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Sex Transm Infect. Aug 2003; 79(4): 307–312.
PMCID: PMC1744727

Variations of HIV and STI prevalences within communities neighbouring new goldmines in Tanzania: importance for intervention design

Abstract

Objectives: To measure the prevalence of HIV and other STIs in communities neighbouring new large scale gold mines in northern Tanzania in order to inform the design of a targeted HIV/STI intervention programme.

Methods: Cross sectional surveys were conducted in adults aged 16–54 years from different sectors of communities neighbouring two newly opened, large scale gold mines near Lake Victoria. Mine workers, men, women, and female food and recreational facility workers (FRFW) from the community were randomly selected for interview and HIV and STI testing.

Results: 207 male Tanzanian mine workers, 206 FRFW, 202 other male and 205 female community members were enrolled. Overall, 42% of FRFW were HIV positive, compared to 6% of male mine workers, and 16% and 18% of other community men and women respectively. HIV prevalence in FRFW was significantly associated with alcohol consumption (adjusted odds ratio (aOR) = 2.5, 95% confidence interval (CI) 1.1 to 5.5), past or present syphilis (TPPA+) (aOR = 2.7, 95% CI 1.4 to 5.1) and single status (aOR = 3.8, 95% CI 1.2 to 11.9). Among FRFW, 24% had active syphilis (RPR+, TPPA+), 9% Chlamydia trachomatis, and 4% Neisseria gonorrhoeae. Overall, 50% of FRFW and 50% of community men never used condoms during sex, and 55% mineworkers, 61% male, and 20% female community members reported receiving/giving payment for sex during the previous year.

Conclusions: There is a high prevalence of HIV and other STIs in communities around new goldmines in Tanzania, especially in FRFW. HIV and STI prevalence in the mining workforce is still relatively low, but high risk sexual behaviour is reported by all adult subgroups surveyed in this study. Programmes focusing on HIV/STI prevention, with targeted interventions for high risk women such as FRFW, will be extremely important in such high transmission communities where there is substantial recent in-migration of men and women seeking work. Such programmes have recently been initiated by a private/public/NGO partnership.

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Selected References

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  • Grosskurth H, Mosha F, Todd J, Senkoro K, Newell J, Klokke A, Changalucha J, West B, Mayaud P, Gavyole A, et al. A community trial of the impact of improved sexually transmitted disease treatment on the HIV epidemic in rural Tanzania: 2. Baseline survey results. AIDS. 1995 Aug;9(8):927–934. [PubMed]
  • Barongo LR, Borgdorff MW, Mosha FF, Nicoll A, Grosskurth H, Senkoro KP, Newell JN, Changalucha J, Klokke AH, Killewo JZ, et al. The epidemiology of HIV-1 infection in urban areas, roadside settlements and rural villages in Mwanza Region, Tanzania. AIDS. 1992 Dec;6(12):1521–1528. [PubMed]
  • Mosha F, Nicoll A, Barongo L, Borgdorff M, Newell J, Senkoro K, Grosskurth H, Changalucha J, Klokke A, Killewo J, et al. A population-based study of syphilis and sexually transmitted disease syndromes in north-western Tanzania. 1. Prevalence and incidence. Genitourin Med. 1993 Dec;69(6):415–420. [PMC free article] [PubMed]
  • Auvert B, Ballard R, Campbell C, Caraël M, Carton M, Fehler G, Gouws E, MacPhail C, Taljaard D, Van Dam J, et al. HIV infection among youth in a South African mining town is associated with herpes simplex virus-2 seropositivity and sexual behaviour. AIDS. 2001 May 4;15(7):885–898. [PubMed]
  • Kapiga Saidi H, Sam Noel E, Shao John F, Renjifo Boris, Masenga Elisante J, Kiwelu Ireen E, Manongi Rachel, Fawzi Wafaie, Essex Max. HIV-1 epidemic among female bar and hotel workers in northern Tanzania: risk factors and opportunities for prevention. J Acquir Immune Defic Syndr. 2002 Apr 1;29(4):409–417. [PubMed]
  • Campbell C. Migrancy, masculine identities and AIDS: the psychosocial context of HIV transmission on the South African gold mines. Soc Sci Med. 1997 Jul;45(2):273–281. [PubMed]
  • Laga M, Schwärtlander B, Pisani E, Sow PS, Caraël M. To stem HIV in Africa, prevent transmission to young women. AIDS. 2001 May 4;15(7):931–934. [PubMed]
  • Campbell C. Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine. Soc Sci Med. 2000 Feb;50(4):479–494. [PubMed]
  • Meekers D. Going underground and going after women: trends in sexual risk behaviour among gold miners in South Africa. Int J STD AIDS. 2000 Jan;11(1):21–26. [PubMed]

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