1-6.8)* |
Previous genital warts | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 653 | 163 (25.0) | 1 | - | 2606 | 178 (6.8) 6 | 1 | - |
   Yes | 33 | 13 (39.4) | 2.0 (1.0-4.0)* | - | 48 | (12.5) | 1.9 (0.8-4.6) | - |
Previous genital ulcer | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 643 | 157 (24.4) | 1 | - | 2569 | 174 (6.8) | 1 | - |
   Yes | 44 | 19 (43.2) | 2.4 (1.3-4.4)** | - | 85 | 10 (11.8) | 1.8 (0.9-3.6)* | - |
Partner characteristics | Â | Â | Â | Â | Â | Â | Â | Â |
Current partner circumcised | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 606 | 154 (25.3) | 1 | - | 52 | 6 (11.5) | 1 | - |
   Yes | 51 | 14 (27.5) | 1.1 (0.5-2.2) | - | 2361 | 168 (7.1) | 0.6 (0.2-1.7) | - |
Current partner frequent traveler | Â | Â | Â | Â | Â | Â | Â | Â |
   No | 391 | 98 (25.1) | 1 | - | 1794 | 108 (6.0) | 1 | 1 |
   Yes | 268 | 71 (26.5) | 1.1 (0.7-1.6) | - | 619 | 66 (10.7) | 1.9 (1.3-2.6)** | 1.9 (1.3-2.7)** |