RISK FACTORS AMONG HIV POSITIVE/AIDS PATIENTS: A PROSPECTIVE STUDY AT A TERTIARY CARE REFERRAL CENTRE

Authors

  • Rabia Ahmed
  • Noshin Wasim Yusuf
  • Iqbal Javeid
  • Mizna Arif
  • Sajjad Haider

Abstract

Background: HIV/AIDS is a global problem, South Asia and Africa bearing the maximum burden.The incidence is reported to be rising in Pakistan. It is important to document the prevalence of variousrisk factors in our population so that appropriate measures could be taken for preventing emergence ofnew cases. Objectives were to identify the possible etiological factors/high risk behaviour in casesdiagnosed as HIV/AIDS presenting at a tertiary care referral centre. Methods: Prospectiveobservational case series carried out over a one year period at HIV/AIDS referral centre at Allama IqbalMedical College Lahore. Five hundred patients were included who were positive for HIV on screeningdevices and then confirmed by ELISA. All these patients were referrals from Punjab AIDS controlprogramme (PACP). A detailed history was taken on a pre-designed Performa specially targeted toidentify the known risk factors for HIV infection. Results: Five hundred HIV positive subjectsdiagnosed by screening device and confirmed on ELISA were included in the present study. Threehundred and fourteen (63%) were males and 186 (37%) were females. Mean age was 35±12 years.Most prevalent risk factor among these patients was sexual transmission followed by intravenous drugabuse, injections from substandard health facilities, and transmission from infected spouse.Conclusion: HIV/AIDS is a preventable disease if the risk factors are avoided. Community awarenessfor unsafe homo and heterosexual practices and discouraging visits to non qualified health practitionersshould be the top priority by PACP apart from controlling the IDUs menace.Keywords: HIV, AIDS, Pakistan, Punjab, STD, epidemic, commercial sex worker, quackery, IDUs

References

Statistics worldwide. Available at: www.amfar.org/

about_hiv_and_aids/facts.statistics_worldwide

Bhurgi Y. HIV/AIDS in Pakistan. J Pak Med Assoc 2006;1–2.

UNAIDS country profile. Available at: http://www.unaids.org/

Unaids/EN/Geographical+areaBy+country/Pakistan

UNICEF country tables. Available at:

http://www.un.org/esa/earthsummit/pakis-cp

Hyder AA, Khan OA. HIV/AIDS in Pakistan: the context and

magnitude of an emerging threat. J Epidemol Commun Health

;52:579–85.

The World Bank: HIV/AIDS in Pakistan. Available at:

http://sitesources.worldbank.org/INTSAREGTOPHIVAIDS/Resou

rces/HIV-AIDS-brief-August06-PKA.pdf

Khwaja ZA, Gibney L, shmed AJ, Vermund SH. HIV/AIDS and

its risk factors in Pakistan. AIDS 1997;11:843–8.

Bukhari A, Nizamani NM, Jackson DJ, Rehan NE, Rehman M,

Muzaffar R, et al. HIV risk in Karachi and Lahore, Pakistan: an

emerging epidemic in injecting and commercial sex networks. Int J

STD AIDS 2007;18:486-92

Brundage JF, Burke DS, Gardner LI, McNeil JG, Goldenbaum M,

Visintine R, et al. Tracking the spread of the HIV infection

epidemic among young adults in the United States: results of the

first four years of screening among civilian applicants for U.S.

military service. J Acquir Immune Defic Syndr 1990;3:1168–80.

Chen SY, Gibson S, Katz MH, Klausner JD, Dilley JW, Schwarcz

SK, et al. Continuing increases in sexual risk behavior and sexually

transmitted diseases among men who have sex with men: San

Francisco, Calif, 1999–2001, USA. Am J Public Health

;92:1387–8.

National AIDS Control Programme, HIV/AIDS Surveillance

Project. HIV/AIDS Surveillance Project of Pakistan: Pilot Round.

National AIDS Control Programme, HIV/AIDS Surveillance

Project. HIV/AIDS Surveillance Project of Pakistan: Round 1.

National AIDS Control Programme, HIV/AIDS Surveillance

Project. HIV/AIDS Surveillance Project of Pakistan: Round 2.

National AIDS Control Programme, HIV/AIDS Surveillance

Project. HIV/AIDS Surveillance Project of Pakistan: Round 3.

Burki T. New government in Pakistan faces old challenges. Lancet

Infect Dis 2008;8(4):217–8.

Shah SA, Altaf A, Mujeeb SA, Memon A. An outbreak of HIV

infection among injection drug users in a small town of Pakistan:

potential for national implications. Int J STD AIDS 2004;15:209.

Published

2012-12-01