FACTEURS ASSOCIES A L’INFECTION A VIH ET A LA SYPHILIS DANS L’ETUDE DE SURVEILLANCE SENTINELLE CHEZ LES FEMMES ENCEINTES ENFACTORS ASSOCIATED WITH HIV INFECTION AND/OR SYPHILIS IN THE SENTINEL SURVEILLANCE STUDY AMONG PREG
Abstract
Abstract
The Human Immunodeficiency Virus (HIV) and syphilis remain a major public health
problem around the world. The objective of this survey was to study the prevalence and risk
factors for HIV infection and / or syphilis in pregnant women attending antenatal care. This
was a cross-sectional study, carried out from March 27 to November 18, 2012 in 24 sentinel
sites divided between the regions of Kayes, Koulikoro, Sikasso, Ségou and Mopti and the
District of Bamako. Information on pregnant women aged 15-49 was collected anonymously
from an individual interview form. The analysis was conducted on 6501 women aged 15-49
years who were tested for HIV and syphilis. The median age was 24. In the sample, 2.85%
were seropositive for HIV and 1.40% for Syphilis. In the multivariate analysis, pregnant
women over 25 years of age and those living in urban areas had a higher risk of being infected
with HIV with ORa=1.78[1.20;1.63] and ORa=2.17[1.47; 3.03] respectively. For syphilis,
rural women were less likely to be infected, ORa= 0.54[0.35;0.83]. Our results show that the
risk factor associated with HIV and syphilis varied significantly with the age and place of
residence of pregnant women. The extension of the study to all regions of the country and to
other parameters such as mother-to-child factors, the presence of other STIs and the level of
education of women is crucial for the regular monitoring of the HIV epidemic and its
prevention.
Keywords : HIV, Syphilis, sentinel surveillance, pregnant women
1. Introduction
