Individual level injection history: a lack of association with HIV incidence in rural Zimbabwe |
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Authors: | Lopman Ben A Garnett Geoff P Mason Peter R Gregson Simon |
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Affiliation: | Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, United Kingdom. b.lopman@imperial.ac.uk |
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Abstract: | BackgroundIt has recently been argued that unsafe medical injections are a major transmission route of HIV infection in the generalised epidemics of sub-Saharan Africa.Methods and FindingsWe have analysed the pattern of injections in relation to HIV incidence in a population cohort in Manicaland in a rural area of Zimbabwe. In Poisson regression models, injections were not found to be associated with HIV in males (rate ratio = 0.33; 95% confidence interval: 0.07 to 1.46) or females (rate ratio = 1.04; 95% confidence interval: 0.59 to 1.85).ConclusionIt is important that unsafe medical injections can be confidently excluded as a major source of HIV infection. In rural Zimbabwe the evidence is that they can. |
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