Short communication: HIV type 1 genetic diversity among tea plantation workers in Kericho, Kenya

AIDS Res Hum Retroviruses. 2009 Nov;25(11):1061-4. doi: 10.1089/aid.2009.0092.

Abstract

In preparation for HIV-1 vaccine trials in Kenya, 2801 study volunteers, from a tea plantation in Kericho, were recruited as part of a prospective vaccine cohort development study. Cryopreserved plasma was available from 401 HIV-positive volunteers, and was the source of viral RNA for genotyping by the multiregion hybridization assay (MHA). Logistic regression was performed to determine association of risk factors and HIV-1 recombinant and dual infections. At baseline, HIV-1 subtype A was the dominant circulating pure subtype (56%), followed by subtype D (10%) and C (5%). Recombinant HIV-1 strains accounted for almost one-third of all infections (29%), with 7% infected with a dual strain of the HIV-1 variants described. A higher number of HIV-1 recombinant and dual infections was observed among volunteers who were 18-24 and 25-29 years of age, affiliated with the Luo tribe, had been married two or more times, reported not being circumcised, and had STI symptoms in the past 6 months. Adjusted odds ratios (AOR) significantly associated with HIV-1 recombinant and dual infection were age difference from current spouse (5-9 years; AOR = 2.5, 95% CI = 1.2-5.3 and > or = 10 years; AOR = 3.1, 95% CI = 1.5-6.4) and reported STI symptoms in the past 6 months (AOR = 4.8, 95% CI = 2.0-11.6), respectively. In conclusion, our results suggest that there is considerable heterogeneity with respect to HIV-1 subtype diversity in this population that should be considered in the planning for future vaccine trials in the region.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • AIDS Vaccines / genetics
  • Adolescent
  • Adult
  • Ethnicity
  • Female
  • Genetic Variation*
  • HIV Infections* / epidemiology
  • HIV Infections* / ethnology
  • HIV Infections* / virology
  • HIV-1 / classification
  • HIV-1 / genetics*
  • Humans
  • Kenya / epidemiology
  • Kenya / ethnology
  • Male
  • Molecular Epidemiology
  • Mutation
  • Prevalence
  • Recombination, Genetic
  • Risk Factors
  • Rural Population*
  • Young Adult

Substances

  • AIDS Vaccines