DOI: 10.21045/2071-5021-2017-56-4-5
1,2Balaeva Ò.V., 1Samodova Î.V., 1Sannikov A.L.
1Northern State Medical University, Arkhangelsk, Russia
2Center of hygiene and epidemiology in Arkhangelsk region, Arkhangelsk
Contacts: Tatiana Balaeva, e-mail
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Information about authors:
Balaeva Ò.V., http://orcid.org/0000-0003-2072-3452
Samodova Î.V., http://orcid.org/0000-0002-6730-6843
Sannikov A.L., http://orcid.org/0000-0003-0405-659X
Acknowledgments. The project was funded by the Research Council of Norway and the Ministry of Foreign Affairs of Finland.
Conflct of interests. The authors declare no conflict of interest.
Abstract
Infection caused by herpes simplex virus type 2, is of interest of
researchers all around the world because of its high prevalence in the
population, high number of asymptomatic carriers and severity of
possible consequences in pregnant women and newborns. Herpes simplex
virus is a marker of sexual behavior in the population, as well as a
frequent co-factor of HIV infection. In Russia epidemiology of virus
herpes simplex type 2 is under-investigated.
The purpose of the study was to determine prevalence of
herpes simplex virus type 2 among adult population in Arkhangelsk and
to evaluate social and behavioral factors associated with this
infection.
Methods. The conducted population-based
cross-sectional study combines investigation of biological indicators
(determination of blood immunoglobulin G to herpes simplex virus type 2)
with data on behavioral risk factors. We used a quota sampling method
to create a representative sample of the adult population in Arkhangelsk
aged 18-39 years.
Results. The majority of 1243 participants were
females (56%), 44% were men. According to the laboratory tests, 18.8% of
the participants were positive on immunoglobulin G to herpes simplex
virus type 2. In multiple logistic regression analysis for men the
increasing age, marital status and history of sexually transmitted
infections were significantly associated with seropositivity on herpes
simplex type 2. In multiple logistic regression analysis for women the
increasing age, high income level, lifetime number of sexual partners
were significantly associated with herpes simplex type 2 seropositivity.
Sexual debut at the age of 18 years and over was significant as a
protective factor for women only.
Conclusion. Factors associated with herpes simplex type
2 infection in our study do not significantly differ compared with the
results in other countries. High prevalence of infection among women of
childbearing age reveals the potential risk of transmission from mother
to child, and suggests an increased risk of HIV infection in women. Our
findings will be useful to develop multilateral strategies aimed at
preventing herpes simplex type 2 and other sexually transmitted
infections in the North-West of Russia.
Keywords: herpes type 2; social factors; behavioral factors; population-based study.
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