Rapid progression to disease in african sex workers with human immunodeficiency virus type 1 infection

Omu A. Anzala, Nico J.D. Nagelkerke, Job J. Bwayo, Donna Holton, Stephen Moses, Elizabeth N. Ngugi, Jackoniah O. Ndinya-Achola, Francis A. Plummer

Research output: Contribution to journalArticlepeer-review

121 Citations (Scopus)

Abstract

From a cohort of female sex workers in Nairobi, Kenya, 163 women were observed to seroconvert to human immunodeficiency virus type 1 (HIV-1) and followed to study progression to HIV-I-related disease. The effect of several covariables on disease progression was studied using a Weibull proportional hazards model. The Weibull survival model was fitted to the observed incubation times. Estimates of the median duration to CDC stage IV-A and IV-C disease were 3.5 and 4.4 years, respectively. Condom use before seroconversion was associated with a reduced risk of CDC stage IV-A disease (relative risk =.64, P ≤.05). The incubation time of HIV-I-related disease is extremely short in this population.

Original languageEnglish
Pages (from-to)686-689
Number of pages4
JournalJournal of Infectious Diseases
Volume171
Issue number3
DOIs
Publication statusPublished - Mar 1995
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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