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A systematic review of current knowledge of HIV epidemiology and of sexual behaviour in Nepal

Furber, A.S., Newell, J.N. and Lubben, M.M. (2002) A systematic review of current knowledge of HIV epidemiology and of sexual behaviour in Nepal. Tropical Medicine and International Health, 7 (2). pp. 140-148. ISSN 1365-3156

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OBJECTIVE: To systematically review information on HIV epidemiology and on sexual behaviour in Nepal with a view to identifying gaps in current knowledge.

METHODS: Systematic review covering electronic databases, web-based information, personal contact with experts and hand searching of key journals.

RESULTS: HIV-1 seroprevalence has been rising rapidly in association with high-risk behaviours, with current levels of 40% amongst the nation's injecting drug users and approaching 20% amongst Kathmandu's female commercial sex workers (FCSWs). HIV seroprevalence remains low in the general population (0.29% of 15–49 year olds). There are significant methodological limitations in many of the seroprevalence studies identified, and these estimates need to be treated with caution. There are extensive migration patterns both within the country and internationally which provide the potential for considerable sexual networking. However, studies of sexual behaviour have focused on FCSWs and the extent of sexual networks within the general population is largely unknown.

CONCLUSIONS: Whilst some of the ingredients are present for an explosive HIV epidemic in Nepal, crucial knowledge on sexual behaviour in the general population is missing. Research on sexual networking is urgently required to guide HIV control in Nepal. There is also a need for further good-quality epidemiological studies of HIV seroprevalence.

Item Type: Article
Copyright, Publisher and Additional Information: © 2002 Blackwell Science Ltd. This is an electronic version of an article published in Tropical Medicine and International Health: complete citation information for the final version of the paper, as published in the print edition of Tropical Medicine and International Health, is available on the Blackwell Synergy online delivery service, accessible via the journal's website at www.blackwellpublishing.com/journal.asp?ref=1360-2276 or www.blackwell-synergy.com
Keywords: Asia, Nepal, HIV, epidemiology, sexual behaviour
Institution: The University of Sheffield, The University of Leeds
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield)
The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds)
Depositing User: Repository Officer
Date Deposited: 14 Mar 2006
Last Modified: 04 Jun 2014 22:04
Published Version: http://www.blackwell-synergy.com/doi/full/10.1046/...
Status: Published
Refereed: Yes
Identification Number: 10.1046/j.1365-3156.2002.00844.x
URI: http://eprints.whiterose.ac.uk/id/eprint/555

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