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Preventing and Mitigating AIDS in Sub-Saharan Africa: Research and Data Priorities for the Social and Behavioral Sciences (1996)
Commission on Behavioral and Social Sciences and Education (CBASSE)

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. "3 EPIDEMIOLOGY OF THE HIV/AIDS EPIDEMIC." Preventing and Mitigating AIDS in Sub-Saharan Africa: Research and Data Priorities for the Social and Behavioral Sciences. Washington, DC: The National Academies Press, 1996.

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Preventing and Mitigating AIDS in Sub-Saharan Africa: Research and Data Priorities for the Social and Behavioral Sciences

FIGURE 3-6 African HIV-2 Seroprevalence for Lower-Risk Urban Populations.

SOURCE: U.S. Bureau of the Census (1994b).

Faso, HIV-2 and HIV-1 are both present among appreciable proportions of the population.

The geographic pattern of HIV-2 shows a higher prevalence in West Africa and in other African countries with a Portuguese colonial history (Kanki, 1991). Troop movements among these former Portuguese colonies and travel facilitated by cultural ties surely contributed to the spread of HIV-2 in these select countries. Conversely, several countries bordering those with substantial HIV-2 infection have as yet shown little evidence of an HIV-2 epidemic.

The highest prevalence of HIV-2 infection among high-risk urban adults is found in Côte d'Ivoire and The Gambia, where infection rates are 37 percent and 27 percent, respectively. HIV-2 seroprevalence among low-risk urban adults is far lower (see Figure 3-6); only in Guinea-Bissau does seroprevalence exceed 10 percent (U.S. Bureau of the Census, 1994b). The highest HIV-2 infection rates are found among populations with high HIV-1 prevalence, including people with tuberculosis or STDs and female prostitutes. As noted above, in contrast to HIV-1, which shows a distinct peak at ages 25 to 40, the age-specific prevalence of

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