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Low socioeconomic status and risk for infection with Human Herpesvirus 8 among HIV-1 negative, South African black cancer patients

  • J. M. WOJCICKI (a1), R. NEWTON (a2), MI. URBAN (a3), L. STEIN (a3), M. HALE (a4), M. PATEL (a5) (a6), P. RUFF (a5) (a7), R. SUR (a5) (a8), D. BOURBOULIA (a9) and F. SITAS (a3) (a10)...

Abstract

Between January 1994 and October 1997, we interviewed 2576 black in-patients with newly diagnosed cancer in Johannesburg and Soweto, South Africa. Blood was tested for HIV-1 and HHV-8 antibodies and the study was restricted to 2191 HIV-1 antibody-negative patients. We examined the relationship between infection with HHV-8 and sociodemographic and behavioural factors using unconditional logistic regression models. Of the 2191 HIV-1 negative patients who did not have Kaposi's sarcoma, 854 (39·1%) were positive for antibodies against the latent nuclear antigen of HHV-8 encoded by orf73 in a immunofluorescence assay. Infection with HHV-8 was independently associated with increasing age (P trend=0·02). For females, independent risk factors also included working in a paid domestic capacity (OR 1·63, 95% CI 1·09–2·44, P=0·02), defining occupational status as economically non-active unemployed (OR 1·70, 95% CI 1·06–2·72, P=0·03), having a state pension or being on a disability grant (OR 1·49, 95% CI 1·05–2·11, P=0·02), using oral contraceptives (OR 1·43, 95% CI 1·03–1·99, P=0·03) and having a delayed age at menarche (P trend=0·04). The relationship between these variables and HHV-8 antibody status requires further, prospective study.

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Copyright

Corresponding author

Dr J. M. Wojcicki, Center for AIDS Prevention Studies, Box 0886, University of California San Francisco, 74 New Montgomery Street, San Francisco CA 94105, USA. (Email: jwojcicki@psg.ucsf.edu)

Low socioeconomic status and risk for infection with Human Herpesvirus 8 among HIV-1 negative, South African black cancer patients

  • J. M. WOJCICKI (a1), R. NEWTON (a2), MI. URBAN (a3), L. STEIN (a3), M. HALE (a4), M. PATEL (a5) (a6), P. RUFF (a5) (a7), R. SUR (a5) (a8), D. BOURBOULIA (a9) and F. SITAS (a3) (a10)...

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