       Document 0316
 DOCN  M9610316
 TI    Urban to rural routes of HIV infection spread in Ethiopia.
 DT    9601
 AU    Shabbir I; Larson CP; Department of Community Health, Gondar College of
       Medical; Sciences, Ethiopia.
 SO    J Trop Med Hyg. 1995 Oct;98(5):338-42. Unique Identifier : AIDSLINE
       MED/96017604
 AB    A descriptive survey to identify routes of spread of HIV infection from
       urban to rural populations was carried out in a rural south-central
       Ethiopian district. High risk practices for HIV infection and
       transmission were first documented among rural residing former soldiers,
       merchants and students. Extramarital intercourse during the previous 3
       months was reported by 45-50% of these subgroups. In 25-37%, intercourse
       with an urban commercial sex worker (CSW) was reported and condom use
       varied from 10 to 30% among subgroups. The perceived risk for AIDS was
       low and changes in risk behaviours were minimal. Next, 502 rural males
       farmers were surveyed. An extramarital sexual contact in the past 3
       months was reported by 13.5%, with 7% reporting their most recent
       contact with an urban CSW. Only 6% of farmers reported using condoms.
       Awareness of AIDS was reported by 59% and, of these, only 28% perceived
       they were vulnerable. In this study increased knowledge was associated
       with more frequent high risk sexual practices. It is concluded that the
       spread of AIDS into rural communities is occurring as a result of the
       high frequency of high risk sexual behaviours in specific rural residing
       subgroups which frequently travel into urban communities in combination
       with a low background prevalence of high risk practices among the
       general male farmer population.
 DE    Adolescence  Adult  Agriculture  Commerce  Ethiopia  Extramarital
       Relations  Female  Human  HIV Infections/*TRANSMISSION  Knowledge,
       Attitudes, Practice  Male  Middle Age  Military Personnel  Prostitution
       Questionnaires  *Rural Population  *Sex Behavior  Students  Support,
       Non-U.S. Gov't  *Urban Population  JOURNAL ARTICLE

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

