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Trop Med Int Health. 2003 Oct;8(10):933-9.

Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants.

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1
Department of International Community Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. krishna@m.u-tokyo.ac.jp

Abstract

OBJECTIVE:

To measure the seroprevalence of human immunodeficiency virus (HIV) infection and syphilis, and to assess the behavioural risk factors for these infections among migrant-returnees and non-migrants in far western Nepal.

METHODS:

In April 2001, we recruited 97 male migrant-returnees and 40 non-migrants from five rural villages in Doti district where migration to Mumbai is common. For data collection, we conducted a serological examination for HIV and syphilis, and a perception and behaviour survey on HIV and other sexually transmitted infections.

RESULTS:

We found that 11 of 137 men (8%) were positive for HIV infection and 30 men (22%) for syphilis. The respondents, especially the migrant-returnees from Mumbai, were engaging in risky behaviours such as pre- or extramarital sex, and sex with multiple partners, including sex workers.

CONCLUSIONS:

This study revealed high HIV and syphilis prevalence among the male migrant-returnees and non-migrants in far western Nepal where migration to Mumbai is common. The prevalent behaviours, particularly among the migrant-returnees, imply urgent needs of the behavioural modification programme in this area to prevent the spread of HIV infection to general population.

PMID:
14516305
[Indexed for MEDLINE]
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