Document 2537
 DOCN  M94A2537
 TI    Rural HIV transmission in northern Nigeria.
 DT    9412
 AU    Garba ML; FHI/AIDSCAP, Federal Republic of Nigeria.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):281 (abstract no. PC0045). Unique
       Identifier : AIDSLINE ICA10/94370038
 AB    OBJECTIVE: To investigate the unexpectedly high reporting of rural AIDS
       cases between January 1993 and November 1993 in Jigawa State, northern
       Nigeria. METHODS: A chart review and interview of 81 patients admitted
       into two general hospitals in Jigawa State, Nigeria between 1 January
       1993 and 30 November 1993 were conducted. The demographic, social, and
       geographic variables of patients were analyzed. RESULTS: Fifty-five out
       of 81 (68%) of all cases were from remote/rural areas are between 25 and
       40 years old. Almost all rural cases were from scattered settlements,
       which are somewhat close to each other. Market-based casual sex
       encounters with migrating prostitutes was a common factor in all rural
       cases as was illiteracy and poor knowledge of AIDS and HIV transmission.
       An additional difference between the rural and urban cases was the low
       economic status of the rural cases. The 26 urban cases with a male to
       female ration of 3:1 had different risk factors, notably heterosexual
       and blood transfusion. CONCLUSIONS: 1. Marketplace commercial sex
       activities by migrating prostitutes in northern Nigeria appears to be a
       major factor for higher rates of HIV/AIDS transmission among the rural
       populace when compared with urban dwellers. 2. All intervention
       strategies should address the issue of migrating prostitutes who are
       difficult to reach. In addition, intervention strategies should enhance
       village-based educational campaigns. 3. Future efforts should address
       the effect of migrating prostitutes on transmission to populations in
       cross-border regions, including the Nigeria/Niger and Nigeria/Chad
       borders. Such efforts will expand interventions beyond current political
       boundaries.
 DE    Acquired Immunodeficiency Syndrome/TRANSMISSION  Adult  Female  Human
       HIV Infections/*TRANSMISSION  Male  Nigeria  Prostitution  Risk Factors
       Rural Population  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).