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

Epidemiol Infect. 2004 Dec;132(6):1191-7. doi: 10.1017/s0950268804002845.

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.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Fluorescent Antibody Technique
  • HIV Infections / complications*
  • HIV-1 / pathogenicity
  • Herpesviridae Infections / etiology*
  • Herpesviridae Infections / transmission*
  • Herpesvirus 8, Human / pathogenicity*
  • Humans
  • Immunocompromised Host
  • Incidence
  • Male
  • Middle Aged
  • Neoplasms / complications
  • Neoplasms / virology
  • Risk Factors
  • Social Class*
  • South Africa / epidemiology